Effoe Valery S, Suerken Cynthia K, Quandt Sara A, Bell Ronny A, Arcury Thomas A
1 Wake Forest School of Medicine, Winston-Salem, NC, USA.
J Appl Gerontol. 2017 Sep;36(9):1054-1069. doi: 10.1177/0733464815602116. Epub 2015 Aug 28.
Medication adherence is a major health concern, particularly among older adults who have one or more chronic conditions. We examined the association between complementary therapy use and medication adherence among older community-dwelling adults. In a bi-ethnic sample of 165 adults aged 65 years and older, anthropometric variables, data on chronic medical conditions, and medication use were assessed. Medication adherence was modeled as a score (<50%, 50%-75%, and >75%) and complementary therapy use was categorized as a binary variable. Over half of the participants (50.3%) were female, and 47.3% were African American. Complementary therapy use was prevalent (87.9%) and did not differ by sex, ethnicity, income, and educational attainment. Medication adherence score was >75% in 84.8% of complementary therapy users and 80.0% of non-users ( p = .61). Despite a high use of complementary therapy in this population, there was no apparent association with low medication adherence.
药物依从性是一个主要的健康问题,在患有一种或多种慢性病的老年人中尤为如此。我们研究了社区居住的老年人使用补充疗法与药物依从性之间的关联。在一个由165名65岁及以上成年人组成的双种族样本中,评估了人体测量变量、慢性疾病数据和药物使用情况。药物依从性被建模为一个分数(<50%、50%-75%和>75%),补充疗法的使用被分类为一个二元变量。超过一半的参与者(50.3%)为女性,47.3%为非裔美国人。补充疗法的使用很普遍(87.9%),且在性别、种族、收入和教育程度方面没有差异。在84.8%的补充疗法使用者和80.0%的非使用者中,药物依从性得分>75%(p = 0.61)。尽管该人群中补充疗法的使用率很高,但与低药物依从性之间没有明显关联。