Individual characteristics, area social participation, and primary non-concordance with medication: a multilevel analysis
Johnell, Kristina ; Lindström, Martin LU ; Sundquist, Jan ; Eriksson, C and Merlo, Juan LU
(2006)
In BMC Public Health
6.
- Abstract
- Background: Non-concordance with medication remains a major public health problem that imposes a considerable financial burden on the health care system, and there is still a need for studies on correlates of non-concordance. Our first aim is to analyse whether any of the individual characteristics age, educational level, financial strain, self-rated health, social participation, and trust in the health care system are associated with primary non-concordance with medication. Our second aim is to investigate whether people living in the same area have similar probability of primary non-concordance with medication, that relates to area social participation. Methods: We analysed cross sectional data from 9 070 women and 6 795 men aged 18 to... (More)
- Background: Non-concordance with medication remains a major public health problem that imposes a considerable financial burden on the health care system, and there is still a need for studies on correlates of non-concordance. Our first aim is to analyse whether any of the individual characteristics age, educational level, financial strain, self-rated health, social participation, and trust in the health care system are associated with primary non-concordance with medication. Our second aim is to investigate whether people living in the same area have similar probability of primary non-concordance with medication, that relates to area social participation. Methods: We analysed cross sectional data from 9 070 women and 6 795 men aged 18 to 79 years, living in 78 areas in central Sweden, who participated in the Life & Health year 2000 survey, with multilevel logistic regression (individuals at the first level and areas at the second level). Results: Younger age, financial strain, low self-rated health, and low trust in the health care system were associated with primary non-concordance with medication. However, area social participation was not related to primary non-concordance, and the variation in primary non-concordance between the areas was small. Conclusion: Our results indicate that people in central Sweden with younger age, financial difficulties, low self-rated health, and low trust in the health care system may have a higher probability of primary non-concordance with medication. However, the area of residence - as defined by administrative boundaries - seems to play a minor role for primary non-concordance. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/908767
- author
- Johnell, Kristina
; Lindström, Martin
LU
; Sundquist, Jan
; Eriksson, C
and Merlo, Juan
LU
- organization
- publishing date
- 2006
- type
- Contribution to journal
- publication status
- published
- subject
- in
- BMC Public Health
- volume
- 6
- publisher
- BioMed Central (BMC)
- external identifiers
-
- wos:000236185000001
- pmid:16512907
- scopus:33645286482
- ISSN
- 1471-2458
- DOI
- 10.1186/1471-2458-6-52
- language
- English
- LU publication?
- yes
- id
- e487b631-1e1e-476c-9991-6c83c8877b36 (old id 908767)
- date added to LUP
- 2016-04-01 15:27:53
- date last changed
- 2022-01-28 05:27:11
@article{e487b631-1e1e-476c-9991-6c83c8877b36,
abstract = {{Background: Non-concordance with medication remains a major public health problem that imposes a considerable financial burden on the health care system, and there is still a need for studies on correlates of non-concordance. Our first aim is to analyse whether any of the individual characteristics age, educational level, financial strain, self-rated health, social participation, and trust in the health care system are associated with primary non-concordance with medication. Our second aim is to investigate whether people living in the same area have similar probability of primary non-concordance with medication, that relates to area social participation. Methods: We analysed cross sectional data from 9 070 women and 6 795 men aged 18 to 79 years, living in 78 areas in central Sweden, who participated in the Life & Health year 2000 survey, with multilevel logistic regression (individuals at the first level and areas at the second level). Results: Younger age, financial strain, low self-rated health, and low trust in the health care system were associated with primary non-concordance with medication. However, area social participation was not related to primary non-concordance, and the variation in primary non-concordance between the areas was small. Conclusion: Our results indicate that people in central Sweden with younger age, financial difficulties, low self-rated health, and low trust in the health care system may have a higher probability of primary non-concordance with medication. However, the area of residence - as defined by administrative boundaries - seems to play a minor role for primary non-concordance.}},
author = {{Johnell, Kristina and Lindström, Martin and Sundquist, Jan and Eriksson, C and Merlo, Juan}},
issn = {{1471-2458}},
language = {{eng}},
publisher = {{BioMed Central (BMC)}},
series = {{BMC Public Health}},
title = {{Individual characteristics, area social participation, and primary non-concordance with medication: a multilevel analysis}},
url = {{http://dx.doi.org/10.1186/1471-2458-6-52}},
doi = {{10.1186/1471-2458-6-52}},
volume = {{6}},
year = {{2006}},
}