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Medicine Adherence and Associated Factors in Immigrants and Refugees: A Systematic Review

Medicine nonadherence is a major contributing factor to morbidity and mortality. Almost half of the chronically ill patients are nonadherent to their medication. Vulnerable groups like immigrants and refugees are at a higher risk of poor medication adherence. This study aims to determine the rate of...

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Autores principales: Patel, Damini, Jalal, Zahraa, Guo, Ping
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9812604/
https://www.ncbi.nlm.nih.gov/pubmed/36636740
http://dx.doi.org/10.1155/2022/1993066
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author Patel, Damini
Jalal, Zahraa
Guo, Ping
author_facet Patel, Damini
Jalal, Zahraa
Guo, Ping
author_sort Patel, Damini
collection PubMed
description Medicine nonadherence is a major contributing factor to morbidity and mortality. Almost half of the chronically ill patients are nonadherent to their medication. Vulnerable groups like immigrants and refugees are at a higher risk of poor medication adherence. This study aims to determine the rate of medicine adherence and the factors associated with medicine nonadherence in a population of immigrants and refugees. A protocol-led (PROSPERO ID: CRD42021285419) systematic review was conducted by searching PubMed, Medline, Embase, Scopus, CINAHL, and Cochrane Library for studies published between 1st January 2000 and 4th November 2021. PRISMA guidelines were followed. The NIH quality assessment tool and CASP checklist were used to quality assess the papers. Data were searched, screened, and extracted. Extracted data were tabulated for descriptive and narrative analyses. 15 studies were conducted across six countries including participants with various medical conditions. The rate of medicine adherence reported ranged from 10.1% to 74.5%. Higher rates of nonadherence were observed in immigrants and refugees compared to migrant and native groups. Socio-economic factors, including language proficiency, level of education, and financial burden, and patient-related factors involving cultural behaviours and beliefs were common themes for nonadherence among immigrants and refugees. Further research is required to address the effect of nonadherence on clinical outcomes. Studies should focus on using a consistent definition of adherence and the same objective methods to measure rates of adherence to allow for meta-analysis of data and definitive results. Healthcare professionals (HCPs) are recommended to target interventions at improving adherence and reducing modifiable risk factors in immigrants and refugees, thus reducing health disparities among the population.
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spelling pubmed-98126042023-01-11 Medicine Adherence and Associated Factors in Immigrants and Refugees: A Systematic Review Patel, Damini Jalal, Zahraa Guo, Ping Int J Clin Pract Review Article Medicine nonadherence is a major contributing factor to morbidity and mortality. Almost half of the chronically ill patients are nonadherent to their medication. Vulnerable groups like immigrants and refugees are at a higher risk of poor medication adherence. This study aims to determine the rate of medicine adherence and the factors associated with medicine nonadherence in a population of immigrants and refugees. A protocol-led (PROSPERO ID: CRD42021285419) systematic review was conducted by searching PubMed, Medline, Embase, Scopus, CINAHL, and Cochrane Library for studies published between 1st January 2000 and 4th November 2021. PRISMA guidelines were followed. The NIH quality assessment tool and CASP checklist were used to quality assess the papers. Data were searched, screened, and extracted. Extracted data were tabulated for descriptive and narrative analyses. 15 studies were conducted across six countries including participants with various medical conditions. The rate of medicine adherence reported ranged from 10.1% to 74.5%. Higher rates of nonadherence were observed in immigrants and refugees compared to migrant and native groups. Socio-economic factors, including language proficiency, level of education, and financial burden, and patient-related factors involving cultural behaviours and beliefs were common themes for nonadherence among immigrants and refugees. Further research is required to address the effect of nonadherence on clinical outcomes. Studies should focus on using a consistent definition of adherence and the same objective methods to measure rates of adherence to allow for meta-analysis of data and definitive results. Healthcare professionals (HCPs) are recommended to target interventions at improving adherence and reducing modifiable risk factors in immigrants and refugees, thus reducing health disparities among the population. Hindawi 2022-12-28 /pmc/articles/PMC9812604/ /pubmed/36636740 http://dx.doi.org/10.1155/2022/1993066 Text en Copyright © 2022 Damini Patel et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Patel, Damini
Jalal, Zahraa
Guo, Ping
Medicine Adherence and Associated Factors in Immigrants and Refugees: A Systematic Review
title Medicine Adherence and Associated Factors in Immigrants and Refugees: A Systematic Review
title_full Medicine Adherence and Associated Factors in Immigrants and Refugees: A Systematic Review
title_fullStr Medicine Adherence and Associated Factors in Immigrants and Refugees: A Systematic Review
title_full_unstemmed Medicine Adherence and Associated Factors in Immigrants and Refugees: A Systematic Review
title_short Medicine Adherence and Associated Factors in Immigrants and Refugees: A Systematic Review
title_sort medicine adherence and associated factors in immigrants and refugees: a systematic review
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9812604/
https://www.ncbi.nlm.nih.gov/pubmed/36636740
http://dx.doi.org/10.1155/2022/1993066
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