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Map Noumea for However, any age issues may be more apparent than real Edelmann . As older people tend to have more chronic diseases than younger people, any differences in following medical recommendations may reflect the problems of taking multiple prescriptions rather than being an agerelated phenomenon. Mills et al. failed to find any cross-cultural issues that influenced adherence to HAART medication. Summarising data from studies conducted in industrialised and developing countries, they found a consistent group of variables that influenced adherence across them all. Important barriers included fear of disclosure, concomitant substance abuse, forgetfulness, suspicions of treatment, regimens that were too complicated, number of pills required, decreased quality of life, work and family responsibilities, falling asleep and access to medication. A more theoretical perspective on adherence to medication is provided by an extension of the health belief model see Chapter Horne has developed a model of adherence based on the health belief model used in combination with the illness representations model Leventhal et al. Map Noumea 2016.