Medication Adherence Rate in Arab Patients With Cardiovascular Disease: A Systematic Review

J Transcult Nurs. 2022 Sep;33(5):632-641. doi: 10.1177/10436596221095851. Epub 2022 May 18.

Abstract

Background: Cardiovascular disease (CVD) is one of the most common chronic illnesses in the Eastern Mediterranean. There have been few studies on medication adherence in Arab patients with CVD.

Aim: To investigate the rates and the reasons for medication adherence in Arab patients with CVD.

Methodology: The Joanna Briggs Institute methodology for prevalence systematic reviews was used. MEDLINE, EMCARE, CINAHL, Scopus, Science Direct, PsychINFO, and the Cochrane Central Register of Controlled Trials were searched.

Results: Thirteen quantitative studies on medication adherence in Arab adult CVD patients were included.Pooled data from nine studies demonstrated that 53.2% (95% confidence interval = [51.2%, 55.1%]) of patients were adherent to their medications. Reasons for nonadherence to medication include personal factors, understanding, and complexity of treatment regimes, medication knowledge and structural barriers.

Conclusion: Medication adherence appears to have a social gradient, and families should be actively involved in future strategies to increase medication adherence.

Keywords: Arab; CVD; medication adherence.

Publication types

  • Systematic Review

MeSH terms

  • Adult
  • Arabs
  • Cardiovascular Diseases* / complications
  • Cardiovascular Diseases* / drug therapy
  • Chronic Disease
  • Humans
  • Medication Adherence