Compliance with antihypertensive therapy among elderly Medicaid enrollees: the roles of age, gender, and race.
Meyers Primary Care Institute; Department of Medicine, Division of Geriatric Medicine
Medical Subject Headings
Age Factors; Aged; Aged, 80 and over; Antihypertensive Agents; Ethnic Groups; Female; Humans; Logistic Models; Male; Medicaid; Odds Ratio; Patient Compliance; Self Administration; Sex Factors; United States
Health Services Research | Medicine and Health Sciences
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 (> or = 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.
Rights and Permissions
Citation: Am J Public Health. 1996 Dec;86(12):1805-8.
Monane, Mark; Bohn, Rhonda L.; Gurwitz, Jerry H.; Glynn, Robert J.; Levin, Raisa; and Avorn, Jerry, "Compliance with antihypertensive therapy among elderly Medicaid enrollees: the roles of age, gender, and race." (1996). Meyers Primary Care Institute Publications and Presentations. 131.