Understanding adherence-related beliefs about medicine amongst patients of South Asian origin with diabetes and cardiovascular disease patients: a qualitative synthesis

Kumar, K., Greenfield, S., Raza, K., Gill, P. and Stack, R. ORCID: 0000-0002-0516-0228, 2016. Understanding adherence-related beliefs about medicine amongst patients of South Asian origin with diabetes and cardiovascular disease patients: a qualitative synthesis. BMC Endocrine Disorders, 16, p. 24. ISSN 1472-6823

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Abstract

Background: Prevalence of diabetes and cardiovascular (CVD) disease amongst UK South Asians is higher than in
the general population. Non-adherence to medicines may lead to poor clinical outcomes for South Asian patients
with diabetes and CVD. To understand the decision making processes associated with taking medicines, a qualitative systematic meta-synthesis exploring medicine taking behaviours, and beliefs was undertaken.
Methods: Four databases (Medline, Embase, Science Citation Index and CINAHL) were searched to identify
qualitative studies of South Asian patients taking diabetic medicines. Data were thematic coded and synthesised.
Results: The following themes were identified: [1] beliefs about the need for and efficacy of medicines; [2] toxicity of medicines and polypharmacy; [3] the necessity of traditional remedies versus “western medicines”; [4] stigma and social support; and [5] communication.
Conclusions: South Asians described cultural social stigma associated with diabetes and reported fears about drug toxicity as barriers to taking medicines. Cultural beliefs about traditional remedies and interactions with healthcare professionals also appeared to play a role in the way people made decisions about medicines. Advice should be tailored provided to South Asian patients highlighting the long term consequences of diabetes and CVD.

Item Type: Journal article
Publication Title: BMC Endocrine Disorders
Creators: Kumar, K., Greenfield, S., Raza, K., Gill, P. and Stack, R.
Publisher: BioMed Central
Date: 26 May 2016
Volume: 16
ISSN: 1472-6823
Rights: © 2016 Kumar et al. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Divisions: Schools > School of Social Sciences
Depositing User: Linda Sullivan
Date Added: 21 Apr 2016 14:17
Last Modified: 09 Jun 2017 14:01
URI: http://irep.ntu.ac.uk/id/eprint/27666

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