TY  - JOUR
PY  - 2016//
TI  - Health behaviors and medication adherence in elderly patients
JO  - American journal of health promotion
A1  - Han, Euna
A1  - Sohn, Hyun Soon
A1  - Lee, Ju-Yeun
A1  - Jang, Sunme
SP  - 278
EP  - 286
VL  - 31
IS  - 4
N2  - PURPOSE. To explore the relationships of selected health behaviors to medication adherence. Design. A retrospective cohort study. Setting. Data from Korean national health insurance claims between January 2010 and June 2011. Subjects. Patients aged 65 years and older with hypertension (N = 662,170), hyperlipidemia (N = 244,702), or diabetes (N = 179,285). Measures. Medication adherence as a medication possession ratio from January to June 2011 as a dependent variable. The waist circumference (cm) and the body mass index (weight in kilogram divided by height in meter squared) as a marker for obesity. Smoking, drinking, and physical activity as main independent variables. Analysis. A multivariate logistic regression. <br><br>RESULTS. Nonobese patients, as based on the waist circumference, were more likely to adhere to their medication (by 8.9% for hypertension, 6.2% for diabetes, and 3.5% for hyperlipidemia). Current smokers were less likely to adhere to their medication (by 8.7% for hypertension and 6.8% for diabetes), and moderate and heavy drinkers were also less likely to show medication adherence for diabetes (by 12.9% and 6.4%). Mild physical activity was related to a 1.1% to 1.8% increase in the likelihood of medication adherence across the three disease groups. <br><br>CONCLUSION. Health promotion programs for self-care health behaviors of elderly patients should emphasize good medication adherence to achieve successful self-management of diseases.<p />  <p>Language: en</p>
LA  - en
SN  - 0890-1171
UR  - http://dx.doi.org/10.4278/ajhp.150205-QUAN-709
ID  - ref1
ER  -