所属 医学部 医学科（東京女子医科大学病院） 職種 客員教授
|表題||Self-Reported Non-adherence to Medication in Japanese Patients with Cardiovascular Diseases.|
|掲載誌名||正式名：American journal of cardiovascular drugs : drugs, devices, and other interventions|
略 称：Am J Cardiovasc Drugs
|著者・共著者||SUZUKI Tsuyoshi†, SHIGA Tsuyoshi*, OMORI Hisako, TATSUMI Fujio, NISHIMURA Katsuji, HAGIWARA Nobuhisa|
|概要||OBJECTIVE:Non-adherence to medication is an important problem in cardiovascular treatment. The aim of this study was to assess self-reported non-adherence in Japanese patients with cardiovascular disease.
METHODS:A total of 1372 outpatients at three university hospitals who completed self-reported questionnaires were analyzed in this prospective study (mean age 67 ± 12 years; 31% female). Self-reported adherence to cardiovascular drugs was measured with a modified Siegal scale. Depressive symptoms were defined as a Patient Health Questionnaire-9 score of ≥ 10.
RESULTS:A total of 227 patients (17%) were defined as non-adherent. Multiple logistic regression analysis showed that ≥ 2 times daily dosing frequency, age < 65 years and active employment were significantly associated with non-adherence, with odds ratios of 4.42 [95% confidence interval (CI) 3.02-6.48], 1.70 (95% CI 1.23-2.35) and 1.43 (95% CI 1.03-1.99), respectively. However, depression was not a significant factor in non-adherence.
CONCLUSIONS:Our study showed that self-reported non-adherence to medications was 17% in Japanese patients with cardiovascular disease in the university hospital setting. Daily dosing frequency, younger age and employment were significantly associated with non-adherence.