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Factors Associated With Medication Adherence Among the Elderly With Multimorbidity Publisher



Papi S1 ; Bahrevar V2 ; Hosseini F3 ; Dehghani SL4 ; Saadat Talab F5 ; Nejadsadeghi E4
Authors
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Authors Affiliations
  1. 1. Research Center for Social Factors Affecting Health, Faculty of Nursing and Midwifery, Lorestan University of Medical Sciences, Khorramabad, Iran
  2. 2. University of Social Walfare and Rehabilitation Sciences, Tehran, Iran
  3. 3. Department of Epidemiology and Biostatics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Public Health, School of Health, Behbahan Faculty of Medical Sciences, Behbahan, Iran
  5. 5. Iranian Research Center on Aging, University of Social Welfare & Rehabilitation Science, Tehran, Iran

Source: Family Medicine and Primary Care Review Published:2025


Abstract

Background. Medication adherence is a key healthcare issue in the elderly and a challenging factor influencing the success of treatment. Objectives. The study aimed to determine the factors associated with medication adherence in the elderly with multimorbidity. Material and methods. The study was descriptive-analytical and examined 800 elderly people using a multi-stage random sampling method in Sabzevar County in 2021. The research collected data using a demographic form, a standard questionnaire on medication adherence in chronic diseases, and standard questionnaires on patient satisfaction with physician communication, which were completed via interviews and self-report. In the present study, the elderly were classified into three groups based on having chronic diseases: people with a chronic disease, people with two chronic diseases, and people with three and more chronic diseases. SPSS24 was used for data analysis. Chi-square and Multiple linear regression tests were used to analyze data. Results. The research results indicated that 426 individuals (53%) had two diseases, and 199 individuals (25%) had three or more dis-eases. Diabetes was of the highest frequency (25%). The mean score of medication adherence of the elderly was 105.5 (± 49.04), and the mean score of the elderlies’ satisfaction with the physicians’ communication was 66.48 (± 11). In the elderly with three or more diseases, there was a one-unit increase in satisfaction with the physicians’ communication, and medication adherence rate increased by 0.04 units. Conclusions. It is suggested to implement new and innovative intervention strategies to improve health literacy, medication adher-ence, and adherence monitoring methods to better manage diseases in the elderly with multimorbidity. © by Wydawnictwo Continuo.
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