ArticleEuropean journal of clinical pharmacology2011
Special challenges for drug adherence following generic substitution in Pakistani immigrants living in Norway.
Article in European journal of clinical pharmacology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 4 of them syntheses that pooled it.
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Who cites it
29 citing papers in PubMed, 4 syntheses or guidelines pooled it, 71 citations in OpenAlex.
- Utilisation of Healthcare Services and Medicines by Pakistani Migrants Residing in High Income Countries: A Systematic Review and Thematic Synthesis.Journal of immigrant and minority health · 2019Pooled it
- What Do Users of Generic Medicines Think of Them? A Systematic Review of Consumers' and Patients' Perceptions of, and Experiences with, Generic Medicines.The patient · 2016Pooled it
- A Systematic Review of Physicians' and Pharmacists' Perspectives on Generic Drug Use: What are the Global Challenges?Applied health economics and health policy · 2015Pooled it
- What do people really think of generic medicines? A systematic review and critical appraisal of literature on stakeholder perceptions of generic drugs.BMC medicine · 2015Pooled it
- Communication between Norwegian Pakistani patients and healthcare providers about traditional and complementary medicine: a qualitative study.International journal of qualitative studies on health and well-being · 2025Article
- Use and perception of risk: traditional medicines of Pakistani immigrants in Norway.BMC complementary medicine and therapies · 2024Article
- Continuities and discontinuities in pharmaceutical treatment and medication use among older chronically ill patients of Turkish descent in Germany: a qualitative structuring content analysis.Frontiers in public health · 2024Article
- Living with polypharmacy: a narrative interview study with older Pakistanis in East London.BMC geriatrics · 2023Article
- Factors facilitating and hindering counselling about generic substitution and a reference price system in community pharmacies - a survey among Finnish dispensers.BMC health services research · 2022Article
- A nationwide survey exploring physicians' and pharmacists' knowledge, awareness and perceptions regarding generic medicines in China.BMC health services research · 2022Article
- Reasons for allowing and refusing generic substitution and factors determining the choice of an interchangeable prescription medicine: a survey among pharmacy customers in Finland.BMC health services research · 2020Article
- Generic versus brand-name over-the-counter analgesics: knowledge and attitudes among Swedish pharmacy customers.Journal of pharmaceutical policy and practice · 2020Article
- The Use of Generic Medications for Glaucoma.Journal of ophthalmology · 2020Review
- The content of patient counseling about interchangeable medicines and generic substitution in Finnish community pharmacies - a survey of dispensers.BMC health services research · 2019Article
- Experiences of Kurdish immigrants with the management of type 2 diabetes: a qualitative study from Norway.Scandinavian journal of primary health care · 2019Article
- Living with Diabetes: Personal Interviews with Pakistani Women in Norway.Journal of immigrant and minority health · 2018Article
- Potential Clinical and Economic Impact of Switching Branded Medications to Generics.American journal of therapeutics · 2017Review
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- Package Design Affects Accuracy Recognition for Medications.Human factors · 2016Article
- Article
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis study aims to explore how long-term drug users with a Pakistani background living in Oslo (Norway) perceive generic substitution and how generic substitution influences drug adherence in this population.
methodsPersonal interviews using a semi-structured questionnaire were carried out with 83 Pakistani immigrants (aged 40-80 years) who were using antihypertensives, antidiabetics, and/or cholesterol-lowering drugs.
resultsIn all, 73% of the participants were using generic drugs at the time of the interview. Of these, 10% were erroneously using two equivalent generics at the same time. One quarter of the participants were of the opinion that cheaper generic drugs were counterfeit drugs. Two thirds had accepted generic substitution in the pharmacy whereas the remaining participants had either opposed or were unaware of the substitution. Of those who had accepted substitution, 27% claimed that the effect of the new drug was poorer and 20% reported more side-effects. Generic substitution had resulted in concerns about the therapy in 41% of the patients, and 26% thought it had become more demanding to keep track of their medication. Poor adherence tended to be most common among patients who were not fluent in Norwegian, patients who had concerns about medicine use, and patients who had accepted generic substitution in the pharmacy.
conclusionThis study shows that generic substitution may have a negative effect on drug adherence in Pakistani immigrants in Oslo (Norway) because of concerns and misconceptions, including confusion with regard to counterfeit drugs. Problems result primarily from inadequate information caused by language barriers but also from culturally conditioned views on encounters with the health care system.
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