Medication Adherence of Vietnamese Outpatients with Chronic Diseases during the COVID-19 Pandemic

The purpose of this study was to determine the medication adherence of outpatients with chronic diseases and the association between both patient attitudes and preventive practices regarding COVID-19 and their medication adherence. We performed a cross-sectional study in Vietnam. Medication adherenc...

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Main Authors: Suol Thanh Pham, Cuong Van Dam, Chu Xuan Duong, Nghi Huynh Phuong Duong, Xuyen Thi Kim Nguyen, Han Gia Diep, Nguyet Kim Nguyen, Duyen Thi Nhan Le, Trang Thi Nhu Nguyen, Tu Thi Cam Le, Thao Thi Thanh Nguyen, Henri van Asten, Thang Nguyen
Format: Article
Language:English
Published: MDPI AG 2022-06-01
Series:Tropical Medicine and Infectious Disease
Subjects:
Online Access:https://www.mdpi.com/2414-6366/7/6/101
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author Suol Thanh Pham
Cuong Van Dam
Chu Xuan Duong
Nghi Huynh Phuong Duong
Xuyen Thi Kim Nguyen
Han Gia Diep
Nguyet Kim Nguyen
Duyen Thi Nhan Le
Trang Thi Nhu Nguyen
Tu Thi Cam Le
Thao Thi Thanh Nguyen
Henri van Asten
Thang Nguyen
author_facet Suol Thanh Pham
Cuong Van Dam
Chu Xuan Duong
Nghi Huynh Phuong Duong
Xuyen Thi Kim Nguyen
Han Gia Diep
Nguyet Kim Nguyen
Duyen Thi Nhan Le
Trang Thi Nhu Nguyen
Tu Thi Cam Le
Thao Thi Thanh Nguyen
Henri van Asten
Thang Nguyen
author_sort Suol Thanh Pham
collection DOAJ
description The purpose of this study was to determine the medication adherence of outpatients with chronic diseases and the association between both patient attitudes and preventive practices regarding COVID-19 and their medication adherence. We performed a cross-sectional study in Vietnam. Medication adherence was determined using the translated and validated Vietnamese version of the General Medication Adherence Scale (GMAS). Patient attitudes and preventive practices regarding COVID-19 were measured using the 5K message of the Vietnam Ministry of Health (facemasks, disinfection, distance, no gatherings, health declarations). The associations between patient characteristics and medication adherence were determined by multivariable regression. The study included 1852 outpatients, and 57.6% of the patients adhered to their medications. Patients who recognized the pandemic’s obstruction of medical follow-ups (OR = 1.771; 95%CI = 1.461–2.147; <i>p</i> < 0.001), who applied ≥2 preventive methods (OR = 1.422; 95%CI = 1.173–1.725; <i>p</i> = 0.001), who were employed (OR = 1.677; 95%CI = 1.251–2.248; <i>p</i> = 0.001), who were living in urban areas (OR = 1.336; 95%CI = 1.090–1.637; <i>p</i> = 0.005,) who possessed higher education levels (OR = 1.313; 95%CI = 1.059–1.629; <i>p</i> = 0.013), or who had ≤2 comorbidities (OR = 1.293; 95%CI = 1.044–1.600; <i>p</i> = 0.019) were more likely to adhere to their medications. The adherence percentage for outpatients with chronic diseases was quite low during the pandemic. Patients who did not recognize the COVID-19 pandemic’s obstruction of medical follow-ups or who had poor preventive practices were less likely to adhere to medications. Healthcare providers should pay more attention to these groups to achieve desired treatment outcomes.
