ArticlePatient preference and adherence2021
Exploring Culture, Religiosity and Spirituality Influence on Antihypertensive Medication Adherence Among Specialised Population: A Qualitative Ethnographic Approach.
Article in Patient preference and adherence, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- The Role of Spirituality and Religiosity in the Maintenance and Recovery of Psychosis: A Systematic Review.Early intervention in psychiatry · 2025Pooled it
- Understanding the multidimensional barriers to treatment adherence among Iranian patients with hypertension: a qualitative content analysis.BMC public health · 2026Article
- Hypertension Disparities in Immigrant and Refugee Populations: Screening, Treatment Access, and Cultural Barriers.Current hypertension reports · 2026Review
- Cultural and religious influences on parental knowledge of HPV infection and female vaccination in Egypt: a national cross-sectional study.BMC public health · 2026Article
- Article
- Challenges and Enablers of Antiretroviral Therapy Adherence Among Ethiopian Adolescents: A Qualitative Study.International journal of sexual health : official journal of the World Association for Sexual Health · 2026Article
- Assessment of Adherence to Medication and Its Association with Health-Related Quality of Life Among Hypertensive Patients in the United Arab Emirates.Patient preference and adherence · 2026Article
- The Role of Religiosity on Racial/Ethnic Disparities in Non-adherence to Antihypertensive Medications.Journal of racial and ethnic health disparities · 2025Article
- The Effect of Biopsychosocial-Spiritual Factors on Medication Adherence in Chronic Diseases in Türkiye.Journal of religion and health · 2025Article
- Barriers and Facilitators of Medication Adherence in Hypertension Patients: A Meta-Integration of Qualitative Research.Journal of patient experience · 2024Article
- Article
- Association between medication adherence and blood pressure control and factors associated with antihypertensive medication adherence in the Melaka Tengah District: A cross-sectional survey.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2024Article
- Self-reported medication adherence instruments and their applicability in low-middle income countries: a scoping review.Frontiers in public health · 2023Article
- Factors influencing medication adherence in multi-ethnic Asian patients with chronic diseases in Singapore: A qualitative study.Frontiers in pharmacology · 2023Article
- A scoping review of spirituality and religiosity in people who have had a kidney transplant.Nursing open · 2022Article
- Medication Adherence and Blood Pressure Control Among Hypertensive Outpatients Attending a Tertiary Cardiovascular Hospital in Tanzania: A Cross-Sectional Study.Integrated blood pressure control · 2022Article
- Article
- Psychological Resilience and Coping Among Women Living With Chronic Hypertension in Rural Uganda.Inquiry : a journal of medical care organization, provision and financingArticle
- Axiological Perspectives on Self-Care Interventions and Their Impact on Hypertension Patient Behaviors: A Systematic Review.SAGE open nursingReview
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHypertension is one of the major risk factors of stroke and leading risk factors for global death. Inadequate control of blood pressure due to medication non-adherence remains a challenge and identifying the underlying causes will provide useful information to formulate suitable interventions. PURPOSE: This study aimed to explore the roles of culture, religiosity, and spirituality on adherence to anti-hypertensive medications. METHODOLOGY: A semi-structured qualitative interview was used to explore promoters and barriers to medication adherence among hypertensive individuals residing in urban and rural areas of Perak State, West Malaysia. Study participants were individuals who are able to comprehend either in Malay or English, above 18 years old and on antihypertensive medications. Interview transcriptions from 23 participants were coded inductively and analyzed thematically. Codes generated were verified by three co-investigators who were not involved in transcribing process. The codes were matched with quotations and categorized using three levels of themes named as organizing, classifying and general themes.
resultsCultural aspects categorized as societal and communication norms were related to non-adherence. The societal norms related to ignorance, belief in testimony and anything "natural is safe" affected medication adherence negatively. Communication norms manifested as superficiality, indirectness and non-confrontational were also linked to medication non-adherence. Internal and organizational religiosity was linked to increased motivation to take medication. In contrast, religious misconception about healing and treatment contributed towards medication non-adherence. The role of spirituality remains unclear and seemed to be understood as related to religiosity.
conclusionCulture and religiosity (C/R) are highly regarded in many societies and shaped people's health belief and behaviour. Identifying the elements and mechanism through which C/R impacted adherence would be useful to provide essential information for linking adherence assessment to the interventions that specifically address causes of medication non-adherence.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.