Journal
ANNALS OF BEHAVIORAL MEDICINE
Volume 46, Issue 2, Pages 237-242Publisher
OXFORD UNIV PRESS INC
DOI: 10.1007/s12160-013-9492-8
Keywords
Cardiovascular disease; Medication; Caregiving; Outcomes; Prevention; Adherence
Categories
Funding
- NCATS NIH HHS [UL1 TR000040] Funding Source: Medline
- NCRR NIH HHS [UL1 RR024156] Funding Source: Medline
- NHLBI NIH HHS [K24 HL076346, R01 HL075101] Funding Source: Medline
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Medication non-adherence is a significant contributor to suboptimal control of blood pressure and lipids. This study determined if having a paid and/or family caregiver was associated with medication adherence in patients hospitalized for cardiovascular disease. Consecutive patients admitted to the cardiovascular service at a university medical center who completed a standardized questionnaire about medication adherence and caregiving (paid/professional or family member/friend) were included in this analysis (N = 1,432; 63 % white; 63%male). Among cardiac patients, 39 % reported being prescribed a parts per thousand yen7 different medications, and one in four reported being non-adherent to their medication(s). Participants who reported having/planning to have a paid caregiver were 40 % less likely to be non-adherent to their medications compared to their counterparts. The association remained significant after adjustment for demographic confounders and comorbid conditions (OR = 0.49; 95 %CI = 0.29-0.82). Cardiac patients with a paid caregiver were half as likely to be non-adherent to medications as those without caregivers.
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