Perceptions of social capital and cost-related non-adherence to medication among the elderly

被引:18
作者
Borges Luz, Tatiana Chama [1 ]
de Loyola Filho, Antonio Ignacio [2 ]
Lima-Costa, Maria Fernanda [2 ]
机构
[1] Fundacao Oswaldo Cruz, Ctr Pesquisas Rene Rachou, BR-30190002 Belo Horizonte, MG, Brazil
[2] Univ Fed Minas Gerais, Fdn Oswaldo Cruz, Nucleo Estudos Saude Publ & Envelhecimento, Belo Horizonte, MG, Brazil
来源
CADERNOS DE SAUDE PUBLICA | 2011年 / 27卷 / 02期
关键词
Medication Adherence; Social Conditions; Pharmacoepidemiology; Aged; SELF-RATED HEALTH; INDIVIDUAL-LEVEL ANALYSIS; PUBLIC-HEALTH; POLITICAL-ECONOMY; NATIONAL-SURVEY; BENEFICIARIES; NEIGHBORHOOD; ASSOCIATION; COMMUNITY; CONSTRUCT;
D O I
10.1590/S0102-311X2011000200008
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The aim of this study was to examine the association between social capital and cost-related non-adherence (CRN) in an elderly population, using data from 1,134 respondents to the Greater Metropolitan Belo Horizonte Health Survey. CRN was lower for those elderly with a better perception of attachment to their neighbourhoods (PR = 0.68; 95% CI: 0.50-0.94), with more social contacts (one to five, PR = 0.49; 95% CI: 0.30-0.80 and more than five, PR = 0.42; 95% CI: 0.26-0.67), and with private health insurance coverage (PR = 0.64; 95% CI: 0.45-0.93). Meanwhile, CRN was significantly higher for those with fair to poor self-rated health (PR = 1.66; 95% CI: 0.95-2.90 and PR = 2.62; 95% CI: 1.46-4.71 respectively), with multiple comorbidities (two, PR = 3.45; 95% CI: 1.38-8.62 and three or more, PR = 4.42; 95% CI: 1.74-11.25), and with a lower frequency of physician-patient dialogue about health/treatment (rarely/never, PR = 1.91; 95% CI: 1.16-3.13). These findings highlight the need to take into account the social context in future research on CRN.
引用
收藏
页码:269 / 276
页数:8
相关论文
共 42 条
[11]   Individual-level relationships between social capital and self-rated health in a bilingual community [J].
Hyyppä, MT ;
Mäki, J .
PREVENTIVE MEDICINE, 2001, 32 (02) :148-155
[12]   Social capital and self-rated health: A contextual analysis [J].
Kawachi, I ;
Kennedy, BP ;
Glass, R .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1999, 89 (08) :1187-1193
[13]   Social capital, income inequality, and mortality [J].
Kawachi, I ;
Kennedy, BP ;
Lochner, K ;
ProthrowStith, D .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1997, 87 (09) :1491-1498
[14]   Health by association? Social capital, social theory, and the political economy of public health - Commentary: Reconciling the three accounts of social capital [J].
Kawachi, I ;
Kim, D ;
Coutts, A ;
Subramanian, SV .
INTERNATIONAL JOURNAL OF EPIDEMIOLOGY, 2004, 33 (04) :682-690
[15]   Elders who delay medication because of cost: Health insurance, demographic, health, and financial correlates [J].
Klein, D ;
Turvey, C ;
Wallace, R .
GERONTOLOGIST, 2004, 44 (06) :779-787
[16]   Aging, social capital, and health care utilization in Canada [J].
Laporte, Audrey ;
Nauenberg, Eric ;
Shen, Leilei .
HEALTH ECONOMICS POLICY AND LAW, 2008, 3 (04) :393-411
[17]   Measuring social capital - Assessing construct stability of various operationalizations of social capital in a Finnish sample [J].
Lillbacka, R .
ACTA SOCIOLOGICA, 2006, 49 (02) :201-220
[18]  
Lima-Costa Maria Fernanda, 2005, Cad. Saúde Pública, V21, P830, DOI 10.1590/S0102-311X2005000300017
[19]   The utility of social capital in research on health determinants [J].
Macinko, J ;
Starfield, B .
MILBANK QUARTERLY, 2001, 79 (03) :387-+
[20]   Medication costs, adherence, and health outcomes among Medicare beneficiaries [J].
Mojtabai, R ;
Olfson, M .
HEALTH AFFAIRS, 2003, 22 (04) :220-229