Exploring Differences in Medication Adherence Between Hispanic and Caucasian Elders - A Look at Barriers and Facilitators

2.50
Hdl Handle:
http://hdl.handle.net/10755/163142
Category:
Abstract
Type:
Presentation
Title:
Exploring Differences in Medication Adherence Between Hispanic and Caucasian Elders - A Look at Barriers and Facilitators
Author(s):
McMullen, Maureen A.
Author Details:
Maureen A. McMullen, DNSc, APRN, University of Massachusetts Lowell, Lowell, Massachusetts, USA, email: Maureen_McMullen@uml.edu
Abstract:
Purpose: The purpose of this study was to examine factors related to self-administration of medications of older Hispanics and Caucasians. Estimates of non-adherence among the elderly is thought to range from 40-70% for a health care cost estimated to be $100 billion annually. Theoretical Framework: The theoretical framework would be the Health Belief Model and the interactions of health behaviors, and the impact of cultural and economic variables. Methods (Design, Sample, Setting, Measures, Analysis): 227 individuals were surveyed in this comparative survey design. Subjects were recruited from community settings. Chi-square was used to determine if the two ethnic groups differed on either of two outcome measures or factors thought to constitute barriers or facilitators to medication adherence. Results: The 227 subjects consisted of 151 Caucasians and 78 Hispanics (mean age 72 yrs, range 50-91). The findings indicated that there was a significant difference between the groups with Hispanics more likely to stop taking their pills when they did not feel they needed them (X2= 23.7, p< .000). Hispanics were also more likely to stop taking their pills when they were bothered by the side effects (X2 =19.4, p< .000). Significant differences were found between the groups on all eleven of the barriers investigated. Hispanics were more likely than Caucasians to describe the factors presented as a problem/reason for not taking their medications properly. There were no significant differences between the ethnic groups on any of the six facilitating factors investigated. These factors and their analysis are detailed. Conclusions and Implications: There are different reasons for non-adherence to medications in these two ethnic groups. Different factors present significant barriers for Hispanics. The use of teaching materials that address the concerns of different ethnic groups and the different modes of reinforcement should be explored in future research.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
19th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Providence, Rhode Island, USA
Description:
Conference theme: Building Communities of Scholarship and Research, held April 12-14, 2007 at The Westin Providence.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleExploring Differences in Medication Adherence Between Hispanic and Caucasian Elders - A Look at Barriers and Facilitatorsen_GB
dc.contributor.authorMcMullen, Maureen A.en_US
dc.author.detailsMaureen A. McMullen, DNSc, APRN, University of Massachusetts Lowell, Lowell, Massachusetts, USA, email: Maureen_McMullen@uml.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/163142-
dc.description.abstractPurpose: The purpose of this study was to examine factors related to self-administration of medications of older Hispanics and Caucasians. Estimates of non-adherence among the elderly is thought to range from 40-70% for a health care cost estimated to be $100 billion annually. Theoretical Framework: The theoretical framework would be the Health Belief Model and the interactions of health behaviors, and the impact of cultural and economic variables. Methods (Design, Sample, Setting, Measures, Analysis): 227 individuals were surveyed in this comparative survey design. Subjects were recruited from community settings. Chi-square was used to determine if the two ethnic groups differed on either of two outcome measures or factors thought to constitute barriers or facilitators to medication adherence. Results: The 227 subjects consisted of 151 Caucasians and 78 Hispanics (mean age 72 yrs, range 50-91). The findings indicated that there was a significant difference between the groups with Hispanics more likely to stop taking their pills when they did not feel they needed them (X2= 23.7, p< .000). Hispanics were also more likely to stop taking their pills when they were bothered by the side effects (X2 =19.4, p< .000). Significant differences were found between the groups on all eleven of the barriers investigated. Hispanics were more likely than Caucasians to describe the factors presented as a problem/reason for not taking their medications properly. There were no significant differences between the ethnic groups on any of the six facilitating factors investigated. These factors and their analysis are detailed. Conclusions and Implications: There are different reasons for non-adherence to medications in these two ethnic groups. Different factors present significant barriers for Hispanics. The use of teaching materials that address the concerns of different ethnic groups and the different modes of reinforcement should be explored in future research.en_GB
dc.date.available2011-10-27T11:02:04Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:02:04Z-
dc.conference.date2007en_US
dc.conference.name19th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationProvidence, Rhode Island, USAen_US
dc.descriptionConference theme: Building Communities of Scholarship and Research, held April 12-14, 2007 at The Westin Providence.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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