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Heart Lung. 2014 Jul-Aug;43(4):278-83. doi: 10.1016/j.hrtlng.2014.05.001. Epub 2014 May 22.

Medication adherence and its associated factors among Chinese community-dwelling older adults with hypertension.

Author information

1
Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore. Electronic address: nurww@nus.edu.sg.
2
Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore. Electronic address: nurly@nus.edu.sg.
3
Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
4
Cardiovascular Research Centre, Australian Catholic University, Melbourne, Australia; Department of Psychiatry, University of Melbourne, Melbourne, Australia; Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia.

Abstract

OBJECTIVE:

To investigate the factors that influence medication adherence in Chinese community-dwelling older adults with hypertension.

METHODS:

A cross-sectional study was conducted with a convenience sample of 382 older adults with hypertension recruited from six health centers in Macao, China. Chinese versions of the Morisky 4-Item Self-Report Measure of Medication-Taking Behavior, Fear of Intimacy with Helping Professionals scale and Exercise of Self-care Agency scale were administered to participants.

RESULTS:

Participants older than 65 years (β = .118, p = .017), with a low level of education (β = .128, p = .01), who had more than one other common disease (β = .120, p = .015), were on long-term medication (β = .221, p < .001) and who reported higher self-care (β = .188, p = .001), had better medication adherence.

CONCLUSIONS:

Health care professionals should consider these factors when planning medication regimens for Chinese older adults with hypertension, to enhance medication adherence and improve patient outcomes.

KEYWORDS:

Chinese; Community-dwelling; Hypertension; Medication adherence; Older adults

PMID:
24856232
DOI:
10.1016/j.hrtlng.2014.05.001
[Indexed for MEDLINE]

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