ArticleBMC public health2025
Relationship between social capital and medication adherence among frail and pre-frail older people: a cross-sectional study from China.
Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- When minds and networks matter: how mental health and social capital shape social frailty in older adults.Frontiers in medicine · 2026Article
- Insights into medication adherence among HIV-positive patients: the integrated change model.AIDS research and therapy · 2025Article
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8 authors.
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Abstract
backgroundThe number of frail older people is increasing. To alleviate poor health and improve quality of life, pre-frail and frail older people need to adhere to their medication. Yet, studies examining the connection between social capital (including six dimensions) and medication adherence are currently scarce. Therefore, this study aims to examine their relationship in older individuals with pre-frailty and frailty, respectively.
methodsInformation concerning the socio-demographics, frailty, social capital, and medication adherence of 4218 participants was collected through a structured questionnaire during November and December 2020. This study employed descriptive analysis and binary logistic regression to fit their relationship.
resultsAmong the pre-frail respondents, those with lower social participation (AOR 0.55 [95% CI 0.44-0.69]) had less risk of inadequate medication adherence; while lower social connection (AOR 1.91 [95% CI 1.54-2.36]), lower trust (AOR 2.80 [95% CI 2.25-3.47]), lower cohesion (AOR 2.04 [95% CI 1.65-2.53]), and lower reciprocity (AOR 2.32 [95% CI 1.87-2.88]) were all related to higher odds of inadequate medication adherence. Also, lower social participation (AOR 0.54 [95% CI 0.40-0.74]) was linked to less risk of inadequate medication adherence, while lower trust (AOR 1.89 [95% CI 1.41-2.54]), lower cohesion (AOR 1.68 [95% CI 1.24-2.26]), and lower reciprocity (AOR 1.52 [95% CI 1.14-2.04]) were all found to have a greater odds of inadequate medication adherence in frail respondents.
conclusionBy enhancing the relationship between social capital and medication adherence in this challenging community and offering educational programs that promote medication adherence from the perspective of social capital, our findings emphasize the relevance of social capital in improving medication adherence in later life, especially for frail and pre-frail older adults.
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