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Low levels of adherence have also been found in previous pain studies.
Seemingly low levels of adherence, however, may not necessarily be associated with poor intervention delivery.
Participants with low levels of adherence at baseline showed greater increases in adherence than those with higher baseline levels.
However, low levels of adherence to pregnancy health behavior recommendations have been demonstrated in a number of Australian pregnant populations [ 14- 16].
Alcohol and/or substance abuse [ 24, 27- 29, 33] and anticipated and internalized stigma were associated with low levels of adherence [ 29, 33, 35, 39].
Low levels of adherence have been shown to increase risk of disease progression burden on services and treatment cost [ 4– 8].
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The low level of adherence "is an ongoing disappointment," said Dr. Lee Goldman, a professor of medicine and epidemiology and a dean at Columbia University Medical Center who was one of the authors of an accompany editorial in the New England Journal of Medicine, entitled "Improving Adherence — Money isn't the Only Thing".
HDS use was significantly associated with a low level of adherence to conventional medicine.
Patients who chewed khat and drank alcohol had a reportedly low level of adherence to antipsychotic medications.
However, since our findings indicate a low level of adherence to guidelines, this adds weight to the concern that doctors may be under counseling for CVD prevention.
Those with a medium level of adherence to conventional medication were less likely to use HDS compared with those with a low level of adherence (OR 0.53, 95% CI 0.32-0.87).
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