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In South Asian people with cardiac disease, strong patient–professional relationships may increase treatment compliance
  1. Hsin-Yi (Jean) Tang1,
  2. Barbara Riegel2
  1. 1School of Nursing, Health Science Center, University of Washington, Seattle, Washington, USA
  2. 2School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA
  1. Correspondence to : Dr Hsin-Yi (Jean) Tang, School of Nursing, Health Science Center, University of Washington, 1959 NE Pacific St, Box 357263, Seattle, WA 98195-7263, USA; jeantang{at}

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Implications for practice and research

  • Medication adherence can be best enhanced through a strong patient–provider partnership. Family support is another powerful method of promoting medication adherence in South Asian immigrants.

  • Future research should include: further exploration of cultural perspectives affecting adherence; use of mixed-methods with state-of-the-science measurement (eg, electronic medication event monitoring device) to validate these findings; testing of interventions to improve medication adherence in ethnic populations.


The authors make the point that cardiovascular disease is a leading cause of mortality worldwide. Individuals from South Asian countries have higher rates of cardiovascular disease and medication non-adherence may be contributing to the problem. The …

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  • Competing interests None declared.