Self-Assessment of Adherence to Medication: A Case Study in Campania Region Community-Dwelling Population

Objectives. The aim of the study was to assess self-reported medication adherence measure in patients selected during a health education and health promotion focused event held in the Campania region. The study also assessed sociodemographic determinants of adherence. Methods. An interviewer assist...

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Main Authors: Menditto, Enrica, Guerriero, Francesca, Orlando, Valentina, Crola, Catherine, Di Somma, Carolina, Illario, Maddalena, Morisky, Donald E., Colao, Annamaria
Format: Online
Language:English
Published: Hindawi Publishing Corporation 2015
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4541012/
id pubmed-4541012
recordtype oai_dc
spelling pubmed-45410122015-09-06 Self-Assessment of Adherence to Medication: A Case Study in Campania Region Community-Dwelling Population Menditto, Enrica Guerriero, Francesca Orlando, Valentina Crola, Catherine Di Somma, Carolina Illario, Maddalena Morisky, Donald E. Colao, Annamaria Research Article Objectives. The aim of the study was to assess self-reported medication adherence measure in patients selected during a health education and health promotion focused event held in the Campania region. The study also assessed sociodemographic determinants of adherence. Methods. An interviewer assisted survey was conducted to assess adherence using the Italian version of the 8-item Morisky Medication Adherence Scale (MMAS-8). Participants older than 18 years were interviewed by pharmacists while waiting for free-medical checkup. Results. A total of 312 participants were interviewed during the Health Campus event. A total of 187 (59.9%) had low adherence to medications. Pearson's bivariate correlation showed positive association between the MMAS-8 score and gender, educational level and smoking (P < 0.05). A multivariable analysis showed that the level of education and smoking were independent predictors of adherence. Individuals with an average level of education (odds ratio (OR), 2.21, 95% confidence interval (CI), 1.08–4.52) and nonsmoker (odds ratio (OR) 1.87, 95% confidence interval (CI), 1.04–3.35) were found to be more adherent to medication than those with a lower level of education and smoking. Conclusion. The analysis showed very low prescription adherence levels in the interviewed population. The level of education was a relevant predictor associated with that result. Hindawi Publishing Corporation 2015 2015-08-05 /pmc/articles/PMC4541012/ /pubmed/26346487 http://dx.doi.org/10.1155/2015/682503 Text en Copyright © 2015 Enrica Menditto et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Menditto, Enrica
Guerriero, Francesca
Orlando, Valentina
Crola, Catherine
Di Somma, Carolina
Illario, Maddalena
Morisky, Donald E.
Colao, Annamaria
spellingShingle Menditto, Enrica
Guerriero, Francesca
Orlando, Valentina
Crola, Catherine
Di Somma, Carolina
Illario, Maddalena
Morisky, Donald E.
Colao, Annamaria
Self-Assessment of Adherence to Medication: A Case Study in Campania Region Community-Dwelling Population
author_facet Menditto, Enrica
Guerriero, Francesca
Orlando, Valentina
Crola, Catherine
Di Somma, Carolina
Illario, Maddalena
Morisky, Donald E.
Colao, Annamaria
author_sort Menditto, Enrica
title Self-Assessment of Adherence to Medication: A Case Study in Campania Region Community-Dwelling Population
title_short Self-Assessment of Adherence to Medication: A Case Study in Campania Region Community-Dwelling Population
title_full Self-Assessment of Adherence to Medication: A Case Study in Campania Region Community-Dwelling Population
title_fullStr Self-Assessment of Adherence to Medication: A Case Study in Campania Region Community-Dwelling Population
title_full_unstemmed Self-Assessment of Adherence to Medication: A Case Study in Campania Region Community-Dwelling Population
title_sort self-assessment of adherence to medication: a case study in campania region community-dwelling population
description Objectives. The aim of the study was to assess self-reported medication adherence measure in patients selected during a health education and health promotion focused event held in the Campania region. The study also assessed sociodemographic determinants of adherence. Methods. An interviewer assisted survey was conducted to assess adherence using the Italian version of the 8-item Morisky Medication Adherence Scale (MMAS-8). Participants older than 18 years were interviewed by pharmacists while waiting for free-medical checkup. Results. A total of 312 participants were interviewed during the Health Campus event. A total of 187 (59.9%) had low adherence to medications. Pearson's bivariate correlation showed positive association between the MMAS-8 score and gender, educational level and smoking (P < 0.05). A multivariable analysis showed that the level of education and smoking were independent predictors of adherence. Individuals with an average level of education (odds ratio (OR), 2.21, 95% confidence interval (CI), 1.08–4.52) and nonsmoker (odds ratio (OR) 1.87, 95% confidence interval (CI), 1.04–3.35) were found to be more adherent to medication than those with a lower level of education and smoking. Conclusion. The analysis showed very low prescription adherence levels in the interviewed population. The level of education was a relevant predictor associated with that result.
publisher Hindawi Publishing Corporation
publishDate 2015
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4541012/
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