James E. Aikens|John D. Piette
Diabetic Patients’ Medication Underuse, Illness Outcomes, and Beliefs About Antihyperglycemic and Antihypertensive Treatments
University of Michigan–Ann Arbor|University of Michigan–Ann Arbor|Health Services Research & Development
purpose study determine patients beliefs antihyperglycemic antihypertensive medications relate medication underuse health statusin diabetic patients economically distressed region assessed perceived necessity harmfulness antihyperglycemic n 803 antihypertensive n 573 medications past years medication underuse a1c systolic blood pressure sbp diastolic blood pressure dbpafter correction multiple analyses multivariate models indicated perceived need antihyperglycemic medication associated younger prescribed insulin prescribed multiple medications concern antihyperglycemic medications associated younger african american dissatisfied information received medication low health literacy antihypertensives perceived necessity associated numerous medical comorbidities dissatisfied medication information concern associated younger dissatisfied information received medication low health literacy onehalf patients underused least one types medication many patients attributed underuse cost types medications concern significantly associated costrelated noncostrelated underuse antihypertensive concern associated higher sbp dbpeven adjustment economic factors patients younger african american low health literacy especially concerned medication harmfulness turn associated medication underuse higher blood pressure enhance adherence outcomes interventions address patients underlying concerns potential adverse treatment effects focus cultural factors health literacy