title: Medication adherence is associated with having a caregiver among cardiac patients.
abstract: BACKGROUND
  Medication non-adherence is a significant contributor to suboptimal control of blood pressure and lipids.
  
  
  OBJECTIVE
  This study determined if having a paid and/or family caregiver was associated with medication adherence in patients hospitalized for cardiovascular disease.
  
  
  METHODS
  Consecutive patients admitted to the cardiovascular service at a university medical center who completed a standardized questionnaire about medication adherence and caregiving (paid/professional or family member/friend) were included in this analysis (N = 1,432; 63 % white; 63%male).
  
  
  RESULTS
  Among cardiac patients, 39 % reported being prescribed ≥ 7 different medications, and one in four reported being non-adherent to their medication(s). Participants who reported having/planning to have a paid caregiver were 40 % less likely to be non-adherent to their medications compared to their counterparts. The association remained significant after adjustment for demographic confounders and comorbid conditions (OR = 0.49; 95 %CI = 0.29-0.82).
  
  
  CONCLUSIONS
  Cardiac patients with a paid caregiver were half as likely to be non-adherent to medications as those without caregivers.
authors.affiliation: Columbia University Medical Center/New York-Presbyterian Hospital, New York, NY, USA.
authors.forename: Brooke
authors.initials: B
authors.lastname: Aggarwal
authors.forename: Ming
authors.initials: M
authors.lastname: Liao
authors.forename: Lori
authors.initials: L
authors.lastname: Mosca
mesh_terms: D000368:Aged; D002318:Cardiovascular Diseases / Q000451:nursing / Q000523:psychology*; D017028:Caregivers / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D055118:Medication Adherence / Q000523:psychology*; D008875:Middle Aged
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