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Health Behaviors and Medication Adherence in Elderly Patients

Title
Health Behaviors and Medication Adherence in Elderly Patients
Author
이주연
Keywords
Elderly Patients; Medication Adherence; Smoking; Physical Activity; Heavy Drinking; Body Mass; Hypertension; Diabetes; Hyperlipidemia; Prevention Research; Manuscript format: research; Research purpose: modeling/relationship testing; Study design: nonexperimental; Outcome measure: behavioral; Setting: state/national; Health focus: medical self-care; Strategy: education; skill building/behavior change; policy; Target population age: elderly patients; Target population circumstances: education/income level; geographic location; race/ethnicity
Issue Date
2017-06
Publisher
SAGE PUBLICATIONS INC
Citation
AMERICAN JOURNAL OF HEALTH PROMOTION, v. 31, No. 4, Page. 278-286
Abstract
Purpose. To explore the relationships of selected health behaviors to medication adherence. Design. A retrospective cohort study. Setting. Data from Korean national health insurance claims between January 2010 and June 2011. Subjects : Patients aged 65 years and older with hypertension (N = 662,170), hyperlipidemia (N = 244,702), or diabetes (N = 179,285). Measures : Medication adherence as a medication possession ratio from January to June 2011 as a dependent variable. The waist circumference (cm) and the body mass index (weight in kilogram divided by height in meter squared) as a marker for obesity. Smoking, drinking, and physical activity as main independent variables. Analysis : A multivariate logistic regression. Results : Nonobese patients, as based on the waist circumference, were more likely to adhere to their medication (by 8.9% for hypertension, 6.2% for diabetes, and 3.5% for hyperlipidemia). Current smokers were less likely to adhere to their medication (by 8.7% for hypertension and 6.8% for diabetes), and moderate and heavy drinkers were also less likely to show medication adherence for diabetes (by 12.9% and 6.4%). Mild physical activity was related to a 1.1% to 1.8% increase in the likelihood of medication adherence across the three disease groups. Conclusion : Health promotion programs for self-care health behaviors of elderly patients should emphasize good medication adherence to achieve successful self-management of diseases.
URI
http://journals.sagepub.com/doi/abs/10.4278/ajhp.150205-QUAN-709http://repository.hanyang.ac.kr/handle/20.500.11754/72154
ISSN
0890-1171; 2168-6602
DOI
10.4278/ajhp.150205-QUAN-709
Appears in Collections:
COLLEGE OF PHARMACY[E](약학대학) > PHARMACY(약학과) > Articles
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