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The Effect of Hypertension, Diabetes, and Hyperlipidemia on Medication Intake and Adherence: Analysis from Korean
1Department of Public Health Administration, Gwangju University, Gwangju, South Korea.
Insights
Medication adherence varies among Koreans with hypertension, diabetes, and hyperlipidemia. Patients with hypertension and diabetes were more likely to take medication as prescribed compared to those with hyperlipidemia.
Area of Science:
- Public Health
- Health Services Research
- Chronic Disease Management
Background:
- Hypertension, diabetes, and hyperlipidemia are prevalent chronic conditions in South Korea.
- Medication management is crucial for controlling these diseases and preventing multimorbidity.
- Understanding medication intake and adherence is vital for effective disease management.
Purpose of the Study:
- To evaluate the impact of chronic diseases on medication intake and adherence in the Korean population.
- To identify factors influencing medication adherence among patients with hypertension, diabetes, and hyperlipidemia.
Main Methods:
- Utilized data from 5,529 participants in the Korea Health Panel Survey (2014-2017).
- Analyzed medication intake and adherence as dependent variables.
- Employed chi-square tests and multiple logistic regression to assess the influence of chronic disease type and socioeconomic status.
Main Results:
- Medication intake and adherence rates differed significantly across hypertension, diabetes, and hyperlipidemia.
- Hyperlipidemia patients showed lower adherence compared to hypertension and diabetes patients.
- Factors like female gender, older age, and medical aid status were associated with increased medication intake, while marriage, lower education, and income correlated with higher adherence.
Conclusions:
- The type of chronic disease significantly influences medication adherence.
- Public health programs should consider disease-specific strategies to improve medication adherence.
- Targeted interventions for each chronic condition can enhance management and prevent complications.
Background:
Hypertension, diabetes, and hyperlipidemia are common chronic diseases in South Korea, and medication is a key factor in managing these diseases and preventing disease advancement to multimorbidity. This study aimed to evaluate the effect of chronic disease on medication intake and adherence among Koreans.
Methods:
This study was conducted utilizing data collected from 5,529 individuals that participated in the Korea Health Panel Survey (KHPS) in 2014-2017. The dependent variables were medication intake and adherence, and independent variables included socioeconomic status and the type of chronic disease. The differences in the medication intake and medication adherence by sociodemographic variables and the type of chronic disease were analyzed by chi-square test. The effect of hypertension, diabetes, and hyperlipidemia on medication intake and adherence was analyzed via multiple logistic regression using SAS statistical software.
Results:
The rate of medication intake and adherence were significantly different among patients with hypertension, diabetes, and hyperlipidemia, especially lower in patients with hyperlipidemia compared to those with hypertension and diabetes. In multiple logistic regression analysis, the probability of medication intake increased in female gender, older age, medical aid, medication adherence was higher in married, lower educational level and lower household income. Compared to hyperlipidemia, patients with hypertension and diabetes had more likely to take medication as prescribed.
Conclusion:
The importance of considering the type of chronic disease in developing and implementing public health programs aiming for improved medication adherence. Targeting better medication intake and adherence for each chronic disease could be a valuable policy strategy to effectively manage chronic diseases as well as prevent their complications.
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