Sociodemographic and clinical factors associated with non-adherence to stroke medication: an analytical, multi-hospital cross-sectional survey in Punjab, Pakistan

This study addresses the significant issue of medication non-adherence in stroke patients in Pakistan, reflecting global patterns yet remaining under-explored locally. It emphasises the critical role of adherence in managing chronic conditions such as stroke, where consistent use of preventive therapies is vital for reducing recurrence and improving outcomes. While the non-adherence rates are consistent with global trends, there is a notable lack of observational studies and epidemiological data in the Pakistani context. Our findings support a comprehensive approach to enhance medication adherence, taking into account the complex connections among social, behavioural and clinical factors. It also highlights the importance of maintaining detailed records to monitor adherence trends, identify high-risk groups and inform targeted public health interventions.

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Publication Details

Journal
BMJ Open
Published
2025-11-01
DOI
https://doi.org/10.1136/bmjopen-2025-105613
Primary Topic
Medication Adherence and Compliance
Type
article
Field-Weighted Citation Impact
0.00

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article

Sociodemographic and clinical factors associated with non-adherence to stroke medication: an analytical, multi-hospital cross-sectional survey in Punjab, Pakistan

Natasha Howard, Sumbal Shahbaz, Muhammad Javed Arshed, Ali Hassan Gillani et al.
BMJ Open
Medication Adherence and Compliance
article

Sociodemographic and clinical factors associated with non-adherence to stroke medication: an analytical, multi-hospital cross-sectional survey in Punjab, Pakistan

Natasha Howard, Sumbal Shahbaz, Muhammad Javed Arshed, Ali Hassan Gillani, Hafsa Arshad, Muhammad Farooq Umer, Waseela Ashraf, Muhammad Virk, Jamil Adnan Samkari, Mehwish Kiran, Shafqat Qamer
article en

Abstract

This study addresses the significant issue of medication non-adherence in stroke patients in Pakistan, reflecting global patterns yet remaining under-explored locally. It emphasises the critical role of adherence in managing chronic conditions such as stroke, where consistent use of preventive therapies is vital for reducing recurrence and improving outcomes. While the non-adherence rates are consistent with global trends, there is a notable lack of observational studies and epidemiological data in the Pakistani context. Our findings support a comprehensive approach to enhance medication adherence, taking into account the complex connections among social, behavioural and clinical factors. It also highlights the importance of maintaining detailed records to monitor adherence trends, identify high-risk groups and inform targeted public health interventions.

BMJ OpenVol. 15(11)
University of Dubai (AE), University of Lahore (PK), Prince Sattam Bin Abdulaziz University (SA), Rawalpindi Medical University (PK), King Abdulaziz University (SA), Baqai Medical University (PK), London School of Hygiene & Tropical Medicine (GB), King Faisal University (SA), Xi'an Jiaotong University (CN)
King Faisal University
Openalex Percentile: Top 61%
Medication Adherence and Compliance
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