Brown Robyn, Bateman Caryl James, Gossell-Williams Maxine
Department of Sociology, Psychology, and Social Work, Faculty of Social Sciences, The University of the West Indies, Mona Campus, Kingston, Jamaica.
Section of Pharmacology and Pharmacy, Faculty of Medical Sciences, The University of the West Indies, Mona Campus, Kingston, Jamaica.
Front Pharmacol. 2022 Mar 14;13:858947. doi: 10.3389/fphar.2022.858947. eCollection 2022.
Worldwide, socio-cultural determinants have been shown to influence the beliefs of patients about their health and decision making for treatment. This is consistent with the evidence that cultural and religious beliefs affect illness conceptualization and behaviors of Jamaican patients living with non-communicable diseases, such as diabetes mellitus and hypertension. Despite these known socio-cultural influences, an acknowledgment of relevance of adherence to pharmacotherapy has been grossly understudied. Furthermore, while poor adherence to pharmacotherapy, especially in the management of patients living with non-communicable diseases is associated with adverse drug reactions; reporting of such information in the pharmacovigilance process is inadequate. We review previous studies on the cultural and religious beliefs within the Jamaican context that may contribute to poor adherence to pharmacotherapy, especially among those patients living with non-communicable diseases. We support the ongoing perspective that current pharmacovigilance processes need retooling with the inclusion of socio-cultural influences on adherence to pharmacotherapy.
在全球范围内，社会文化决定因素已被证明会影响患者对自身健康的信念以及治疗决策。这与以下证据一致：文化和宗教信仰会影响牙买加非传染性疾病（如糖尿病和高血压）患者的疾病认知和行为。尽管存在这些已知的社会文化影响，但对于坚持药物治疗的相关性的认识却受到严重忽视。此外，虽然药物治疗依从性差，尤其是在非传染性疾病患者的管理中，与药物不良反应相关；但在药物警戒过程中对这类信息的报告却不充分。我们回顾了牙买加背景下关于文化和宗教信仰的先前研究，这些研究可能导致药物治疗依从性差，尤其是在那些非传染性疾病患者中。我们支持当前的观点，即当前的药物警戒过程需要重新调整，纳入社会文化对药物治疗依从性的影响。
