BackgroundNon-adherence to dietary recommendations, exercise and prescribed drug regimens, in coronary heart disease (CHD) patients following coronary artery bypass grafting (CABG), is a major health care issue worldwide.Aims and objectivesThe primary objective of this study was to investigate the frequency and predictors of non-adherence to lifestyle changes and medication among CHD patients after undergoing CABG surgery.MethodThe sample of this cross sectional descriptive study was 265 patients who underwent isolated primary CABG. Participants who met the eligibility criteria were provided with a pre-coded questionnaire 4 weeks or more after surgery. Adherence was assessed on the basis of patient's self-report. Significance of results was analyzed using Chi square test.ResultsRoughly half of the patients were non-adherent to dietary recommendations (n = 120, 45.3%) and exercise (n = 109, 41.1%) while about one third (n = 69, 26%) were non-adherent to prescribed medications. Unwillingness to adopt a new lifestyle and more than one social gathering per week, were found to be statistically significant predictors of non-adherence to diet (p-values < 0.001). Reluctance to follow exercise regimen, busy schedule, and fear that exercise will aggravate heart issues were commonly reported as reasons for non-compliance to exercise. As for non-adherence to medication, forgetfulness, affordability of drugs and too many medications to take were important predictors.ConclusionNon-adherence to lifestyle modifications and medication is an emerging problem worldwide. It is essential for medical health professionals to discuss these predictors and address them individually. Our findings highlight the need for a healthy physician and patient relationship.

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PurposeIn most developing countries like Pakistan, the gap between rich and poor has widened over time. This polarization in the society hinders economic growth and acts as a barrier for development and well-being. The proportion of income distribution varies across the population sub-groups in Pakistan. Therefore, it is important to study the income distribution effects across the four provinces of Pakistan.Design/methodology/approachThis study attempts to explore the root causes of income inequality and its changes in a dynamic context across the four provinces of Pakistan over a decade (2005–2006 to 2015–2016) by using a regression-based inequality decomposition method.FindingsAge, gender and higher education are the most prominent factors explaining the level of inequality across the four provinces of Pakistan. Higher education enhances the level of inequality in all provinces but contributes negatively to its changes except for Balochistan. Skilled agricultural and fishery workers in Balochistan have contributed significantly to reducing the level of inequality over the decade but not to its changes. Healthy contribution of the unpaid family workers in economic activities has reduced the level of inequality in Punjab and Balochistan and contributed positively to the change in income inequality. Employer or self-employed workers enhance the level of income inequality but contribute negatively to its changes for Punjab and Balochistan.Originality/valueTo date, inequality literature on Pakistan focuses on economic growth and poverty. A handful studies focus on the determinants of income inequality in a static context. This study goes beyond the static decomposition tools and attempts to explore the determinants of inequality in a dynamic context.Peer reviewThe peer review history for this article is available at https://publons.com/publon/10.1108/IJSE-09-2021-0573.