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. Author manuscript; available in PMC: 2014 Nov 1.
Published in final edited form as: Res Social Adm Pharm. 2013 Jan 4;9(6):10.1016/j.sapharm.2012.12.002. doi: 10.1016/j.sapharm.2012.12.002

Table 2.

Bivariate logistic regression analyses of medication nonadherence correlates in older adults with Coronary Heart Disease, Diabetes Mellitus, and Hypertension (n=897)

Potential Correlate Nonadherence Outcome
MMAS-4 CRN-2
Odds Ratio
(95% CI)
p-Value Odds Ratio
(95% CI)
p-Value
Demographic Factors
Age 0.95 (0.91-1.00) 0.05 0.98 (0.90-1.07) 0.65
Sex: Male vs Female 0.99 (0.76-1.30) 0.96 0.69 (0.42-1.14) 0.15
Race: Black vs White 1.48 (1.12-1.95) 0.005 2.23 (1.36-3.65) 0.002
Education
 Postsecondary 1.00 (Reference) -- 1.00 (Reference) --
 Less than high school 1.35 (0.94-1.91) 0.10 2.27 (1.24-4.16) 0.008
 High school 1.15 (0.85-1.55) 0.38 1.38 (0.76-2.49) 0.29
Literacy level
 ≥ 9th grade 1.00 (Reference) -- 1.00 (Reference) --
 ≤ 6th grade 1.13 (0.79-1.62) 0.50 2.35 (1.32-4.21) 0.004
 7th–8th grade 1.15 (0.80-1.66) 0.44 1.62 (0.85-3.10) 0.14
Memphis site 1.32(1.01-1.72) 0.04 1.63 (0.98-2.70) 0.06
Married 0.95 (0.73-1.24) 0.70 0.37(0.21-0.65) 0.001
Health Status Factors
Number of regularly scheduled
medications
 0-4 1.00 (Reference) -- 1.00 (Reference) --
 5-8 1.26 (0.93-1.69) 0.13 1.08 (0.61-1.91) 0.17
 ≥9 1.16 (0.79-1.69) 0.45 1.78 (0.93-3.37) 0.18
Number of chronic cardiovascular
conditions (DM, CHD, HTN)
 1 1.00 (Reference) -- 1.00 (Reference) --
 2 1.19 (0.89-1.59) 0.23 1.51 (0.89-2.57) 0.13
 3 0.62 (0.39-0.99) 0.04 1.63 (0.77-3.45) 0.20
Osteoporosis 1.27 (0.84-1.93) 0.26 1.21 (0.58-2.52) 0.61
Cancer 0.82 (0.60-1.13) 0.22 0.71 (0.38-1.32) 0.27
Depression (CES-D > 15) 1.12 (0.73-1.72) 0.60 1.30 (0.62-2.72) 0.49
Cognitive impairment
(3MS < 80)
0.99 (0.68-1.47) 0.98 0.94 (0.45-1.94) 0.86
CVA 1.34 (0.89-2.03) 0.17 1.18 (0.57-2.47) 0.65
Dyslipidemia (LDL >130) 1.19 (0.85-1.66) 0.31 1.17 (0.64-2.16) 0.61
BMI (kg/m2)
 >30 1.00 (Reference) -- 1.00 (Reference) --
 <25 0.94 (0.66-1.34) 0.74 0.68 (0.36-1.26) 0.22
 25-30 1.01 (0.74-1.39) 0.94 0.60 (0.34-1.07) 0.08
Moderate/high intensity exercise 0.88 (0.65-1.19) 0.40 0.68 (0.37-1.25) 0.21
Fair/poor self-rated health (vs.
excellent/very good/good)
1.40(1.02-1.92) 0.04 2.03 (1.21-3.40) 0.008
Physical function limitation 1.25 (0.92-1.69) 0.15 1.94 (1.17-3.23) 0.011
Falls 1.51 (1.14-2.01) 0.004 0.78 (0.45-1.36) 0.38
Sleep disturbances 1.48 (1.12-1.96) 0.005 1.45 (0.86-2.43) 0.16
Vision problems 1.03 (0.49-2.18) 0.94 0.42 (0.06-3.13) 0.40
Hearing problems 0.86 (0.46-1.62) 0.63 0.57 (0.14-2.42) 0.45
Current smoker 1.06 (0.48-2.33) 0.89 2.24 (0.75-6.71) 0.15
Flu shot in previous year 0.70 (0.49-0.99) 0.04 0.72 (0.40-1.32) 0.29
Access to Health Care Factors
Family income < $25,000 1.27 (0.96-1.68) 0.09 2.62 (1.54-4.46) <0.001
Needs poorly met by income (vs.
very well/fairly well)
1.39 (0.75-2.57) 0.29 4.36 (2.04-9.33) <0.001
Home ownership 1.07 (0.63-1.80) 0.80 0.94 (0.36-2.44) 0.89
Other assets
 3-7 1.00 (Reference) -- 1.00 (Reference) --
 0 1.25 (0.88-1.78) 0.21 4.09 (2.11-7.95) <0.0001
 1-2 1.18 (0.85-1.63) 0.33 2.25 (1.14-4.47) 0.02
Health insurance 1.03 (0.71-1.49) 0.86 1.08 (0.54-2.17) 0.83
Prescription medication insurance 1.01 (0.57-1.79) 0.97 0.95 (0.33-2.73) 0.92
Private doctor as the usual place
to go for health care (vs. Othera)
0.93 (0.60-1.44) 0.74 2.58 (0.79-8.37) 0.12
Hospitalization in previous 6
months
1.43 (0.96-2.13) 0.08 1.05 (0.51-2.18) 0.89

Abbreviations: 3MS: modified mini-mental state exam; BMI: body mass index; CES-D: Center for Epidemiologic Studies Depression scale; CHD: coronary heart disease; CRN-2: 2-item cost-related nonadherence; CVA: cerebrovascular accident; DM: diabetes mellitus; HTN: hypertension; LDL: low density lipoprotein; MMAS-4: 4-item Morisky Medication Adherence Scale

a

“Other” included: public clinic, HMO, hospital outpatient clinic, emergency room, or other