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Compliance with antihypertensive therapy among elderly medicaid enrollees: The roles of age, gender, and race

Author

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  • Monane, M.
  • Bohn, R.L.
  • Gurwitz, J.H.
  • Glynn, R.J.
  • Levin, R.
  • Avorn, J.

Abstract

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 (≥ 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.

Suggested Citation

  • Monane, M. & Bohn, R.L. & Gurwitz, J.H. & Glynn, R.J. & Levin, R. & Avorn, J., 1996. "Compliance with antihypertensive therapy among elderly medicaid enrollees: The roles of age, gender, and race," American Journal of Public Health, American Public Health Association, vol. 86(12), pages 1805-1808.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.86.12.1805_8
    DOI: 10.2105/AJPH.86.12.1805
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    Cited by:

    1. Maribel Salas & Catarina Kiefe & Pamela Schreiner & Yongin Kim & Lucia Juarez & Sharina Person & O. Williams, 2008. "Obesity Modifies the Association of Race/Ethnicity with Medication Adherence in the CARDIA Study," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 1(1), pages 41-54, January.
    2. Hagihara, Akihito & Murakami, Masayoshi & Chishaki, Akiko & Nabeshima, Fumikazu & Nobutomo, Koichi, 2001. "Rate of health insurance reimbursement and adherence to anti-hypertensive treatment among Japanese patients," Health Policy, Elsevier, vol. 58(3), pages 231-242, December.

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