Compliance of patients with cerebrovascular pathology: the impact of socio-economic factors (education and income)

Objective - to identify and analyze the relationship between the level of education, the financial situation of patients who have had CANCER, and the degree of their compliance. Materials and methods. In the period from 05/24/2025 to 01/24/2026, a comprehensive study was planned and conducted on the basis of the neurological department for the treatment and early rehabilitation of patients with cancer at the Smolensk Regional Clinical Hospital, aimed at assessing adherence to therapy in 214 patients (average age 64.8 years, 44.4% of men, 55.6% of women) with ischemic/hemorrhagic stroke and TIA, taking into account their education and financial situation. Compliance was assessed using the Morisky-Green questionnaire (MMAS-4), supplemented with author's questions characterizing the socio-economic status of the respondents. The statistical analysis was performed using the SPSS program. Results. The number of compliant patients was 49 (22.9%), insufficiently compliant 77 (36%), and noncompliant 88 (41.1%). A statistically significant relationship was established between the level of education of patients and their commitment to treatment (p <0.05). People with secondary education predominate in the group of insufficiently compliant (83.1%) - partially complying with the recommendations. People with higher education either strictly follow the recommendations (their share is 25.9%, compared with 21.8% among people with secondary education), or ignore them altogether (51.7% and 37.2%, respectively). There is a significant relationship between income and compliance with recommendations (p <0.05). People with average incomes are most likely to adhere to treatment (65.7%), and among those with high incomes, there are fewer of them (35.3%). Conclusion. The study shows that the problem of compliance with recommendations in medicine remains relevant. The data shows that education and income affect the effectiveness of treatment. To overcome these obstacles, it is necessary to include social support and educational programs in the treatment process, which will require the joint work of the health care system and social protection.

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