Health Behaviors and Medication Adherence in Elderly Patients
- Health Behaviors and Medication Adherence in Elderly Patients
- 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
- SAGE PUBLICATIONS INC
- AMERICAN JOURNAL OF HEALTH PROMOTION, v. 31, No. 4, Page. 278-286
- 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.
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