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Determinant Factors of Osteoporosis Patients' Reported Therapeutic Adherence to Calcium and/or Vitamin D Supplements: A Cross-Sectional, Observational Study of Postmenopausal Women
Drugs & Aging, 09/21/09
Sanfelix–Genoves J et al. – Only one in two postmenopausal women with osteoporosis who take calcium and/or vitamin D have good self–reported therapeutic adherence to this treatment. Determinant factors of adherence to calcium and/or vitamin D treatment were patient's attitude to the treatment, tolerability problems with the treatment and number of concurrent treatments.
Methods- A cross–sectional, observational study was conducted in a sample of postmenopausal women receiving pharmaceutical treatment for osteoporosis with vitamin D and/or calcium.
- Sociodemographic, general and osteoporosis–related data were collected.
- Patient's perceptions of the adverse effects of treatment, their knowledge of osteoporosis (Batalla test), their attitude towards treatment (Morisky–Green test) and their self–reported therapeutic adherence (Haynes–Sackett test) were assessed.
- Of 630 women evaluated, 36.2% had problems with treatment tolerability, 63.5% had good knowledge of osteoporosis, 20.5% had a good attitude to treatment and 50.0% had good self–reported adherence to treatment.
- Patients in the poor adherence group had higher mean body mass index, more concurrent pathologies, more tolerability problems and worse attitude to treatment.
- The multivariate model showed a positive relationship between therapeutic adherence and good attitude to treatment, not having tolerability problems and no polymedication.
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