title: Medication adherence and its associated factors among Chinese community-dwelling older adults with hypertension.
abstract: OBJECTIVE
  To investigate the factors that influence medication adherence in Chinese community-dwelling older adults with hypertension.
  
  
  METHODS
  A cross-sectional study was conducted with a convenience sample of 382 older adults with hypertension recruited from six health centers in Macao, China. Chinese versions of the Morisky 4-Item Self-Report Measure of Medication-Taking Behavior, Fear of Intimacy with Helping Professionals scale and Exercise of Self-care Agency scale were administered to participants.
  
  
  RESULTS
  Participants older than 65 years (β = .118, p = .017), with a low level of education (β = .128, p = .01), who had more than one other common disease (β = .120, p = .015), were on long-term medication (β = .221, p < .001) and who reported higher self-care (β = .188, p = .001), had better medication adherence.
  
  
  CONCLUSIONS
  Health care professionals should consider these factors when planning medication regimens for Chinese older adults with hypertension, to enhance medication adherence and improve patient outcomes.
authors.affiliation: Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore. Electronic address: nurww@nus.edu.sg.
authors.forename: Wenru
authors.initials: W
authors.lastname: Wang
authors.affiliation: Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore. Electronic address: nurly@nus.edu.sg.
authors.forename: Ying
authors.initials: Y
authors.lastname: Lau
authors.affiliation: Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
authors.forename: Aloysius
authors.initials: A
authors.lastname: Loo
authors.affiliation: Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
authors.forename: Aloysius
authors.initials: A
authors.lastname: Chow
authors.affiliation: Cardiovascular Research Centre, Australian Catholic University, Melbourne, Australia; Department of Psychiatry, University of Melbourne, Melbourne, Australia; Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia.
authors.forename: David R
authors.initials: DR
authors.lastname: Thompson
mesh_terms: D000367:Age Factors; D000368:Aged; D000959:Antihypertensive Agents / Q000627:therapeutic use*; D002681:China; D003430:Cross-Sectional Studies; D004522:Educational Status; D005260:Female; D006801:Humans; D006973:Hypertension / Q000188:drug therapy*; D008297:Male; D008875:Middle Aged; D012648:Self Care; D057566:Self Report; D016903:Drug Monitoring
chemical_list: D000959:Antihypertensive Agents
keywords: Chinese; Community-dwelling; Hypertension; Medication adherence; Older adults