Medication adherence of rheumatic heart disease patients: a cross-sectional study in Bangladesh

  • Abrar Wahab Graduex Research Group, Dhaka, Bangladesh
  • Md Mahabub Ul Islam Department of Public Health, North South University, Dhaka-1229, Bangladesh
  • Mehbuba Mehnoor Laboni Rajshahi Medical College, Rajshahi 6000, Bangladesh
  • Anisa Fatema University Dental College and Hospital, 120/A, Outer Circular Rd, Dhaka 1217, Bangladesh
  • Abeda Saleha Renesa Department of Public Health, North South University, Dhaka-1229, Bangladesh
  • Mohammad Morshad Alam BD HSSP, The World Bank, Dhaka, Bangladesh
Keywords: rheumatic heart disease; MMAS-8; cross-sectional study; Bangladesh

Abstract

Rheumatic heart disease (RHD) is a significant public health problem and Non-adherence to treatment is an important and often unrecognized risk factor for cardiovascular mortality. The study aimed to assess self-reported medication adherence by 8-item Morisky Medication Adherence Scale (MMAS-8) among rheumatic heart disease patients and determine the associated factors. A cross-sectional study was carried out by applying a structured interview to Rheumatic heart disease patients aged 18 or higher in a tertiary hospital in Bangladesh. Among Rheumatic heart disease patients, 63.5% showed medium adherence, 36.5% showed low adherence to medication. Walking habit (P= 0.000), exercise habit (P=0.000), smoking habit (P=0.000), and duration of RHD (P=0.005) found significantly associated with medication adherence. Multiple logistic regression analysis also revealed, don't have walking habit more than 10 minutes at a time (AOR=2.416, 95% CI: 1.212-4.816), don't having exercise habit (AOR=2.420, 95% CI: 1.206 – 4.859), don't having habit of smoking (AOR=0.392, 95% CI: 0.183 – 0.841), duration of RHD for less than 15 (AOR=4.190, 95% CI: 0.851 – 20.631) are independent predictors of adherence. Our study demonstrated medium to low medication adherence in the Morisky Medication Adherence Scale among rheumatic heart disease patients.

Asian J. Med. Biol. Res. June 2019, 5(3): 186-191

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Abstract
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PDF
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Published
2019-10-15
How to Cite
Wahab, A., Islam, M. M., Laboni, M., Fatema, A., Renesa, A., & Alam, M. M. (2019). Medication adherence of rheumatic heart disease patients: a cross-sectional study in Bangladesh. Asian Journal of Medical and Biological Research, 5(3), 186-191. https://doi.org/10.3329/ajmbr.v5i3.43586
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Articles