Predictors of Medication Adherence in the Elderly: The Role of Mental Health

Jo E. Rodgers; Emily M. Thudium; Hadi Beyhaghi; Carla A. Sueta; Khalid A. Alburikan; Anna M. Kucharska-Newton; Patricia P. Chang; Sally C. Stearns

doi:10.1177/1077558717696992

Predictors of Medication Adherence in the Elderly: The Role of Mental Health

Jo E. Rodgers, Emily M. Thudium, Hadi Beyhaghi, Carla A. Sueta, Khalid A. Alburikan, Anna M. Kucharska-Newton, Patricia P. Chang, Sally C. Stearns

Epidemiology & Environmental Health

Research output: Contribution to journal › Article › peer-review

18 Scopus citations

Abstract

The aging population routinely has comorbid conditions requiring complicated medication regimens, yet nonadherence can preclude optimal outcomes. This study explored the association of adherence in the elderly with demographic, socioeconomic, and disease burden measures. Data were from the fifth visit (2011-2013) for 6,538 participants in the Atherosclerosis Risk in Communities Study, conducted in four communities. The Morisky–Green–Levine Scale measured self-reported adherence. Forty percent of respondents indicated some nonadherence, primarily due to poor memory. Logit regression showed, surprisingly, that persons with low reading ability were more likely to report being adherent. Better self-reported physical or mental health both predicted better adherence, but the magnitude of the association was greater for mental than for physical health. Compared with persons with normal or severely impaired cognition, mild cognitive impairment was associated with lower adherence. Attention to mental health measures in clinical settings could provide opportunities for improving medication adherence.

Original language	English
Pages (from-to)	746-761
Number of pages	16
Journal	Medical Care Research and Review
Volume	75
Issue number	6
DOIs	https://doi.org/10.1177/1077558717696992
State	Published - Dec 1 2018

Bibliographical note

Publisher Copyright:
© The Author(s) 2017.

Funding

The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The Atherosclerosis Risk in Communities Study is carried out as a collaborative study supported by National Heart, Lung, and Blood Institute contracts (HHSN268201100005C, HHSN268201100006C, HHSN268201100007C, HHSN268 201100008C, HHSN268201100009C, HHSN268201100010C, HHSN268201100011C, and HHSN268201100012C).

Funders	Funder number
National Heart, Lung, and Blood Institute (NHLBI)	HHSN268201100005C, HHSN268 201100008C

Keywords

aging
cognitive impairment
medication adherence

ASJC Scopus subject areas

Health Policy

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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abstract = "The aging population routinely has comorbid conditions requiring complicated medication regimens, yet nonadherence can preclude optimal outcomes. This study explored the association of adherence in the elderly with demographic, socioeconomic, and disease burden measures. Data were from the fifth visit (2011-2013) for 6,538 participants in the Atherosclerosis Risk in Communities Study, conducted in four communities. The Morisky–Green–Levine Scale measured self-reported adherence. Forty percent of respondents indicated some nonadherence, primarily due to poor memory. Logit regression showed, surprisingly, that persons with low reading ability were more likely to report being adherent. Better self-reported physical or mental health both predicted better adherence, but the magnitude of the association was greater for mental than for physical health. Compared with persons with normal or severely impaired cognition, mild cognitive impairment was associated with lower adherence. Attention to mental health measures in clinical settings could provide opportunities for improving medication adherence.",

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AU - Alburikan, Khalid A.

AU - Kucharska-Newton, Anna M.

AU - Chang, Patricia P.

AU - Stearns, Sally C.

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Predictors of Medication Adherence in the Elderly: The Role of Mental Health

Abstract

Bibliographical note

Funding

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

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