Multidimensional correlates of adherence to cardiovascular treatment among patients with multimorbidity from tribal communities in South India: an exploratory cross-sectional study

07 Jul 20264 min read0 viewsJournal Feed

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Introduction Tribal people in India face a growing risk of multimorbidity, primarily from cardiovascular diseases (CVD) due to changing lifestyles and unique socio-cultural and political factors. We aimed to identify treatment patterns and barriers to medication adherence for CVD. This will inform culturally sensitive implementation strategies that may improve outcomes among tribal communities.
Methods We conducted an exploratory cross-sectional study among participants with multimorbidity in a South-Indian tribal setting. We used a structured questionnaire, guided by the Consolidated Framework for Implementation Research(CFIR), to assess comorbidities, treatment patterns, adherence and potential factors influencing adherence. Descriptive statistics and multivariable logistic regression identified correlates for medication non-adherence.
Results We recruited 200 participants with a mean age of 64.6±9.71 years. The majority were female (115, 57.5%), of tribal origin (160, 80%) and had no formal education (169, 84.5%). The commonly reported comorbidities included hypertension (168, 84%) and diabetes (113, 56.5%) followed by chronic kidney disease (CKD) (47, 24%).
Self-reported non-adherence to medications (missing at least one CVD pill in the past week) was reported by 120 (60%) participants.

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BMJ Open published a clinical update in Research Highlights on 07 Jul 2026.

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BMJ Open

Multidimensional correlates of adherence to cardiovascular treatment among patients with multimorbidity from tribal communities in South India: an exploratory cross-sectional study

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Clinical Editorial

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Multidimensional correlates of adherence to cardiovascular treatment among patients with multimorbidity from tribal communities in South India: an exploratory cross-sectional study

GIST (Key Takeaways)

Clinical Editorial

Source Reference

Related by Condition/Drug

Genetic and sociodemographic factors associated with trajectories of physical and mental health multimorbidity in a South Asian cohort in the UK: A multistate modelling analysis

Lifestyle Changes May Help Prevent Multimorbidity In Prediabetes

Atherosclerosis in Chronic Kidney Disease: Early Prevention Matters

Moving Forward: The Future of GLP-1 Therapies

Use Of Kidney-Preserving Medications In Breastfeeding

Sex‐Specific Outcomes and Treatment Responses in Elderly Patients With Heart Failure With Preserved Ejection Fraction: A Comprehensive Single‐Center Retrospective Study