Social support for medication adherence in old age - A double edged sword?
2011
Background: In older adults with multiple illnesses, medication regimens become increasingly
demanding and can result in suboptimal adherence. We examine general social support,
medication-specific social support and social conflict to identify possible mechanisms that
operate in predicting adherence. Methods: Observational study with two measurement points,
6 months apart, with 309 multimorbid adults (ages 65?. Adherence was regressed on general
support, medication-specific support and social conflict while controlling for baseline
adherence and covariates (sex, age, education, number of medicines, attitudes towards
medicines and health status). Findings: Medication-specific support was the only, however
negative predictor of adherence. Social conflict moderated this relation: Only in participants
with high social conflict, medication-specific support was detrimental for adherence
(OR?.42, p50.05). Discussion: These findings illustrate the need for a more refined
analysis of various social factors that might enhance or compromise health behaviours in old
age such as medication adherence.
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