Individual characteristics, area social participation, and primary non-concordance with medication: a multilevel analysis

Johnell, Kristina; Lindström, Martin; Sundquist, Jan; Eriksson, Charli; Merlo, Juan
January 2006
BMC Public Health;2006, Vol. 6 Issue 1, p52
Academic Journal
Background: Non-concordance with medication remains a major public health problem that imposes a considerable financial burden on the health care system, and there is still a need for studies on correlates of non-concordance. Our first aim is to analyse whether any of the individual characteristics age, educational level, financial strain, self-rated health, social participation, and trust in the health care system are associated with primary non-concordance with medication. Our second aim is to investigate whether people living in the same area have similar probability of primary non-concordance with medication, that relates to area social participation. Methods: We analysed cross sectional data from 9 070 women and 6 795 men aged 18 to 79 years, living in 78 areas in central Sweden, who participated in the Life & Health year 2000 survey, with multilevel logistic regression (individuals at the first level and areas at the second level). Results: Younger age, financial strain, low self-rated health, and low trust in the health care system were associated with primary non-concordance with medication. However, area social participation was not related to primary non-concordance, and the variation in primary non-concordance between the areas was small. Conclusion: Our results indicate that people in central Sweden with younger age, financial difficulties, low self-rated health, and low trust in the health care system may have a higher probability of primary non-concordance with medication. However, the area of residence - as defined by administrative boundaries - seems to play a minor role for primary non-concordance.


Related Articles

  • Determinants of health system delay among confirmed tuberculosis cases in Spain. Díez, M.; Bleda, M. J.; Alcaide, J.; Castells, C.; Cardenal, J. I.; Domínguez, A.; Gayoso, P.; Guitiérrez, G.; Huerta, C.; López, M. J.; Moreno, T.; Muñoz, F.; García-Fulgueiras, A.; Picó, M.; Pozo, F.; Quirós, J. R.; Robles, F.; Sánchez, J. M.; Vanaclocha, H.; Vega, T. // European Journal of Public Health;Aug2005, Vol. 15 Issue 4, p343 

    Background: Health system delay (HSD) is an important issue in tuberculosis (TB) control. This report investigates HSD and associated factors in a cohort of Spanish culture-confirmed TB patients. Methods: Data were collected from clinical records. Using logistic regression with two different...

  • Neighborhood social participation, use of anxiolytic‐hypnotic drugs, and women's propensity for disability pension: a multilevel analysis. Johnell, Kristina; Månsson, Nils-Ove; Sundquist, Jan; Melander, Arne; Blennow, Göran; Merlo, Juan // Scandinavian Journal of Public Health;Jan2006, Vol. 34 Issue 1, p41 

    Aims: The increasing number of people on disability pension in Sweden is of concern for Swedish policy-makers, and there is a need for a better understanding of the mechanisms behind disability pension. We investigated (i) whether women living in the same neighborhood have a similar propensity...

  • Self-rated Health and Social Capital Among Aging People Across the Urban—Rural Dimension. Nummela, Olli; Sulander, Tommi; Karisto, Antti; Uutela, Antti // International Journal of Behavioral Medicine;Jun2009, Vol. 16 Issue 2, p189 

    Previous studies have found self-rated health to be associated with social capital. However, there is lack of studies examining social capital among aging people and its impact on self-rated health in the urban–rural context. The purpose of this study was to investigate associations...

  • Perceived neighbourhood context, disability onset and old age Walsh, Kieran; Gannon, Brenda // Journal of Socio-Economics;Oct2011, Vol. 40 Issue 5, p631 

    Abstract: National household and individual level data are used to explore perceived neighbourhood characteristics (PNC) and neighbourhood social participation (NSP) associations with later life disability onset (DO). The sample includes 3011 older people, with 8128 observations between 1995 and...

  • Related factors and use of free preventive health services among adults with intellectual disabilities in Taiwan. Suh-May Yen; Pei-Tseng Kung; Li-Ting Chiu; Wen-Chen Tsai // BMC Health Services Research;2014, Vol. 14 Issue 1, p100 

    Background This study aimed to investigate the utilization of preventive health services in the adults with intellectual disabilities from the nationwide database. Methods The research method of this study is secondary data analysis. The data was obtained from three nationwide databases from...

  • Methods to measure potential spatial access to delivery care in low- and middle-income countries: a case study in rural Ghana. Nesbitt, Robin C.; Gabrysch, Sabine; Laub, Alexandra; Soremekun, Seyi; Manu, Alexander; Kirkwood, Betty R.; Amenga-Etego, Seeba; Wiru, Kenneth; Höfle, Bernhard; Grundy, Chris // International Journal of Health Geographics;2014, Vol. 13 Issue 1, p1 

    Background Access to skilled attendance at childbirth is crucial to reduce maternal and newborn mortality. Several different measures of geographic access are used concurrently in public health research, with the assumption that sophisticated methods are generally better. Most of the evidence...

  • Who cares about health inequalities? Cross-country evidence from the World Health Survey. King, Nicholas B; Harper, Sam; Young, Meredith E // Health Policy & Planning;Aug2013, Vol. 28 Issue 5, p558 

    Reduction of health inequalities within and between countries is a global health priority, but little is known about the determinants of popular support for this goal. We used data from the World Health Survey to assess individual preferences for prioritizing reductions in health and health care...

  • THE PROCESSING OF THE MEDICAL DATA WITH THE USE OF LOGISTIC REGRESSSION. Kuráňová, Pavlína // Reliability: Theory & Applications;Mar2012, Vol. 7 Issue 1, p65 

    This paper shows the evaluation of the data coming from the surgery operations and from the clinique of occupational and preventive medicine. Deals with the usage of logistic regression for predicting the classification of patients into one of the two groups. Our data come from patients who...

  • Self-evaluated health of married people in Jamaica. Bourne, Paul A. // Health (1949-4998);Dec2009, Vol. 1 Issue 4, p332 

    Background: In the Caribbean in particular Jamaica, no study has been done to examine married respondents in order to understand reasons for their greater health status. The objectives of the current study are: 1) examine the sociodemographic characteristics of married people in Jamaica; 2)...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics