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KMID : 1170320240300010049
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Korean Journal of Health Economics and Policy
2024 Volume.30 No. 1 p.49 ~ p.97
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The relationship between family composition and medication adherence in elderly people with chronic disease
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Oh Jae-Seung
Kim Hea-Lim
Han Eun-A
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Abstract
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This study examined the relationship between family composition, especially living with at least one child, and medication adherence in elderly people (defined as 65 years and older) with chronic disease. Using the 2018 Korean Health Panel Survey, the study included 3,579 elderly people with chronic disease, of which 905(25.29%) lived alone, 249(6.96%) lived without a spouse but with at least one child, 2,008(56.11%) lived with a spouse (but not with at least one child), and 417(11.65%) lived with both a spouse and at least one child. The dependent variable was “medication adherence” defined as adherence to medication pertaining to treatment of all chronic diseases. Logistic regression analysis was performed. Compared to elderly people who lived alone, elderly people who lived in other types of family compositions were more adherent to medication, that is, OR of elderly people that lived with a spouse (but without at least one child) was 1.254 (p<0.05), OR of elderly people that lived with a spouse and with at least one child was 1.618 (p<0.05), and OR of elderly people that lived without a spouse but with at least one child was 1.747 (p<0.05). These results show that the support of family has a positive effect on medication adherence. In particular, elderly people who lived with at least one child were more adherent to medication than those who did not live with any children. This implies that support from children contributes positively to the mental health of elderly people and can consequently improve medication adherence. This study defined the variables based on the self-responses of the subjects of this study, which means that the responses may be subject to recall bias of the subjects. Due to a lack of available records, this study also does not account for cases where elderly people live alone, but still receive support from other family members. Nevertheless, this study is meaningful in that it focused on and showed the relationship between family composition, especially living with at least one child, and medication adherence which previous studies has have not yet fully examined.
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KEYWORD
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Family, medication adherence, chronic diseases, Korean Health Panel Survey
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