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spelling doaj.art-142a19383552447a995c2fe02a1c89a42023-11-23T19:18:36ZengMDPI AGTropical Medicine and Infectious Disease2414-63662022-06-017610110.3390/tropicalmed7060101Medication Adherence of Vietnamese Outpatients with Chronic Diseases during the COVID-19 PandemicSuol Thanh Pham0Cuong Van Dam1Chu Xuan Duong2Nghi Huynh Phuong Duong3Xuyen Thi Kim Nguyen4Han Gia Diep5Nguyet Kim Nguyen6Duyen Thi Nhan Le7Trang Thi Nhu Nguyen8Tu Thi Cam Le9Thao Thi Thanh Nguyen10Henri van Asten11Thang Nguyen12Department of Pharmacology and Clinical Pharmacy, Can Tho University of Medicine and Pharmacy, Can Tho City 900000, VietnamFaculty of Medicine, Nam Can Tho University, Can Tho City 900000, VietnamDepartment of Pharmacology and Clinical Pharmacy, Can Tho University of Medicine and Pharmacy, Can Tho City 900000, VietnamDepartment of Organization and Administration, Ninh Kieu District Medical Center, Can Tho City 900000, VietnamFaculty of Medicine, Nam Can Tho University, Can Tho City 900000, VietnamDepartment of Pharmacology and Clinical Pharmacy, Can Tho University of Medicine and Pharmacy, Can Tho City 900000, VietnamDepartment of Pharmacology and Clinical Pharmacy, Can Tho University of Medicine and Pharmacy, Can Tho City 900000, VietnamOffice of Science and Technology—External Relations, Can Tho University of Medicine and Pharmacy, Can Tho City 900000, VietnamOffice of Science and Technology—External Relations, Can Tho University of Medicine and Pharmacy, Can Tho City 900000, VietnamDepartment of Pharmacology and Clinical Pharmacy, Can Tho University of Medicine and Pharmacy, Can Tho City 900000, VietnamFaculty of Public Health, Can Tho University of Medicine and Pharmacy, Can Tho City 900000, VietnamNijmegen Institute for International Health (NIIH), Radboud University Nijmegen Medical Centre, 6525 XZ Nijmegen, The NetherlandsDepartment of Pharmacology and Clinical Pharmacy, Can Tho University of Medicine and Pharmacy, Can Tho City 900000, VietnamThe purpose of this study was to determine the medication adherence of outpatients with chronic diseases and the association between both patient attitudes and preventive practices regarding COVID-19 and their medication adherence. We performed a cross-sectional study in Vietnam. Medication adherence was determined using the translated and validated Vietnamese version of the General Medication Adherence Scale (GMAS). Patient attitudes and preventive practices regarding COVID-19 were measured using the 5K message of the Vietnam Ministry of Health (facemasks, disinfection, distance, no gatherings, health declarations). The associations between patient characteristics and medication adherence were determined by multivariable regression. The study included 1852 outpatients, and 57.6% of the patients adhered to their medications. Patients who recognized the pandemic’s obstruction of medical follow-ups (OR = 1.771; 95%CI = 1.461–2.147; <i>p</i> < 0.001), who applied ≥2 preventive methods (OR = 1.422; 95%CI = 1.173–1.725; <i>p</i> = 0.001), who were employed (OR = 1.677; 95%CI = 1.251–2.248; <i>p</i> = 0.001), who were living in urban areas (OR = 1.336; 95%CI = 1.090–1.637; <i>p</i> = 0.005,) who possessed higher education levels (OR = 1.313; 95%CI = 1.059–1.629; <i>p</i> = 0.013), or who had ≤2 comorbidities (OR = 1.293; 95%CI = 1.044–1.600; <i>p</i> = 0.019) were more likely to adhere to their medications. The adherence percentage for outpatients with chronic diseases was quite low during the pandemic. Patients who did not recognize the COVID-19 pandemic’s obstruction of medical follow-ups or who had poor preventive practices were less likely to adhere to medications. Healthcare providers should pay more attention to these groups to achieve desired treatment outcomes.https://www.mdpi.com/2414-6366/7/6/101medication adherenceCOVID-19GMAS5K messageVietnam
spellingShingle Suol Thanh Pham
Cuong Van Dam
Chu Xuan Duong
Nghi Huynh Phuong Duong
Xuyen Thi Kim Nguyen
Han Gia Diep
Nguyet Kim Nguyen
Duyen Thi Nhan Le
Trang Thi Nhu Nguyen
Tu Thi Cam Le
Thao Thi Thanh Nguyen
Henri van Asten
Thang Nguyen
Medication Adherence of Vietnamese Outpatients with Chronic Diseases during the COVID-19 Pandemic
Tropical Medicine and Infectious Disease
medication adherence
COVID-19
GMAS
5K message
Vietnam
title Medication Adherence of Vietnamese Outpatients with Chronic Diseases during the COVID-19 Pandemic
title_full Medication Adherence of Vietnamese Outpatients with Chronic Diseases during the COVID-19 Pandemic
title_fullStr Medication Adherence of Vietnamese Outpatients with Chronic Diseases during the COVID-19 Pandemic
title_full_unstemmed Medication Adherence of Vietnamese Outpatients with Chronic Diseases during the COVID-19 Pandemic
title_short Medication Adherence of Vietnamese Outpatients with Chronic Diseases during the COVID-19 Pandemic
title_sort medication adherence of vietnamese outpatients with chronic diseases during the covid 19 pandemic
topic medication adherence
COVID-19
GMAS
5K message
Vietnam
url https://www.mdpi.com/2414-6366/7/6/101
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