ArticleBMJ open2017
Factors predicting self-reported medication low adherence in a large sample of adults in the US general population: a cross-sectional study.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 26 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- The Japanese Society of Hypertension Guidelines for the Management of Hypertension (JSH 2019).Hypertension research : official journal of the Japanese Society of Hypertension · 2019Guideline
- Trial
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- Healthy Lives 5 Axis Scale for individuals with complex health and social needs: assessment of validity and reliability.BMC health services research · 2025Article
- Factors affecting adherence to hypertension medications in hypertensive patients attending to primary health care units in Bahrain.Journal of family medicine and primary care · 2025Article
- Untreated and uncontrolled hypertension in Japanese patients with spontaneous intracerebral hemorrhage.Hypertension research : official journal of the Japanese Society of Hypertension · 2025Article
- Clinical study status of diabetic gastrointestinal diseases.Frontiers in endocrinology · 2025Article
- Enhancing DHA supplementation adherence: A Bayesian approach with finite mixture models and irregular interim schedules in adaptive trial designs.Statistical methods in medical research · 2024Article
- Predictors to Poor Quality of Life Among Patients with Heart Failure and Its Correlation with Their Medication Adherence: Finding for Healthcare Improvement and Follow-Up.Patient preference and adherence · 2024Article
- Cross-sectional analysis of factors associated with medication adherence in western Kenya.BMJ open · 2023Article
- Heritable Risk and Protective Genetic Components of Glaucoma Medication Non-Adherence.International journal of molecular sciences · 2023Article
- Effects of Adjuvant Medications on A1C, Body Mass Index, and Insulin Requirements among Patients with Type 1 Diabetes.Pharmacy (Basel, Switzerland) · 2022Article
- Primary medication nonadherence in a large primary care population: Observational study from Manitoba.Canadian family physician Medecin de famille canadien · 2022Observational
- Alleviating time poverty among the working poor: a pre-registered longitudinal field experiment.Scientific reports · 2022Article
- Artificial Intelligence, Heuristic Biases, and the Optimization of Health Outcomes: Cautionary Optimism.Journal of clinical medicine · 2021Article
- Efficacy of Selective Laser Trabeculoplasty after iStent Implantation in Primary Open-Angle Glaucoma.Journal of personalized medicine · 2021Article
- Older Adults' Socio-Demographic Determinants of Health Related to Promoting Health and Getting Preventive Health Care in Southern United States: A Secondary Analysis of a Survey Project Dataset.Nursing reports (Pavia, Italy) · 2021Article
- Predicting and improving patient-level antibiotic adherence.Health care management science · 2020Article
- Primary medication non-adherence at Counties Manukau Health Emergency Department (CMH-ED), New Zealand: an observational study.BMJ open · 2020Observational
Corrections and comments
- Erratum issued
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
objectivesThe study objective was to determine the level and correlates of self-reported medication low adherence in the US general population.
settingA 30 min cross-sectional online survey was conducted with a national sample of adults.
participants9202 adults (aged 18+) who had filled at least three or more prescriptions at a community pharmacy in the past 12 months. PRIMARY AND SECONDARY OUTCOME MEASURES: Self-reported medication adherence was measured with the 8-item Morisky Medication Adherence Scale.
resultsLow adherence was reported by 42.0%, 29.4% had medium adherence and 28.6% had high adherence. Low adherence was significantly associated with: lower age, being of Hispanic origin or African-American, having difficulty with healthcare, medication or transportation costs, needing the support of others to access primary care, health limiting activity, using multiple providers, infrequent visits to primary care providers and visiting an emergency department >3 times in last 12 months.
conclusionsA very high level of low medication adherence is seen in the general population, particularly for ethnic minorities, those who use multiple healthcare providers and those who experience barriers to access for regular primary care. As clinical, patient education and counselling, and healthcare policy initiatives are directed to tracking the problem of low medication adherence, these should be priority populations for research and interventions.
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