Details:

Alternative Title:
Prev Chronic Dis
Personal Author:
Lee, Rachel ; Taira, Deborah A
Lee, Rachel ; Taira, Deborah A Less -
Description:
Introduction

Adherence to oral hypoglycemic agents is essential to reducing the poor health outcomes of populations at high risk for developing diabetes and its chronic complications. The goal of this study was to identify characteristics of patients in Hawaii least likely to adhere to oral hypoglycemic agents.

Methods

This retrospective administrative data analysis included prescription refill claims for oral hypoglycemic agents from January 1, 1999, through June 30, 2003 (n = 20,685). Multivariate logistic regression analysis was used to examine the relationship between adherence and patient characteristics.

Results

Adherence was found to be strongly associated with age and ethnicity. Relative to the age subset 55 to 64 years, adherence increased as age increased, reaching a peak at age 74 (odds ratio [OR] 1.1; 95% confidence interval [CI], 1.0–1.20). Past the age of 85, adherence declined (OR 0.90; 95% CI, 0.82–0.98). Relative to white patients, the odds ratio of adherence was highest for Japanese patients (OR 1.20; 95% CI, 1.0–1.30) and lowest for Filipino patients (OR 0.78; 95% CI, 0.68–0.90). Gender was not associated with adherence.

Conclusion

Differences in adherence to oral hypoglycemic agents were found to be related to ethnicity and age. Adherence was found to be lowest in younger patients and Filipino patients. This is a significant finding considering that younger diabetic patients have been shown to have the poorest glycemic control and worst health outcomes. Although the literature on adherence to oral hypoglycemic agents and health outcomes in Filipino patients is limited, studies support an increased risk for developing diabetes in this group. This information can be used to target younger patients and Filipino patients to improve their adherence to oral hypoglycemic agents.


Subjects:
[+]
Aged Aged, 80 And Over Age Factors Diabetes Mellitus Drug Prescriptions Ethnicity Female Humans Hypoglycemic Agents Logistic Models Male Middle Aged Odds Ratio Patient Compliance Retrospective Studies Treatment Refusal
Source:
Prev Chronic Dis. 2005; 2(2).
Document Type:
Journal Article
Place as Subject:
Hawaii ; Philippines
Hawaii ; Philippines Less -
Location:
Oceania ; Asia
Oceania ; Asia Less -
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:ed199af7ec9f6fbc86681fa6bc1abcea9995dd0d67bf2729c731cff3ad027838
Download URL:
https://stacks.cdc.gov/view/cdc/19919/cdc_19919_DS1.pdf
File Type:

Supporting Files

• 	license.txt	txt
  	PCD22A09.nxml	txt

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