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Year : 2009  |  Volume : 57  |  Issue : 1  |  Page : 63-68

Patient-reported barriers to glaucoma medication access, use, and adherence in southern India

1 University of North Carolina and Research Associate, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
2 Aravind Medical Research Foundation, Aravind Eye Care System, Madurai, India
3 New York University, Department of Ophthalmology, NYU Medical Center New York, New York, USA
4 Department of International Health, Bloomberg School of Public Health, USA
5 Department of Ophthalmology, School of Medicine; Johns Hopkins University and University of Maryland School of Medicine, Baltimore, Maryland; Alcon Research Ltd., Fort Worth, Texas, USA
6 Department of Mathematics/Statistics, Husson College, Bangor, Maine, USA

Correspondence Address:
Betsy L Sleath
Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill; CB # 7360, Chapel Hill, NC 27599-7360
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0301-4738.44495

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The objectives of the study were to (a) describe the different types of problems that patients in southern India reported having when taking their glaucoma medications and (b) examine the relationship between patient reported-problems in taking their glaucoma medications and the self-reported patient adherence. A survey was conducted by clinical staff on 243 glaucoma patients who were on at least one glaucoma medication in an eye clinic in southern India. We found that 42% of patients reported one or more problems in using their glaucoma medications. Approximately 6% of patients reported being less than 100% adherent in the past week. Unmarried patients and patients who reported difficulty squeezing the bottle and difficulty opening the bottle were significantly more likely to report nonadherence.

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