DEMOGRAPHIC AND HEALTH CHARACTERISTICS ASSOCIATED WITH INTENTIONAL AND UNINTENTIONAL NON-ADHERENCE AMONG COSTLY CHRONIC CONDITIONS IN THE UNITED STATES

Author(s)

Goren A1, Gupta S2, DiBonaventura MD11Kantar Health, New York, NY, USA, 2Kantar Health, Princeton, NJ, USA

OBJECTIVES: Non-adherence to treatment predicts poorer health status.  Patient characteristics underlying intentional (INA) and unintentional (UNA) non-adherence were analyzed among eleven costly chronic conditions. METHODS: Data from U.S. 2011 National Health and Wellness Survey included 30,981 (of 75,000) respondents reporting prescriptions for: asthma, pain, congestive heart failure, COPD, diabetes, hypertension, depression, bipolar disorder, peripheral vascular disease, transient ischemic attack, and stroke.  Morisky Medication Adherence Scale items were summed to create INA (“stop taking medicine when feeling better” and “…when feeling worse”) and UNA (“forget to take medicine” and “careless about taking medicine”) scores ranging from 0=adherence to 2=high non-adherence.  Across conditions, two logistic regressions predicted INA and UNA (1+ vs. 0) from gender, age, marital status, college education, income, race/ethnicity, exercise ≥12 times monthly, alcohol consumption ≥2 times weekly, cigarette smoking, employment, health insurance, BMI category, and adjusted Charlson Comorbidity Index (CCI) score. RESULTS: Adjusting for covariates, significant predictors of INA and UNA (odds ratios in parentheses for INA and UNA, respectively), were: female gender (1.32/1.09), younger age (1.04/1.02), education (non-significant [n.s.]/1.13), employment (n.s./1.13), uninsured status (1.24/n.s.), income

Conference/Value in Health Info

2012-06, ISPOR 2012, Washington, D.C., USA

Value in Health, Vol. 15, No. 4 (June 2012)

Code

PIH32

Topic

Patient-Centered Research

Topic Subcategory

Adherence, Persistence, & Compliance

Disease

Pediatrics, Reproductive and Sexual Health, Respiratory-Related Disorders

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