Stephanie R. Reading|Maureen M. Black|Daniel E. Singer|Alan S. Go|Margaret C. Fang|Natalia Udaltsova|Teresa N. Harrison|Rong Wei|In?Lu Amy Liu|Kristi Reynolds
Risk factors for medication non-adherence among atrial fibrillation patients
Kaiser Permanente|Kaiser Permanente|Massachusetts General Hospital|Kaiser Permanente|University of California, San Francisco|Kaiser Permanente|Kaiser Permanente|Kaiser Permanente|Kaiser Permanente|Kaiser Permanente
atrial fibrillation af patients routinely prescribed medications prevent treat complications including common cooccurring comorbidities however adherence medications may suboptimal therefore sought identify risk factors general medication nonadherence population patients atrial fibrillationdata collected large ethnicallydiverse cohort kaiser permanente northern southern california adult members incident diagnosed af january 1 2006 june 30 2009 selfreported questionnaires completed may 1 2010 september 30 2010 assessing patient sociodemographics health behaviors health status medical history medication adherence medication adherence assessed using previously validated 3item questionnaire medication nonadherence defined either taking medications doctor prescribed 75 time less forgetting choosing skip one medications per week electronic health records used obtain additional data medical history multivariable logistic regression analyses examined associations patient characteristics selfreported general medication adherence among patients complete questionnaire dataamong 12159 patients complete questionnaire data 63 n 771 reported medication nonadherence minority raceethnicity versus nonhispanic white marriedwith partner versus marriedwith partner physical inactivity versus physically active alcohol use versus alcohol use days selfreported poor physical health mental health andor sleep quality past 30 days versus 0 days memory decline versus memory decline inadequate versus adequate health literacy lowdose aspirin use versus lowdose aspirin use diabetes mellitus associated higher adjusted odds nonadherence whereas ages 6584 years versus 65 years age charlson comorbidity index score 3 versus 0 hypertension associated lower adjusted odds nonadherenceseveral potentially preventable andor modifiable risk factors related medication nonadherence nonmodifiable risk factors identified risk factors considered assessing medication adherence among patients diagnosed af