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    Social Risk Factors for Medication Nonadherence: Findings from the CARDIA Study

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    Authors
    Oates, Gabriela R.
    Juarez, Lucia D.
    Hansen, Barbara
    Kiefe, Catarina I.
    Shikany, James M.
    UMass Chan Affiliations
    Department of Population and Quantitative Health Sciences
    Document Type
    Journal Article
    Publication Date
    2020-03-01
    Keywords
    medication adherence
    social factors
    income
    chronic stress
    Behavioral Medicine
    Epidemiology
    Health Psychology
    Health Services Research
    Psychiatry and Psychology
    
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    Link to Full Text
    https://doi.org/10.5993/AJHB.44.2.10
    Abstract
    Objectives: Nonadherence to medications has been documented, but the combined effect of social risk factors on medication nonadherence has not been investigated. Methods: We conducted a cross-sectional analysis of data from the Coronary Artery Risk Development in Young Adults (CARDIA) study, a population-based prospective cohort. The sample (N = 1506) included subjects who at Year 20 (2005-06) were taking prescription medications and completed a 4-item Medication Adherence Scale. Social risk factors were education of high school or less, annual household income < $25,000, high financial strain, high chronic stress, low social support, and high social strain. Results: In a fully adjusted logistic regression model, income < $25,000 (OR = 2.37 [95% CI 1.12-4.98], p < .05) and high chronic stress (OR = 2.07 [95% CI 1.09-3.94], p < .05) were significantly associated with medication nonadherence. Individuals with > /=3 social risk factors had > 3 times higher odds of nonadherence than counterparts with no social risk factors (OR = 3.26 [95% CI 1.72-6.19], p < .001). Conclusion: Low income and chronic stress are associated with medication nonadherence, and the odds of nonadherence increase with the accumulation of social risk factors. Findings may be used to develop risk prediction tools to identify individuals who can benefit from adherence-promoting interventions.
    Source

    Oates GR, Juarez LD, Hansen B, Kiefe CI, Shikany JM. Social Risk Factors for Medication Nonadherence: Findings from the CARDIA Study. Am J Health Behav. 2020 Mar 1;44(2):232-243. doi: 10.5993/AJHB.44.2.10. PMID: 32019655. Link to article on publisher's site

    DOI
    10.5993/AJHB.44.2.10
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/46860
    PubMed ID
    32019655
    Related Resources

    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.5993/AJHB.44.2.10
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    Population and Quantitative Health Sciences Publications

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