TABLE 1.
Overview of the studies presenting measures of non-adherences among Jamaicans living with NCDs. For all studies the measure of adherence.
References | Chronic disorder of patients (sample size) | Non-adherence rate (based on self-report) | Theme identified by patients as reasons for non-adherence |
---|---|---|---|
Adeniyi et al. (2021) | DM and HTN (85) | 40% for patients with only DM | Financial difficulty, Insurance problems, medication non-availability at local pharmacy and difficulty collecting medication |
31.2% for patients with only HTN | |||
30.8% for both conditions | |||
Barrett-Brown et al. (2021) | DM (101) | 53.5% | High pill burden—“tired of taking medications” |
Bridgelal-Nagassar et al. (2016) | DM (260) | 33% overall; 28.5% amongst those with health-insurance | Not reported |
Chambers et al. (2008) | Systemic lupus erythematosus (75) | 44% | Financial difficulty, medication non-availability in local pharmacy, fear of side effects, preference for herbal therapies, perception of mild disease, religious beliefs |
Duff et al. (2006) | DM (133) | 55% | Not reported |
Gossell-Williams et al. (2014) | 52 HTN (52) | Range from 9.6 to 40.4% | Adverse drug reactions, prefer not to take medication in the absence of symptoms, general inconvenience and pill burden |
Mowatt (2013) | DM (104) | 34% | Not specified |
Pusey-Murray et al. (2010) | Mental disorders (344) | 55.3% | Side-effects, running out of medication, forgetting to take medication, medication makes things worse |
Watson and Ferrillo, (2021) | DM and HTN (116) | 19.2% for patients with DM | Did not recognize the importance of taking medication consistently to manage chronic illness |
32.1% for patients with HTN | |||
Welsh et al. (2015) | HTN (48) | 56.3% | Adverse drug reactions, pill burden, difficulty obtaining medication at the pharmacy, preference for herbal therapies |
Wilson et al. (2018) | HTN (307) | 17.5% for patients with uncontrolled HTN | Not reported |
21.4% for patients with controlled HTN |
DM, diabetes mellitus; HTN, hypertension.