Low Urbanization but Not Illiteracy was Associated with Poor Medication Adherence among Elderly People in Rural Taiwan

IF 2.2 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL International Journal of Clinical Practice Pub Date : 2024-08-31 DOI:10.1155/2024/8080712
Pei-Jhih Li, Ling-Chiao Liao, Chin-Ju Chuang, Cheng-Ying Hsieh, Yung-Cheng Huang, Li-Yu Chen, Yi-Hsuan Yang, Feng-Jung Yang, Kai-Chieh Chang, Li-Jiuan Shen, Fei-Yuan Hsiao, Yen-Ming Huang, Chih-Cheng Hsu, Shau-Huai Fu, Chin-Kai Chang, Chen-Yu Wang
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Abstract

Most elderly persons suffer from chronic diseases. To treat chronic diseases, good medication adherence and refilling medication as physicians’ advice are key points of pharmaceutical therapy. However, the literature revealed that only limited studies have focused on the medication adherence of the elderly in rural communities. This study evaluated the adherence to medication and the degree of refilling prescriptions as physician’s advice by the Adherence to Refills and Medications Scale (ARMS) and evaluated the factors associated with poor adherence to medication. This cross-sectional study focused on the medication use of the elderly population in rural areas in western Taiwan and analyzed related personal and social factors which influence the behaviors of pharmaceutical therapy. In conclusion, most of the elderly who lived in rural areas in western Taiwan have poor adherence (ARMS score over 12) to medication and a poor degree of refilling prescriptions as per physicians’ advice. Moreover, age ≥75 years and low urbanization were significantly associated with poor adherence. Future research is warranted to assess the effect of the interventions to improve medication adherence on chronic disease control, disability, and mortality.

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台湾农村老年人服药依从性差与城市化程度低而与文盲率无关
大多数老年人都患有慢性疾病。要治疗慢性病,良好的服药依从性和遵医嘱补药是药物治疗的关键点。然而,文献显示,只有有限的研究关注农村社区老年人的服药依从性。本研究通过 "遵医嘱重新配药和用药量表"(ARMS)评估了老年人的用药依从性和遵医嘱重新配药的程度,并评估了与用药依从性差相关的因素。这项横断面研究主要关注台湾西部农村地区老年人的用药情况,并分析了影响药物治疗行为的相关个人和社会因素。总之,大部分居住在台湾西部农村地区的老年人对药物治疗的依从性较差(ARMS评分超过12分),按照医生建议重新配药的程度也较低。此外,年龄≥75 岁和城市化程度低也与服药依从性差显著相关。未来的研究需要评估改善服药依从性的干预措施对慢性病控制、残疾和死亡率的影响。
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来源期刊
CiteScore
5.30
自引率
0.00%
发文量
274
审稿时长
3-8 weeks
期刊介绍: IJCP is a general medical journal. IJCP gives special priority to work that has international appeal. IJCP publishes: Editorials. IJCP Editorials are commissioned. [Peer reviewed at the editor''s discretion] Perspectives. Most IJCP Perspectives are commissioned. Example. [Peer reviewed at the editor''s discretion] Study design and interpretation. Example. [Always peer reviewed] Original data from clinical investigations. In particular: Primary research papers from RCTs, observational studies, epidemiological studies; pre-specified sub-analyses; pooled analyses. [Always peer reviewed] Meta-analyses. [Always peer reviewed] Systematic reviews. From October 2009, special priority will be given to systematic reviews. [Always peer reviewed] Non-systematic/narrative reviews. From October 2009, reviews that are not systematic will be considered only if they include a discrete Methods section that must explicitly describe the authors'' approach. Special priority will, however, be given to systematic reviews. [Always peer reviewed] ''How to…'' papers. Example. [Always peer reviewed] Consensus statements. [Always peer reviewed] Short reports. [Always peer reviewed] Letters. [Peer reviewed at the editor''s discretion] International scope IJCP publishes work from investigators globally. Around 30% of IJCP articles list an author from the UK. Around 30% of IJCP articles list an author from the USA or Canada. Around 45% of IJCP articles list an author from a European country that is not the UK. Around 15% of articles published in IJCP list an author from a country in the Asia-Pacific region.
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