<p>Factors Associated With Medication Adherence In Elderly Retired Outpatients In São Paulo, Brazil</p>

Abstract

Objective: To evaluate medication adherence and associated socioeconomic factors in elderly Brazilians. Methodology: This observational study was conducted with 159 elderly retired in an outpatient clinic in the city of São Paulo. Treatment adherence was assessed with the questions from the Morisky Green Levine Medication Adherence Questionnaire, and medications were classified using the Anatomical Therapeutic Chemical system. Statistical tests and adjusted Poisson regression models were used to analyze variables. Results: The study population was mostly female (67.5%), had an average age of, and took an average of 6.5 medications per day. The most commonly used drugs were agents acting on the renin-angiotensin system (67.9%), statins (62.3%), antithrombotic agents (48.4%), and biguanides (37.1%) for the treatment of hypertension (76.7%), dyslipidemia (54.1%), and diabetes (47.8%). The rate of adherence was below 60% in the groups of participants that were analyzed except for the high household income category, which had a rate of 75.8%. Conclusion: Medication adherence among the elderly was low in all categories except for the high household income category, a relevant finding that will help to understand medication adherence patterns in elderly Brazilians.

Polypharmacy and drug adherence in the elderly in the context of primary health care: cross-sectional study

“…Regarding the independent quantitative variables, it was verified that there was a statistical correlation between age and quantity of drugs used by the elderly, classified as positive and small (ρ = 0.216 and p = 0.001), as shown in Table 2. vanced age group is one of the risk factors for chronic drug use, although aging is not synonymous with illness (3,22) . In this sense, with aging occurs an increase in the clinical-functional vulnerability and the predispo-Source: Elaborated by the authors, 2021.…”

Kepatuhan Minum Obat Pasien Hipertensi Di Rumah Sakit Umum Daerah (Rsud) Tangerang Selatan

“…Penelitian yang dilakukan di Hawassa Referral Hospital di Kota Hawassa Etiopia melaporkan bahwa pasien yang masuk dalam kategori patuh dalam minum obat antihipertensi mereka sebesar 67% (Getenet et al, 2019). Penelitian lain di rumah sakit umum di Sao Paulo Brazil dengan jumlah 159 pasien menemukan bahwa pasien yang patuh terhadap pengobatan hipertensinya dibawah 60% (Valassi et al, 2019). Hasil yang serupa juga dilaporkan pada survei yang dilakukan pada 12 apotek di Latvia dimana terdapat 46,20% pasien yang tidak patuh terhadap pengobatan yang sedang mereka jalani.…”

Medication adherence trajectory of patients with chronic diseases and its influencing factors: A systematic review

“…Adherence to medication is a major challenge for patients with chronic diseases and has attracted the attention of healthcare providers. It has been reported that over 50% of patients with chronic diseases have poor adherence to a treatment regimen (Al‐Ganmi et al, 2019; Mentz et al, 2018; Valassi et al, 2019). Studies have confirmed that high‐treatment adherence can significantly improve patient outcomes and reduce disease‐related medical costs (Bitton et al, 2013; Buysman et al, 2015), while poor‐medication adherence is associated with a higher incidence of disease‐specific and all‐cause hospitalisations, emergency department visits and outpatient physician/clinic visits (Han et al, 2014; Roebuck et al, 2018; Sokol et al, 2005).…”