Characteristics of older adults predict concern about stopping medications

Vordenberg, Sarah E.; Zikmund‐Fisher, Brian J.

doi:10.1016/j.japh.2020.01.019

Cited by 16 publications

(13 citation statements)

References 35 publications

(28 reference statements)

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“…Because it was important to reach a geographically and racially diverse population of women across the United States, we used a cross-sectional study design to recruit a sample of U.S. adult women between the ages of 18–45 years using Dynata, a survey sampling company that maintains a demographically diverse web panel of survey takers across the United States. 17–19 Dynata's panel members are randomly routed to available surveys based on eligibility criteria of open surveys and receive participation rewards based on Dynata's incentive system. 17–19 Our recruitment plan involved the use of soft quotas, aligned with U.S. Census data to ensure geographic, racial, and ethnic diversity in our sample.…”

Section: Methodsmentioning

confidence: 99%

Coronavirus Disease 2019 (COVID-19)–Related Stress and Menstrual Changes

Anto-Ocrah

Valachovic

Chen

et al. 2022

Obstetrics &Amp; Gynecology

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To evaluate how stress related to the coronavirus disease 2019 (COVID-19) pandemic has affected women's menstrual cycles. We hypothesized that women with high levels of COVID-19-related stress would have more menstrual changes compared with those with lower levels of stress.METHODS: Using a cross-sectional study design, we recruited a representative sample of U.S. adult women of reproductive age (18-45 years) using nonhormonal birth control to participate in an online REDCap (Research Electronic Data Capture, Vanderbilt University) survey. COVID-19-related stress was assessed with the PSS-10-C (COVID-19 Pandemic-related Perceived Stress Scale) and dichotomized as low stress (scores lower than 25) and high stress (scores 25 or higher). Self-reported menstrual outcomes were identified as changes in cycle length, duration, or flow and increased frequency of spotting between cycles. We used x 2 and Fisher exact tests to compare differences in outcome between the two stress groups and logistic regression models for effect estimates.

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Section: Methodsmentioning

confidence: 99%

Coronavirus Disease 2019 (COVID-19)–Related Stress and Menstrual Changes

Anto-Ocrah

Valachovic

Chen

et al. 2022

Obstetrics &Amp; Gynecology

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“…We previously identified that many older adults have concerns about stopping long-term preventive and treatment medications that are noncontrolled substances. 8 Patient characteristics, such as their preference for more or less medical care, predicted concerns about stopping medications more than medication-specific characteristics. 8 This study expands on our previous work by exploring patient perceptions of discontinuing a medication with addictive potential, particularly if they have experienced long-term use of the medication.…”

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confidence: 99%

Older adults’ perceptions of deprescribing chronic benzodiazepines

Choi¹,

Vordenberg²

2021

Journal of the American Pharmacists Association

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“…On the basis of the findings of other studies focused on medication decision making among older adults, we analyzed separately the BMQ-General subscale as well as both BMQ-Specific subscales: BMQ-Specific necessity and BMQ-Specific concern. 26,27 Participants who completed the survey in less than 3 minutes, did not complete the survey, or reported an age less than 65 years were excluded. We used a statistical significance level of P < 0.05.…”

Section: Discussionmentioning

confidence: 99%

Older adults’ strategies for obtaining medication refills in hypothetical scenarios in the face of COVID-19 risk

Vordenberg¹,

Zikmund‐Fisher²

2020

Journal of the American Pharmacists Association

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Objective: To determine whether older adults would avoid going to the pharmacy (e.g., by restricting medications or requesting delivery) due to the risk of coronavirus disease (COVID-19). Our secondary objectives were to determine the types of medications that the older adults are more likely to restrict and to determine the factors that influence these decisions. Design: Cross-sectional survey experiment in which participants read 6 scenarios, each stating that they had a 3-day supply of a particular medication remaining. Setting and participants: National Web-based survey distributed to 1457 U.S. adults aged 65 years and older by Dynata from March 25, 2020, to April 1, 2020. Outcome measures: Participants reported whether they would go to a pharmacy, have a medication delivered, or restrict the use of each medication. They reported their perceptions and experiences with COVID-19, health risk factors, preferences for more or less care (medical maximizer-minimizer), medication attitudes (beliefs about medicines questionnaire), health literacy, prescription insurance status, and demographics. Results: Most participants (84%) were told to shelter in place, but only 12% reported attempting to obtain extra medications. Participants most often reported that they would go to the pharmacy to obtain each medication (ranging from tramadol 48.9% to insulin 64.9%) except for zolpidem, which they were most likely to restrict (45.4%). Participants who reported comorbidities that increased their risk of COVID-19 were just as likely to go to the pharmacy as those without. In multinomial logistic regression analyses, women and the oldest participants were more likely to seek delivery of medications. Restricting medications was most common for 2 symptom-focused medications (tramadol and zolpidem), and both demographic factors (e.g., gender) and beliefs (e.g., medical maximizing-minimizing preferences) were associated with such decisions. Conclusion: Many older adults intend to continue to go to the pharmacy to obtain their medications during a pandemic, even those who have health conditions that further increase their risk for COVID-19.

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Characteristics of older adults predict concern about stopping medications

Cited by 16 publications

References 35 publications

Coronavirus Disease 2019 (COVID-19)–Related Stress and Menstrual Changes

Coronavirus Disease 2019 (COVID-19)–Related Stress and Menstrual Changes

Older adults’ perceptions of deprescribing chronic benzodiazepines

Older adults’ strategies for obtaining medication refills in hypothetical scenarios in the face of COVID-19 risk

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