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Title: Exploring culture, religiosity and spirituality influence on antihypertensive medication adherence among specialised population: A qualitative ethnographic approach
Authors: Noor Azizah Abdul Wahab
Mohd Makmor Bakry
Mahadir Ahmad
Zazwiza Mohamad Noor
Adliah Mhd Ali
Keywords: Cultural
Medication adherence
Issue Date: Oct-2021
Publisher: Dove Medical Press Ltd
Citation: Noor Azizah Abdul Wahab, Mohd Makmor Bakry, Mahadir Ahmad, Zaswiza Mohamad Noor & Adliah Mhd Ali (2021). Exploring Culture, Religiosity and Spirituality Influence on Antihypertensive Medication Adherence Among Specialised Population: A Qualitative Ethnographic Approach. Patient Preference and Adherence, Volume 15, 2249–2265.
Abstract: Background: Hypertension is one of the major risk factors of stroke and leading risk factors for global death. Inadequate control of blood pressure due to medication non-adherence remains a challenge and identifying the underlying causes will provide useful information to formulate suitable interventions Purpose: This study aimed to explore the roles of culture, religiosity, and spirituality on adherence to anti-hypertensive medications Methodology: A semi-structured qualitative interview was used to explore promoters and barriers to medication adherence among hypertensive individuals residing in urban and rural areas of Perak State, West Malaysia. Study participants were individuals who are able to comprehend either in Malay or English, above 18 years old and on antihypertensive medications. Interview transcriptions from 23 participants were coded inductively and analyzed thematically. Codes generated were verified by three co-investigators who were not involved in transcribing process. The codes were matched with quotations and categorized using three levels of themes named as organizing, classifying and general themes Results: Cultural aspects categorized as societal and communication norms were related to non-adherence. The societal norms related to ignorance, belief in testimony and anything “natural is safe” affected medication adherence negatively. Communication norms manifested as superfici-ality, indirectness and non-confrontational were also linked to medication non-adherence. Internal and organizational religiosity was linked to increased motivation to take medication. In contrast, religious misconception about healing and treatment contributed towards medication non-adherence. The role of spirituality remains unclear and seemed to be understood as related to religiosity Conclusion: Culture and religiosity (C/R) are highly regarded in many societies and shaped people’s health belief and behaviour. Identifying the elements and mechanism through which C/ R impacted adherence would be useful to provide essential information for linking adherence assessment to the interventions that specifically address causes of medication non-adherence
ISSN: 1177889X
Appears in Collections:Journal Articles

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