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Aga Khan University team discover which patients keep on taking their medicine

een recurrently reported to affect negatively adherence, and in this context, the proportion of adherent patients is surprisingly large in the Pakistani population investigated here.

As for the associated factors, similarly to what has been reported worldwide, younger age, poor awareness, and symptomatic treatment adversely affected adherence to antihypertensive medication in this population. In contrast, mono-therapy reduced adherence (and the larger the number of pills, the greater the adherence), whereas psychosocial factors such as depression showed no association. One powerful contributing factor to adherence may lay in the social and extended family structures of the country. These findings may be used to identify the subset of population at risk of low adherence who should be targeted for interventions to achieve better blood pressure control and hence prevent complications.

Implications for large-scale introduction of preventative medicine are obvious. Although age was associated with adherence (and preventative measures should be started as early as possible), the Pakistani population at large seems to be very receptive to adherence (and prevention); furthermore, unique social and family fabrics of the Pakistani society should be the direct targets of campaigns aimed at improving both adherence and prevention.

The University appreciates that the endemic problems of a region beset with financial difficulties and low development indicators can be addressed only through relevant research focusing on producing low cost, accessible and innovative solutions.


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Contact: Rasool Sarang
rasool.sarang@aku.edu
92-214-863-920
Public Library of Science
14-Mar-2007


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