A qualitative exploration of the impact of knowledge and perceptions about hypertension in medication adherence in Middle Eastern refugees and migrants

Shahin, Wejdan; Kennedy, Gerard; Stupans, Ieva

doi:10.1016/j.rcsop.2021.100038

Cited by 6 publications

(6 citation statements)

References 46 publications

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“…It is known that many factors affect MA, including belonging to an ethnic minority, 27 28 and having cultural beliefs about medications, 29 with even differences between migrants and refugees. 30 However, we favour the hypothesis that comparable personal, social and economic determinants are important in our patients independently from their ethnicity and that their interplay is responsible for similar patterns of MA. To confirm this hypothesis, however, further research is necessary.…”

Section: Discussionmentioning

confidence: 50%

“…Taking Europeans as the reference geographical group, MA was the highest at 6 months for Asians, but it fell significantly below that of Europeans for all ethnicities at 12 months. It is known that many factors affect MA, including belonging to an ethnic minority,27 28 and having cultural beliefs about medications,29 with even differences between migrants and refugees 30. However, we favour the hypothesis that comparable personal, social and economic determinants are important in our patients independently from their ethnicity and that their interplay is responsible for similar patterns of MA.…”

Section: Discussionmentioning

confidence: 56%

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Evaluation of adherence to pharmacological treatments by undocumented migrants with chronic diseases: a 10-year retrospective cohort study

Fiorini,

Pellegrini,

Franchi

et al. 2024

BMJ Open

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ObjectivesTo investigate the time course of medication adherence and some of the factors involved in this process in undocumented migrants with chronic diseases.DesignRetrospective cohort study.SettingA big non-governmental organisation in Milano, Italy, giving medical assistance to undocumented migrants.Participants1918 patients, 998 females and 920 males, with at least one chronic condition (diabetes, cardiovascular diseases (CVDs), mental health disorders) seen over a period of 10 years (2011–2020). Their mean age was 49.2±13 years.ResultsAdherence to medications decreased over 1 year in all patients. This was more evident during the first 2 months of treatment. Patients on only one medication were less adherent than those on more than one medication; at 6 months the percentage of patients with high adherence was 33% vs 57% (p<0.0001) for diabetes, 15% vs 46% (p<0.0001) for mental disorders and 35% vs 59% (p<0.0001) for CVDs. Patients with mental disorders had the lowest adherence: 25% at 6 months and 3% at 1 year. Mental disorders, when present as comorbidities, greatly reduced the probability of being highly adherent: risk ratio (RR) 0.72 (95% CI 0.57 to 0.91; p=0.006) at 3 months, RR 0.77, (95% CI 0.59 to 1.01; p=0.06) at 6 months, RR 0.35 (95% CI 0.13 to 0.94; p=0.04) at 1 year. This was especially evident for patients with CVDs, whose percentage of high adherents decreased to 30% (p=0.0008) at 6 months and to 3% (p=0.01) at 1 year. We also noted that highly adherent patients usually were those most frequently seen by a doctor.ConclusionsInterventions to increase medication adherence of undocumented migrants with chronic diseases are necessary, particularly in the first 2 months after beginning treatment. These should be aimed at people-centred care and include more outpatient consultations. Educational interventions should especially be taken into consideration for patients on monotherapy.

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Section: Discussionmentioning

confidence: 50%

Section: Discussionmentioning

confidence: 56%

Evaluation of adherence to pharmacological treatments by undocumented migrants with chronic diseases: a 10-year retrospective cohort study

Fiorini,

Pellegrini,

Franchi

et al. 2024

BMJ Open

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“… 13 , 21 Eight studies have shown the influence of researchers on research. 11 , 13 , 20 , 21 , 27 – 29 , 33 All study participants and their voices were well represented. Only 4 studies did not provide sufficient details about ethical approval.…”

Section: Resultsmentioning

confidence: 99%

Barriers and Facilitators of Medication Adherence in Hypertension Patients: A Meta-Integration of Qualitative Research

Zhou,

Zhang,

et al. 2024

Journal of Patient Experience

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The aim of this qualitative systematic review is to analyze the barriers and facilitators to the uptake of antihypertensive medication in hypertensive patients. The databases of PubMed, Embase, Web of Science, CINAHL, Cochrane Library, MEDLINE, China National Knowledge Infrastructure, Wanfang, VIP, and Chinese Biomedical were searched from inception to June 2023. The studies were screened, extracted, and assessed independently by two researchers. Previously, the researchers used the Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Research to assess the quality of the included studies. A total of 27 studies were considered, resulting in two combined findings: a good level of knowledge, belief, and behavior and adequate social support were facilitators of medication adherence in hypertensive patients. In contrast, lack of medication literacy, difficulty adapting to roles, reduced sense of benefit from treatment, limited access to healthcare resources, and unintentional nonadherence were barriers. Medication adherence in hypertensive patients remains a challenge to be addressed. Future research should explore how complex interventions using a combination of evidence-based strategies and targeting multiple adherence behaviors (eg, long-term adherence to medication) are effective in improving medication adherence.

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“…Petersen et al [ 43 ] assert that occupational heavy lifting is associated with acute cardiovascular strain excessively raising blood pressure. Therefore, Kayayei’s knowing their status will decrease their risk of serious health problems, including heart attack and stroke [ 41 , 44 ].…”

Section: Resultsmentioning

confidence: 99%

Health needs of migrant female head porters in Ghana: evidence from the Greater Accra and Greater Kumasi Metropolitan areas

Opuni

Adei

Mensah

et al. 2023

Int J Equity Health

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Background In low-and middle-income countries, migrants are confronted with health needs which affect the promotion of their well-being and healthy lives. However, not much is known about the health needs of migrant female head porters (Kayayei) in Ghana. This study assesses the health needs of migrant female head porters in the Greater Kumasi Metropolitan Area (GKMA) and Greater Accra Metropolitan Area (GAMA). Methods The study adopted a convergent mixed methods design where both qualitative and quantitative data were used. A representative sample size of 470 migrant female head porters was used for the study. Results The study revealed that ante-natal care, post-natal care, treatment of malaria, treatment of diarrhoea diseases, mental health, sexual health, and cervical cancer were health needs of migrant female head porters. The findings showed that participants from the GAMA significantly have greater cervical cancer needs (71.6% vrs 67.1%, p = 0.001) compared to those from the GKMA. Kayeyei from the GKMA significantly have greater mental health needs than those from the GAMA (84.6% vrs 79.2%, p = 0.031). Also, Kayeyei from the GKMA significantly have higher attendance of post-natal care compared to those from the GAMA (99.4% vrs 96.2%, p = 0.013). Conclusion The findings underscore differential health needs across geographical localities. Based on the findings of the study, specific health needs such as ante-natal care and post-natal care should be included in any health programmes and policies that aim at addressing health needs of migrant female head porters in the two metropolitan areas of Ghana.

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A qualitative exploration of the impact of knowledge and perceptions about hypertension in medication adherence in Middle Eastern refugees and migrants

Cited by 6 publications

References 46 publications

Evaluation of adherence to pharmacological treatments by undocumented migrants with chronic diseases: a 10-year retrospective cohort study

Evaluation of adherence to pharmacological treatments by undocumented migrants with chronic diseases: a 10-year retrospective cohort study

Barriers and Facilitators of Medication Adherence in Hypertension Patients: A Meta-Integration of Qualitative Research

Health needs of migrant female head porters in Ghana: evidence from the Greater Accra and Greater Kumasi Metropolitan areas

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