عنوان

Socio-ecological correlates of non-adherence to prescribed medications among low-income Hispanic/Latino adults with chronic conditions

شماره

TL71g8405p

زبان متن نوشتاري يا گفتاري و مانند آن

انگلیسی

عنوان اصلي

Socio-ecological correlates of non-adherence to prescribed medications among low-income Hispanic/Latino adults with chronic conditions

نام عام مواد

[Thesis]

نام نخستين پديدآور

Garcia, Melawhy Lucette

نام ساير پديدآوران

Talavera, Gregory A

تاریخ نشرو بخش و غیره

2017

کسي که مدرک را اعطا کرده

Talavera, Gregory A

امتياز متن

2017

متن يادداشت

Background: Hispanic/Latinos experience high rates of uncontrolled chronic conditions that place this large segment of the population at risk for cardiovascular disease and mortality. Despite evidence that poor medication adherence is a major contributor to disparities in glycemic and lipid control; there is a gap in knowledge regarding the measurement and correlates of medication adherence among Hispanic/Latinos. Aims: Using the World Health Organization's Multidimensional Adherence Model, this dissertation focused on: 1) examining patient-, social/economic-, health condition-, therapy-, and health system-related correlates of poor adherence; and 2) identifying ways to effectively measure medication adherence among Hispanic/Latinos adults. Methods: Aims 1 and 2 involved cross-sectional analyses of data on 149 participants enrolled in a randomized trial (Chapter 2); cross-sectional analyses of data on 279 participants enrolled in a randomized trial (Chapter 3); and, a historical cohort study of 1,485 patients from a federally qualified health center (Chapter 4). Results: As measured by self-report, objective, and health record data, Hispanic/Latinos exhibit high rates of poor medication adherence. Bivariate analyses revealed numerous factors associated with poor adherence. Patient-related factors included younger age, sex, forgetting, multiple medications, and side effects. Health condition-related factors included higher depressive symptomatology, anxiety, and perceived stress. Social/economic-related factors included social support and limited health literacy. In logistic regression analyses, age was inversely related to poor adherence (OR 0.97; CI 0.96- 0.99, p < 0.01). Social support predicted low medication adherence (OR = 2.22; 1.03-4.76, p < 0.05) among males. The odds of low adherence were higher among males with limited health literacy (OR = 6.26; 1.06-37.10, p < 0.05). Comparison of measurement methods confirmed patients overestimate adherence to medications by self-report. Objective measures of adherence, including Medication Event Monitoring systems and Proportion of Days covered, showed lower adherence than self-report. Conclusion: This study provides insight to the suboptimal levels of medication adherence among Hispanic/Latinos receiving services at federally qualified health centers. The findings from this study may help to inform future intervention research aiming to improve medication adherence among Hispanic/Latinos in a similar settings. Further research is needed to examine the multidimensional factors related to poor adherence among this population.

مستند نام اشخاص تاييد نشده

Mirnateghi, Ehsan

مستند نام اشخاص تاييد نشده

Garcia, Melawhy Lucette

مستند نام تنالگان تاييد نشده

UC San Diego

نام الکترونيکي

فرمت انتشار

p

نوع ماده

[Thesis]

کد کاربرگه

276903

سطح دسترسي

a

تكميل شده

Y