TY - JOUR
T1 - Appointment-keeping behavior is not related to medication adherence in hypertensive African Americans
AU - Ogedegbe, Gbenga
AU - Schoenthaler, Antoinette
AU - Fernandez, Senaida
N1 - Funding Information:
Acknowledgments: Preparation of this manuscript was supported by Grants R01 HL 69408, R01 HL078566, and R24 HL076857 from the National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, USA.
PY - 2007/8
Y1 - 2007/8
N2 - OBJECTIVE: The relationship between appointment-keeping behavior, medication adherence (ADH), and systolic and diastolic blood pressure (SBP and DBP) was assessed in 153 hypertensive African Americans followed in a community-based practice. OBJECTIVE: ADH was assessed with a self-report questionnaire. BP was obtained from electronic medical records and appointment attendance was determined from the log of all appointments made during the 12-month study period. Nonadherence rates were compared across appointment attendance categories with chi-square. Logistic regression was used to assess the relationship between ADH and appointment attendance, whereas multivariate analysis of covariance (MANCOVA) was used to examine the relationship between appointment attendance and BP. RESULTS: Twenty-five percent of patients (87% women, mean age 52 years) did not miss any appointments, 44% missed 1-30%, and 31% missed greater than 30%. Adjusted nonadherence rates were similar for all 3 categories (70%, 66%, and 65%, respectively, p = 0.88) as were adjusted mean SBP and DBP in the MANCOVA model, [F (4, 218) = 1.13, p = .34]. Logistic regression analysis did not indicate a significant relationship between appointment attendance and ADH. CONCLUSIONS: Appointment-keeping behavior was not related to ADH or BP among hypertensive African Americans. It should not be used as a proxy for ADH in this patient population.
AB - OBJECTIVE: The relationship between appointment-keeping behavior, medication adherence (ADH), and systolic and diastolic blood pressure (SBP and DBP) was assessed in 153 hypertensive African Americans followed in a community-based practice. OBJECTIVE: ADH was assessed with a self-report questionnaire. BP was obtained from electronic medical records and appointment attendance was determined from the log of all appointments made during the 12-month study period. Nonadherence rates were compared across appointment attendance categories with chi-square. Logistic regression was used to assess the relationship between ADH and appointment attendance, whereas multivariate analysis of covariance (MANCOVA) was used to examine the relationship between appointment attendance and BP. RESULTS: Twenty-five percent of patients (87% women, mean age 52 years) did not miss any appointments, 44% missed 1-30%, and 31% missed greater than 30%. Adjusted nonadherence rates were similar for all 3 categories (70%, 66%, and 65%, respectively, p = 0.88) as were adjusted mean SBP and DBP in the MANCOVA model, [F (4, 218) = 1.13, p = .34]. Logistic regression analysis did not indicate a significant relationship between appointment attendance and ADH. CONCLUSIONS: Appointment-keeping behavior was not related to ADH or BP among hypertensive African Americans. It should not be used as a proxy for ADH in this patient population.
KW - African American
KW - Appointment attendance
KW - Blood pressure
KW - Medication adherence
UR - http://www.scopus.com/inward/record.url?scp=34447118140&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=34447118140&partnerID=8YFLogxK
U2 - 10.1007/s11606-007-0244-y
DO - 10.1007/s11606-007-0244-y
M3 - Article
C2 - 17549574
AN - SCOPUS:34447118140
SN - 0884-8734
VL - 22
SP - 1176
EP - 1179
JO - Journal of general internal medicine
JF - Journal of general internal medicine
IS - 8
ER -