ArticleResearch in social & administrative pharmacy : RSAP
Prevalence and correlates of self-reported medication non-adherence among older adults with coronary heart disease, diabetes mellitus, and/or hypertension.
Article in Research in social & administrative pharmacy : RSAP. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 1 of them a synthesis that pooled it.
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Who cites it
58 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Cost-related medication nonadherence in Canada: a systematic review of prevalence, predictors, and clinical impact.Systematic reviews · 2021Pooled it
- Association Between Social Determinants of Health and Adherence to Antihypertensive Medications in US Patients With Uncontrolled, Treated Hypertension.Circulation. Population health and outcomes · 2026Trial
- A Motivational Interviewing Intervention to Improve Adherence to ACEIs/ARBs among Nonadherent Older Adults with Comorbid Hypertension and Diabetes.Drugs & aging · 2023Trial
- Racial differences in antilipemic use and lipid control in high-risk older adults: post-Medicare Part D.American heart journal · 2013Trial
- Cross-Sectional Assessment of Medication Adherence and Its Association With Community Pharmacy Experience and Patients' Satisfaction and Characteristics: Findings From the IMPHACT-LB Project.Health science reports · 2026Article
- Medication adherence in older adults with chronic diseases: a scoping review of barriers, facilitators, and effective interventions.Frontiers in aging · 2026Review
- Patterns in counselling services provided at Saudi Ministry of Health medication counselling clinics - Reasons for referrals and subjects discussed: A cross-sectional study.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2023Article
- Pre-stroke Adherence to Hypertension Medications in a Bi-racial United States Stroke Belt.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2023Article
- Out-of-Pocket Drug Costs for Medicare Beneficiaries With Cardiovascular Risk Factors Under the Inflation Reduction Act.Journal of the American College of Cardiology · 2023Article
- Adherence to Antibiotic Prescription of Dental Patients: The Other Side of the Antimicrobial Resistance.Healthcare (Basel, Switzerland) · 2022Article
- Medication use problems among older adults at a primary care: A narrative of literature review.Aging medicine (Milton (N.S.W)) · 2022Review
- Prevalence and predictors of cost-related medication nonadherence in individuals with cardiovascular disease: Results from the Behavioral Risk Factor Surveillance System (BRFSS) survey.Preventive medicine · 2021Article
- Behavioral Factors Associated with Medication Nonadherence in Patients with Hypertension.International journal of environmental research and public health · 2021Article
- Factors Associated with Medication Non-Adherence in Patients with Dyslipidemia.Healthcare (Basel, Switzerland) · 2021Article
- Primary Care Records of Chronic-Disease Patient Adherence to Treatment.International journal of environmental research and public health · 2021Article
- Factors Associated With Medication Compliance in Elderly Patients With Type 2 Diabetes Mellitus: A Cross-Sectional Study.Frontiers in public health · 2021Article
- Medication non-adherence in patients with type 2 diabetes mellitus with full access to medicines.Journal of diabetes and metabolic disorders · 2020Article
- Financial Toxicity in Atherosclerotic Cardiovascular Disease in the United States: Current State and Future Directions.Journal of the American Heart Association · 2020Review
- 15 Smartphone Apps for Older Adults to Use While in Isolation During the COVID-19 Pandemic.The western journal of emergency medicine · 2020Review
- Group-Based Trajectory Modeling to Identify Patterns of Adherence and Its Predictors Among Older Adults on Angiotensin-Converting Enzyme Inhibitors (ACEIs)/Angiotensin Receptor Blockers (ARBs).Patient preference and adherence · 2020Article
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
backgroundInformation about the prevalence and correlates of self-reported medication nonadherence using multiple measures in older adults with chronic cardiovascular conditions is needed.
objectiveTo examine the prevalence and correlates of self-reported medication nonadherence among community-dwelling elders with chronic cardiovascular conditions.
methodsParticipants (n = 897) included members from the Health, Aging and Body Composition Study with coronary heart disease, diabetes mellitus, and/or hypertension at Year 10. Self-reported nonadherence was measured by the 4-item Morisky Medication Adherence Scale (MMAS-4) and 2-item cost-related nonadherence (CRN-2) scale at Year 11. Factors (demographic, health status, and access to care) were examined for association with the MMAS-4 and then for association with the CRN-2 scale.
resultsNonadherence per the MMAS-4 and CRN-2 scale was reported by 40.7% and 7.7% of participants, respectively, with little overlap (3.7%). Multivariable logistic regression analyses found that black race was significantly associated with nonadherence per the MMAS-4 (P = 0.002) and the CRN-2 scale (P = 0.005). Other correlates of nonadherence per the MMAS-4 (with independent associations) included having cancer (P = 0.04), a history of falls (P = 0.02), sleep disturbances (P = 0.04) and having a hospitalization in the previous 6 months (P = 0.005). Conversely, being unmarried (P = 0.049), having worse self-reported health (P = 0.04) and needs being poorly met by income (P = 0.02) showed significant independent associations with nonadherence per the CRN-2 scale.
conclusionsSelf-reported medication nonadherence was common in older adults with chronic cardiovascular conditions and only one factor - race - was associated with both types. The research implication of this finding is that it highlights the need to measure both types of self-reported nonadherence in older adults. Moreover, the administration of these quick measures in the clinical setting should help identify specific actions such as patient education or greater use of generic medications or pill boxes that may address barriers to medication nonadherence.
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