This Signature Work Project aimed to examine individual, family, and community factors for medication adherence among Chinese urban residents with hypertension and/or type 2 diabetes. This cross-sectional study included 622 adults aged 45 years or older with hypertension and/or type 2 diabetes from 12 communities in three Chinese southeast cities. In the analysis, the project found a suboptimal medication adherence of 42.9%. Sex, self-efficacy, and affordability of community health services and medicine were significantly associated with medication adherence. The project did not find a significant association between family function and medication adherence. Future interventions should consider multi-dimensional factors and utilize resources in community health centers to promote medication adherence. The development of this Signature Work benefited from two Experiential Learning activities: Summer Research Scholars (2022) and Duke-Margolis Summer Internship (2023). This project developed the author’s quantitative and qualitative skills and strengthened her resilience and problem-solving, which prepared her for her graduate studies and career in public health. |