Low Urbanization but Not Illiteracy was Associated with Poor Medication Adherence among Elderly People in Rural Taiwan

Most elderly persons suffer from chronic diseases. To treat chronic diseases, good medication adherence and refilling medication as physicians’ advice are key points of pharmaceutical therapy. However, the literature revealed that only limited studies have focused on the medication adherence of the...

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Main Authors: Pei-Jhih Li, Ling-Chiao Liao, Chin-Ju Chuang, Cheng-Ying Hsieh, Yung-Cheng Huang, Li-Yu Chen, Yi-Hsuan Yang, Feng-Jung Yang, Kai-Chieh Chang, Li-Jiuan Shen, Fei-Yuan Hsiao, Yen-Ming Huang, Chih-Cheng Hsu, Shau-Huai Fu, Chin-Kai Chang, Chen-Yu Wang
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:International Journal of Clinical Practice
Online Access:http://dx.doi.org/10.1155/2024/8080712
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author Pei-Jhih Li
Ling-Chiao Liao
Chin-Ju Chuang
Cheng-Ying Hsieh
Yung-Cheng Huang
Li-Yu Chen
Yi-Hsuan Yang
Feng-Jung Yang
Kai-Chieh Chang
Li-Jiuan Shen
Fei-Yuan Hsiao
Yen-Ming Huang
Chih-Cheng Hsu
Shau-Huai Fu
Chin-Kai Chang
Chen-Yu Wang
author_facet Pei-Jhih Li
Ling-Chiao Liao
Chin-Ju Chuang
Cheng-Ying Hsieh
Yung-Cheng Huang
Li-Yu Chen
Yi-Hsuan Yang
Feng-Jung Yang
Kai-Chieh Chang
Li-Jiuan Shen
Fei-Yuan Hsiao
Yen-Ming Huang
Chih-Cheng Hsu
Shau-Huai Fu
Chin-Kai Chang
Chen-Yu Wang
author_sort Pei-Jhih Li
collection DOAJ
description Most elderly persons suffer from chronic diseases. To treat chronic diseases, good medication adherence and refilling medication as physicians’ advice are key points of pharmaceutical therapy. However, the literature revealed that only limited studies have focused on the medication adherence of the elderly in rural communities. This study evaluated the adherence to medication and the degree of refilling prescriptions as physician’s advice by the Adherence to Refills and Medications Scale (ARMS) and evaluated the factors associated with poor adherence to medication. This cross-sectional study focused on the medication use of the elderly population in rural areas in western Taiwan and analyzed related personal and social factors which influence the behaviors of pharmaceutical therapy. In conclusion, most of the elderly who lived in rural areas in western Taiwan have poor adherence (ARMS score over 12) to medication and a poor degree of refilling prescriptions as per physicians’ advice. Moreover, age ≥75 years and low urbanization were significantly associated with poor adherence. Future research is warranted to assess the effect of the interventions to improve medication adherence on chronic disease control, disability, and mortality.
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institution Kabale University
issn 1742-1241
language English
publishDate 2024-01-01
publisher Wiley
record_format Article
series International Journal of Clinical Practice
spelling doaj-art-74aab0e43247414aaa1c04122138f9da2025-02-03T10:18:13ZengWileyInternational Journal of Clinical Practice1742-12412024-01-01202410.1155/2024/8080712Low Urbanization but Not Illiteracy was Associated with Poor Medication Adherence among Elderly People in Rural TaiwanPei-Jhih Li0Ling-Chiao Liao1Chin-Ju Chuang2Cheng-Ying Hsieh3Yung-Cheng Huang4Li-Yu Chen5Yi-Hsuan Yang6Feng-Jung Yang7Kai-Chieh Chang8Li-Jiuan Shen9Fei-Yuan Hsiao10Yen-Ming Huang11Chih-Cheng Hsu12Shau-Huai Fu13Chin-Kai Chang14Chen-Yu Wang15Department of PharmacyDepartment of PharmacyDepartment of PharmacyDepartment of PharmacyDepartment of PharmacyDepartment of PharmacyDepartment of PharmacyRare Disease CenterDepartment of NeurologySchool of PharmacyGraduate Institute of Clinical PharmacyGraduate Institute of Clinical PharmacyNational Center for Geriatrics and Welfare ResearchDepartment of Orthopedic SurgeryDepartment of Geriatrics MedicineNational Center for Geriatrics and Welfare ResearchMost elderly persons suffer from chronic diseases. To treat chronic diseases, good medication adherence and refilling medication as physicians’ advice are key points of pharmaceutical therapy. However, the literature revealed that only limited studies have focused on the medication adherence of the elderly in rural communities. This study evaluated the adherence to medication and the degree of refilling prescriptions as physician’s advice by the Adherence to Refills and Medications Scale (ARMS) and evaluated the factors associated with poor adherence to medication. This cross-sectional study focused on the medication use of the elderly population in rural areas in western Taiwan and analyzed related personal and social factors which influence the behaviors of pharmaceutical therapy. In conclusion, most of the elderly who lived in rural areas in western Taiwan have poor adherence (ARMS score over 12) to medication and a poor degree of refilling prescriptions as per physicians’ advice. Moreover, age ≥75 years and low urbanization were significantly associated with poor adherence. Future research is warranted to assess the effect of the interventions to improve medication adherence on chronic disease control, disability, and mortality.http://dx.doi.org/10.1155/2024/8080712
spellingShingle Pei-Jhih Li
Ling-Chiao Liao
Chin-Ju Chuang
Cheng-Ying Hsieh
Yung-Cheng Huang
Li-Yu Chen
Yi-Hsuan Yang
Feng-Jung Yang
Kai-Chieh Chang
Li-Jiuan Shen
Fei-Yuan Hsiao
Yen-Ming Huang
Chih-Cheng Hsu
Shau-Huai Fu
Chin-Kai Chang
Chen-Yu Wang
Low Urbanization but Not Illiteracy was Associated with Poor Medication Adherence among Elderly People in Rural Taiwan
International Journal of Clinical Practice
title Low Urbanization but Not Illiteracy was Associated with Poor Medication Adherence among Elderly People in Rural Taiwan
title_full Low Urbanization but Not Illiteracy was Associated with Poor Medication Adherence among Elderly People in Rural Taiwan
title_fullStr Low Urbanization but Not Illiteracy was Associated with Poor Medication Adherence among Elderly People in Rural Taiwan
title_full_unstemmed Low Urbanization but Not Illiteracy was Associated with Poor Medication Adherence among Elderly People in Rural Taiwan
title_short Low Urbanization but Not Illiteracy was Associated with Poor Medication Adherence among Elderly People in Rural Taiwan
title_sort low urbanization but not illiteracy was associated with poor medication adherence among elderly people in rural taiwan
url http://dx.doi.org/10.1155/2024/8080712
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