Compliance with antihypertensive therapy among elderly Medicaid enrollees: the roles of age, gender, and race.

UMMS Affiliation

Meyers Primary Care Institute; Department of Medicine, Division of Geriatric Medicine

Publication Date


Document Type



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.


Am J Public Health. 1996 Dec;86(12):1805-8.

Journal/Book/Conference Title

American journal of public health

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Link to article in PubMed

PubMed ID