Compliance with antihypertensive therapy among elderly Medicaid enrollees: The roles of age, gender, and race
Compliance with antihypertensive therapy among elderly Medicaid enrollees: The roles of age, gender, and race
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DOI：
10.2105/ajph.86.12.1805
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发表时间：
1996-12-01
影响因子：
12.7
通讯作者：
Avorn, J
中科院分区：
文献类型：
--
作者：
Monane, M;Boh, RL;Avorn, J
目标.本研究对1982年至1988年4068例首次接受抗高血压治疗的老年门诊患者的依从性及相关人口学因素进行了回顾性研究。对来自新泽西医疗补助计划的数据进行Logistic回归建模。这些患者在365天的随访期内平均仅填写了179天的抗高血压处方（49%）。良好的依从性（大于或等于80%）与高龄（85岁或以上患者的比值比[OR] = 2.12）和白色人种（黑人OR = 0.55）相关。依从性与性别无关。尽管抗高血压治疗在预防心血管疾病方面有效，但如此高的不依从率可能导致患者结局不佳。
Objectives. This study measured compliance and related demographic factors in a retrospective cohort of 4068 elderly outpatients newly starting antihypertensive therapy from 1982 through 1988.Methods. Logistic regression modeling of data from the New Jersey Medicaid program was used.Results. These patients filled antihypertensive prescriptions covering an average of only 179 days in the 365-day follow-up period (49%). Good compliance (greater than or equal to 80%) was associated with advanced age (odds ratio [OR] = 2.12, for patients 85 or older) and White race (OR = 0.55 for Blacks). There was no relationship between compliance and gender.Conclusions. Despite the efficacy of antihypertensive therapy in preventing cardiovascular morbidity, such high rates of noncompliance may contribute to suboptimal patient outcomes.