3.3. Key barriers and predictors for inadequate adherence to
treatment
Forgetfulness, economic reasons, and patient preference are the leading
causes for inadequate adherence among patients on secondary prevention
therapy for CVD in this institution (p< 0.0001), as
displayed in Table 3. Furthermore, low educational level (OR 1.68, 95%
CI 1.23–2.3, P = 0.001) and the use of optimal medical treatment alone
(OR 1.52, 95% CI 1.11–2.07, P = 0.007) are correlated with inadequate
adherence, performing as predictors for poor adherence as demonstrated
in the multivariate analysis (Table 4).