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KMID : 0371020070400030249
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Journal of Preventive Medicine and Public Health
2007 Volume.40 No. 3 p.249 ~ p.258
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Antihypertensive Drug Medication Adherence of People with Disabilities and its Affecting Factors in Korea
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Park Jong-Hyock
Lee Sang-Yi
Park Jae-Hyun
Shin Young-Soo
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Abstract
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Objectives: The aims of this study were to estimate the antihypertensive medication adherence in people with adisability and a history of taking antihypertensive medication, and to identify the factors affecting medicationadherence.
Methods: The National Health Insurance claims data were linked with the National Disability Registry. Peoplewith a disability, who received a prescription of antihypertensives, were identified from a total of 85,098cases. Cumulative medication adherence (CMA) was used as an indicator of medication adherence. A CMA > 80%was defined as appropriate medication adherence. Multiple logistic regression analysis was used to identify the factorsaffecting medication adherence.
Results: The average CMA in a total of 85,098 patients was 79.5%. The appropriate adherence (CMA > or =80%) rate was 54.5% and 20.5% of patients had a CMA < 50%. Multiple logistic regression analysis revealed that the probability of appropriate adherence decreased with decreasing number of prescription days per visit, increasing number of providers, the patients’ residential area moving from urban to rural areas, and when patients have an internal organ disability, auditory impairment, mobility impairment.
Conclusions: The adherence to antihypertensive medication in people with a disability is influenced by various socio-economic, clinical and regional factors. In particular, the disabled who have locomotive and communication disabilities and internal organ impairments have a higher probability of under-adherence to antihypertensive medication adherence in Korea.
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KEYWORD
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Disabled persons, Hypertension, Antihypertensive agents, Patient compliance
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