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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 orcid (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)
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author
; ; ; and
organization
publishing date
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
2020-07-29 03:37:35
@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},
}