ArticleJournal of urban health : bulletin of the New York Academy of Medicine2013
Adherence to chronic disease medications among New York City Medicaid participants.
Article in Journal of urban health : bulletin of the New York Academy of Medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 31 citations in OpenAlex.
- Clinical and demographic correlates of medication and visit adherence in a large randomized controlled trial.BMC health services research · 2016Trial
- Community intervention to reduce cardiovascular disease in Chicago (CIRCL-Chicago): protocol for a type 3 hybrid effectiveness-implementation study using a parallel cluster-randomized trial design.Implementation science : IS · 2025Article
- Process of Engaging Community and Scientific Partners in the Development of the CIRCL-Chicago Study Protocol.Ethnicity & disease · 2023Article
- Impact of Health Literacy on Medication Adherence Among Black Medicaid Beneficiaries with Hypertension in Delaware: A Cross-Sectional Study.Population health management · 2023Article
- Racial disparities in medication use: imperatives for managed care pharmacy.Journal of managed care & specialty pharmacy · 2020Article
- Accuracy of Prescription Claims Data in Identifying Truly Nonadherent Patients.Journal of managed care & specialty pharmacy · 2019Article
- Disparities in Statin Use in New York City: Implications for Health Reform.Journal of racial and ethnic health disparities · 2019Article
- Financial strain is associated with medication nonadherence and worse self-rated health among cardiovascular patients.Journal of health care for the poor and underserved · 2017Article
- Reducing racial and ethnic disparities in hypertension prevention and control: what will it take to translate research into practice and policy?American journal of hypertension · 2015Article
- Effects of Adherence to Statin Therapy on Health Care Outcomes and Utilizations in Taiwan: A Population-Based Study.BioMed research international · 2015Article
- Disparities in completion rates of the medical prerenal transplant evaluation by race or ethnicity and gender.Transplantation · 2015Article
- Missing signposts on the roadmap to quality: a call to improve medication adherence indicators in data collection for population research.Frontiers in pharmacology · 2013Article
- Interventions performed by community pharmacists in one Canadian province: a cross-sectional study.Therapeutics and clinical risk management · 2012Article
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Medication adherence is critical for cardiovascular disease prevention and control. Local health departments are well positioned to address adherence issues, however relevant baseline data and a mechanism for monitoring impact of interventions are lacking. We performed a retrospective analysis using New York State Medicaid claims from 2008 to 2009 to describe rates and predictors of adherence among New York City Medicaid participants with dyslipidemia, diabetes, or hypertension. Adherence was measured using the medication possession ratio, and multivariable logistic regression was used to assess factors related to adherence. Medication regimen adherence was 63%. Greater adherence was observed in those who were older, male, and taking medications from ≥3 drug classes. Compared with whites, blacks and Hispanics were less likely to be adherent (adjusted odds ratio [OR]=0.67, 95% confidence interval [CI]: 0.65-0.70 and adjusted OR=0.76, 95% CI: 0.73-0.78, respectively), while Asians were as likely. Medication adherence was inadequate and racial disparities were identified in NYC Medicaid participants on stable medication regimens for chronic disease. This study demonstrates a claims-based model that may be used by local health departments to monitor and evaluate efforts to improve adherence and reduce disparities.
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