Zachary A. Marcum|Yan Zheng|Subashan Perera|Elsa S. Strotmeyer|Anne B. Newman|Eleanor M. Simonsick|Ronald I. Shorr|Douglas C. Bauer|Julie M. Donohue|Joseph T. Hanlon
Prevalence and correlates of self-reported medication non-adherence among older adults with coronary heart disease, diabetes mellitus, and/or hypertension
University of Pittsburgh|University of Pittsburgh|University of Pittsburgh|University of Pittsburgh|University of Pittsburgh|National Institute on Aging|Geriatric Research Education and Clinical Center|University of California, San Francisco|University of Pittsburgh|University of Pittsburgh
information prevalence correlates selfreported medication nonadherence using multiple measures older adults chronic cardiovascular conditions needed examine prevalence correlates selfreported medication nonadherence among communitydwelling elders chronic cardiovascular conditions participants n 897 included members health aging body composition study coronary heart disease diabetes mellitus andor hypertension year 10 selfreported nonadherence measured 4item morisky medication adherence scale mmas4 2item costrelated nonadherence crn2 scale year 11 factors demographic health status access care examined association mmas4 association crn2 scale nonadherence per mmas4 crn2 scale reported 407 77 participants respectively little overlap 37 multivariable logistic regression analyses found black race significantly associated nonadherence per mmas4 p 0002 crn2 scale p 0005 correlates nonadherence per mmas4 independent associations included cancer p 004 history falls p 002 sleep disturbances p 004 hospitalization previous 6 months p 0005 conversely unmarried p 0049 worse selfreported health p 004 needs poorly met income p 002 showed significant independent associations nonadherence per crn2 scale selfreported medication nonadherence common older adults chronic cardiovascular conditions one factor race associated types research implication finding highlights need measure types selfreported nonadherence older adults moreover administration quick measures clinical setting help identify specific actions patient education greater use generic medications pill boxes may address barriers medication nonadherence