Comparative studies of how living circumstances influence medication adherence in ≥65 year olds

Doggrell, Sheila A. and Kairuz, Therese (2013) Comparative studies of how living circumstances influence medication adherence in ≥65 year olds. International Journal of Clinical Pharmacy, 36 1: 30-35. doi:10.1007/s11096-013-9894-5

Author Doggrell, Sheila A.
Kairuz, Therese
Title Comparative studies of how living circumstances influence medication adherence in ≥65 year olds
Journal name International Journal of Clinical Pharmacy   Check publisher's open access policy
ISSN 2210-7703
Publication date 2013-01-01
Year available 2013
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1007/s11096-013-9894-5
Open Access Status Not yet assessed
Volume 36
Issue 1
Start page 30
End page 35
Total pages 6
Place of publication Dordrecht, The Netherlands
Publisher Springer Netherlands
Language eng
Subject 3611 Pharmacy
3005 Toxicology
3004 Pharmacology
3003 Pharmaceutical Science
2736 Pharmacology (medical)
Abstract Background Resources to help the older aged (≥65 year olds) manage their medicines should probably target those in greatest need. The older-aged have many different types of living circumstances. There are different locations (urban, rural), different types of housing (in the community or in retirement villages), different living arrangements (living alone or with others), and different socioeconomic status (SES) circumstances. However, there has been limited attention to whether these living circumstances affect adherence to medicines in the ≥65 year olds. Aim of the review The aim was to determine whether comparative studies, including logistic regression studies, show that living circumstances affect adherence to medicines by the ≥65 year olds. Methods A literature search of Medline, CINAHL and the Internet (Google) was undertaken. Results Four comparative studies have not shown differences in adherence to medicines between the ≥65 year olds living in rural and urban locations, but one study shows lower adherence to medicines for osteoporosis in rural areas compared to metropolitan, and another study shows greater adherence to antihypertensive medicines in rural than urban areas. There are no comparative studies of adherence to medicines in the older-aged living in indigenous communities compared to other communities. There is conflicting evidence as to whether living alone, being unmarried, or having a low income/worth is associated with nonadherence. Preliminary studies have suggested that the older-aged living in rental, low SES retirement villages or leasehold, middle SES retirement villages have a lower adherence to medicines than those living in freehold, high SES retirement villages. Conclusions The ≥65 year olds living in rural communities may need extra help with adherence to medicines for osteoporosis. The ≥65 year olds living in rental or leasehold retirement villages may require extra assistance/resources to adhere to their medicines. Further research is needed to clarify whether living under certain living circumstances (e.g. living alone, being unmarried, low income) has an effect on adherence, and to determine whether the ≥65 year olds living in indigenous communities need assistance to be adherent to prescribed medicines.
Keyword Adherence
Comparative studies
Living circumstances
Marital status
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Official 2014 Collection
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