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Factors Related to Intentional and Unintentional Medication Non-Adherence in Chronic Disease Using Korea Health Panel Study Data - With Focus on Hypertension and Arthropathy -

약학회지 2020년 64권 6호 p.505 ~ 514
김민영, 최현규, 유효선, 모연화,
소속 상세정보
김민영 ( Kim Min-Young ) - Hubase Research Institute
최현규 ( Choi Hyun-Gyu ) - Hubase Research Institute
유효선 ( Ryu Hyo-Sun ) - Sungkyunkwan University Department of Media and Communication
모연화 ( Mo Yeon-Hwa ) - Sungkyunkwan University Department of Media and Communication

Abstract


Medication non-adherence could be of two types: intentional and unintentional non-adherence. This study wasaimed at determining the ratio of intentional to unintentional non-adherence among patients with chronic diseases andrelated factors. To this end, household members were targeted according to the 2017 annual data of the Korean MedicalPanel Study (version 1.6), and the ratio of intentional to unintentional non-adherence in patients with hypertension andarthropathy was determined. The independent variables studied were demographic characteristics, drug satisfaction, sideeffects, psychosocial factors, diagnosis time, and financial parameters. The percentage of individuals with unintentionalnon-adherence was quite high among those with hypertension. On the other hand, the percentage of individuals withintentional non-adherence was quite high among those with arthropathy. Among individuals with hypertension, there wasa difference between adherence and non-adherence rates according to age, diagnosis time, drug satisfaction, averagemonthly drug cost, drug cost burden and the number of chronic diseases. There was a difference between intentional andunintentional non-adherence rates according to average monthly drug cost and diagnosis time. In patients with arthropathy,there were differences in adherence rates according to age, household income, side effects, satisfaction, stress, and anxiety.
There was a difference between intentional and unintentional non-adherence rates according to the number of chronicdiseases. We expect that this study will be helpful in the development of intervention methods for managing non-adherence.

키워드

non-adherence; arthropathy; intentional; unintentional; hypertension

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