title: Factors Associated With Potentially Inappropriate Medication Use in Rural, Community-Dwelling Older Adults.
abstract: Potentially inappropriate medication (PIM) use is a serious public health problem in older adults because it may lead to adverse events. The purpose of the current study was to explore PIM use in rural, community-dwelling older adults. Participants (N = 138) underwent one-on-one medication reviews. Approximately one half (49%) of the sample used prescribed and over-the-counter (OTC) PIM. Prescribed and OTC nonsteroidal anti-inflammatory drugs (33%) and anticholinergic medications (28%) were the most frequently used PIM. Use of PIM was associated with a higher number of medications (r = 0.331, p < 0.01), more medical providers (r = 0.223, p < 0.001), and poor physical health (r = -0.193, p < 0.05). Higher number of medications increased the probability of PIM use by 85% (odds ratio: 1.8; 95% confidence interval [1.19, 2.84]). Findings highlight the importance of re-evaluating the monitoring of medications in rural, community-dwelling older adults and the need for sustainable interventions to reduce prescribing and OTC PIM use. [Journal of Gerontological Nursing, 43(9), 21-30.].
authors.forename: Marcia Y
authors.initials: MY
authors.lastname: Shade
authors.forename: Ann M
authors.initials: AM
authors.lastname: Berger
authors.forename: Claudia
authors.initials: C
authors.lastname: Chaperon
authors.forename: Gleb
authors.initials: G
authors.lastname: Haynatzki
authors.forename: Linda
authors.initials: L
authors.lastname: Sobeski
authors.forename: Bernice
authors.initials: B
authors.lastname: Yates
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D057187:Independent Living / Q000523:psychology* / Q000706:statistics & numerical data*; D008297:Male; D008508:Medication Errors / Q000523:psychology* / Q000706:statistics & numerical data*; D004366:Nonprescription Drugs; D000067561:Potentially Inappropriate Medication List; D055553:Prescription Drugs; D012424:Rural Population / Q000706:statistics & numerical data*
chemical_list: D004366:Nonprescription Drugs; D055553:Prescription Drugs