Workplace social capital and adherence to antihypertensive medication: a cohort study.
Workplace social capital and adherence to antihypertensive medication: a cohort study.
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DOI：
10.1371/journal.pone.0024732
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发表时间：
2011
期刊：
影响因子：
3.7
通讯作者：
Kivimäki M
中科院分区：
文献类型：
--
作者：
Oksanen T;Kawachi I;Kouvonen A;Suzuki E;Takao S;Sjösten N;Virtanen M;Pentti J;Vahtera J;Kivimäki M
虽然高血压是一种常见的和可治疗的健康问题，坚持抗高血压药物仍然是一个挑战。本研究探讨了工作场所的社会资本可能会影响高血压员工的抗高血压药物的依从性的假设。我们将调查结果与全国范围内3515名高血压员工（平均年龄53.9岁，76%为女性）的药房记录联系起来，这些员工需要持续的降压药物治疗（芬兰公共部门研究）。2000-2004年，使用标准量表测量同事评估和自我报告的工作场所社会资本。使用全面的处方记录，根据调查后一年未治疗的天数确定抗高血压药物的不依从性。负二项回归模型进行调整的社会人口学特征，高血压的持续时间，行为相关的危险因素，和共病条件。未治疗天数的总体比率为20.7天/人-年（78%没有未治疗天数）。较高的年龄、肥胖和躯体共病的存在都与更好的依从性相关，但这与同事评估或自我报告的工作场所社会资本无关。在同事评估的工作场所社会资本中，最低四分之一的人每年未接受治疗的天数为19.7天，而最高四分之一的人为20.4天。完全校正模型的相应率比为0.95（95%置信区间（CI）0.58-1.56）。在907名新使用抗高血压药物的亚组中，该比率为0.98（95% CI 0.42-2.29）。我们没有发现一致的证据支持工作场所社会资本对慢性高血压患者坚持药物治疗的假设影响。
While hypertension is a common and treatable health problem, adherence to antihypertensive medication remains a challenge. This study examines the hypothesis that workplace social capital may influence adherence to antihypertensive medication among hypertensive employees. We linked survey responses to nationwide pharmacy records for a cohort of 3515 hypertensive employees (mean age 53.9 years, 76% women) who required continuous antihypertensive drug therapy (the Finnish Public Sector study). A standard scale was used to measure workplace social capital from co-workers' assessments and self-reports in 2000–2004. Non-adherence to antihypertensive medication was determined based on the number of days-not-treated at the year following the survey using comprehensive prescription records. Negative binomial regression models were conducted adjusting for socio-demographic characteristics, duration of hypertension, behaviour-related risk factors, and co-morbid conditions. The overall rate of days-not-treated was 20.7 per person-year (78% had no days-not-treated). Higher age, obesity, and presence of somatic co-morbidities were all associated with better adherence, but this was not the case for co-worker-assessed or self-reported workplace social capital. The rate of days-not-treated was 19.7 per person-year in the bottom fourth of co-worker-assessed workplace social capital, compared to 20.4 in the top fourth. The corresponding rate ratio from the fully-adjusted model was 0.95 (95% confidence interval (CI) 0.58–1.56). In a subgroup of 907 new users of antihypertensive medication this rate ratio was 0.98 (95% CI 0.42–2.29). We found no consistent evidence to support the hypothesized effect of workplace social capital on adherence to drug therapy among employees with chronic hypertension.
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影响因子：
5
作者：
Kouvonen, Anne;Oksanen, Tuula;Kivimaki, Mika
通讯作者：
Kivimaki, Mika
对工作中社会资本的短暂度量的心理测量评估。
影响因子：
4.5
作者：
Kouvonen A;Kivimäki M;Vahtera J;Oksanen T;Elovainio M;Cox T;Virtanen M;Pentti J;Cox SJ;Wilkinson RG
通讯作者：
Wilkinson RG
与遵守巴基斯坦抗高血压治疗有关的因素。
影响因子：
3.7
作者：
Hashmi, Saman K.;Afridi, Maria B.;Abbas, Kanza;Sajwani, Rubina A.;Saleheen, Danish;Frossard, Philippe M.;Ishaq, Mohammad;Ambreen, Aisha;Ahmad, Usman
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影响因子：
5.4
作者：
Lindström, M;Hanson, BS;Östergren, PO
通讯作者：
Östergren, PO
影响因子：
2.8
作者：
Hill, Martha N.;Miller, Nancy H.;DeGeest, Sabina
通讯作者：
DeGeest, Sabina