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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Wiley
2024-01-01
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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. |
format | Article |
id | doaj-art-74aab0e43247414aaa1c04122138f9da |
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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