Adverse Effects of Complementary and Alternative Medicine on Antihypertensive Medication Adherence: Findings from the Cohort Study of Medication Adherence Among Older Adults
Adverse Effects of Complementary and Alternative Medicine on Antihypertensive Medication Adherence: Findings from the Cohort Study of Medication Adherence Among Older Adults
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DOI：
10.1111/j.1532-5415.2009.02639.x
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发表时间：
2010-01-01
影响因子：
6.3
通讯作者：
Webber, Larry S.
中科院分区：
文献类型：
--
作者：
Krousel-Wood, Marie A.;Muntner, Paul;Webber, Larry S.
目的：确定老年黑人和白色人中补充和替代医学（CAM）的使用与抗高血压药物依从性之间的关系。方法：横断面研究。背景：在一个管理式护理组织中登记的患者。参与者：280名年龄在65岁及以上的黑人和白色人，开有抗高血压药物。测量：CAM使用的信息在2006年8月至2007年9月期间，通过电话调查收集了（保健食品和草药补充剂，放松技巧）对血压控制和抗高血压药物依从性的影响。低药物依从性被定义为使用八项Morisky药物依从性量表评分小于6分。参与者的平均年龄为75.0 ± 5.6岁，30.7%为黑人，26.5%使用CAM，14.1%的抗高血压药物依从性低。在管理血压方面，30.5%的黑人和24.7%的白色参与者在过去一年中使用了CAM（P= 0.005），18.4%的黑人和12.3%的白色参与者报告抗高血压药物依从性低（
OBJECTIVESTo determine the association between complementary and alternative medicine (CAM) use and antihypertensive medication adherence in older black and white adults.DESIGNCross-sectional.SETTINGPatients enrolled in a managed care organization.PARTICIPANTSTwo thousand were hundred eighty black and white adults aged 65 and older and prescribed antihypertensive medication.MEASUREMENTSInformation on CAM use (health food and herbal supplements, relaxation techniques) for blood pressure control and antihypertensive medication adherence were collected in a telephone survey between August 2006 and September 2007. Low medication adherence was defined as a score less than 6 using the eight-item Morisky Medication Adherence Scale.RESULTSThe mean age of participants was 75.0 +/- 5.6, 30.7% were black, 26.5% used CAM, and 14.1% had low antihypertensive medication adherence. In managing blood pressure, 30.5% of black and 24.7% of white participants had used CAM in the last year (P=.005), and 18.4% of black and 12.3% of white participants reported low adherence to antihypertensive medication (