Relationship between social capital and medication adherence among frail and pre-frail older people: a cross-sectional study from China
Abstract Background The number of frail older people is increasing. To alleviate poor health and improve quality of life, pre-frail and frail older people need to adhere to their medication. Yet, studies examining the connection between social capital (including six dimensions) and medication adhere...
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BMC
2025-02-01
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| Series: | BMC Public Health |
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| Online Access: | https://doi.org/10.1186/s12889-024-21253-7 |
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| author | Zixuan Hong Ying Guo Wenwen Cao Chenglin Cao Zhi Hu Jing Yan Ren Chen Zhongliang Bai |
| author_facet | Zixuan Hong Ying Guo Wenwen Cao Chenglin Cao Zhi Hu Jing Yan Ren Chen Zhongliang Bai |
| author_sort | Zixuan Hong |
| collection | DOAJ |
| description | Abstract Background The number of frail older people is increasing. To alleviate poor health and improve quality of life, pre-frail and frail older people need to adhere to their medication. Yet, studies examining the connection between social capital (including six dimensions) and medication adherence are currently scarce. Therefore, this study aims to examine their relationship in older individuals with pre-frailty and frailty, respectively. Methods Information concerning the socio-demographics, frailty, social capital, and medication adherence of 4218 participants was collected through a structured questionnaire during November and December 2020. This study employed descriptive analysis and binary logistic regression to fit their relationship. Results Among the pre-frail respondents, those with lower social participation (AOR 0.55 [95% CI 0.44–0.69]) had less risk of inadequate medication adherence; while lower social connection (AOR 1.91 [95% CI 1.54–2.36]), lower trust (AOR 2.80 [95% CI 2.25–3.47]), lower cohesion (AOR 2.04 [95% CI 1.65–2.53]), and lower reciprocity (AOR 2.32 [95% CI 1.87–2.88]) were all related to higher odds of inadequate medication adherence. Also, lower social participation (AOR 0.54 [95% CI 0.40–0.74]) was linked to less risk of inadequate medication adherence, while lower trust (AOR 1.89 [95% CI 1.41–2.54]), lower cohesion (AOR 1.68 [95% CI 1.24–2.26]), and lower reciprocity (AOR 1.52 [95% CI 1.14–2.04]) were all found to have a greater odds of inadequate medication adherence in frail respondents. Conclusion By enhancing the relationship between social capital and medication adherence in this challenging community and offering educational programs that promote medication adherence from the perspective of social capital, our findings emphasize the relevance of social capital in improving medication adherence in later life, especially for frail and pre-frail older adults. |
| format | Article |
| id | doaj-art-78ecfe5aa32041f1bfe9175430389f48 |
| institution | Kabale University |
| issn | 1471-2458 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj-art-78ecfe5aa32041f1bfe9175430389f482025-02-09T12:57:44ZengBMCBMC Public Health1471-24582025-02-0125111010.1186/s12889-024-21253-7Relationship between social capital and medication adherence among frail and pre-frail older people: a cross-sectional study from ChinaZixuan Hong0Ying Guo1Wenwen Cao2Chenglin Cao3Zhi Hu4Jing Yan5Ren Chen6Zhongliang Bai7Department of Health Services Management, School of Health Services Management, Anhui Medical UniversityDepartment of Health Services Management, School of Health Services Management, Anhui Medical UniversityDepartment of Health Services Management, School of Health Services Management, Anhui Medical UniversityDepartment of Health Services Management, School of Health Services Management, Anhui Medical UniversityDepartment of Health Services Management, School of Health Services Management, Anhui Medical UniversityDepartment of Health Services Management, School of Health Services Management, Anhui Medical UniversityDepartment of Health Services Management, School of Health Services Management, Anhui Medical UniversityDepartment of Health Services Management, School of Health Services Management, Anhui Medical UniversityAbstract Background The number of frail older people is increasing. To alleviate poor health and improve quality of life, pre-frail and frail older people need to adhere to their medication. Yet, studies examining the connection between social capital (including six dimensions) and medication adherence are currently scarce. Therefore, this study aims to examine their relationship in older individuals with pre-frailty and frailty, respectively. Methods Information concerning the socio-demographics, frailty, social capital, and medication adherence of 4218 participants was collected through a structured questionnaire during November and December 2020. This study employed descriptive analysis and binary logistic regression to fit their relationship. Results Among the pre-frail respondents, those with lower social participation (AOR 0.55 [95% CI 0.44–0.69]) had less risk of inadequate medication adherence; while lower social connection (AOR 1.91 [95% CI 1.54–2.36]), lower trust (AOR 2.80 [95% CI 2.25–3.47]), lower cohesion (AOR 2.04 [95% CI 1.65–2.53]), and lower reciprocity (AOR 2.32 [95% CI 1.87–2.88]) were all related to higher odds of inadequate medication adherence. Also, lower social participation (AOR 0.54 [95% CI 0.40–0.74]) was linked to less risk of inadequate medication adherence, while lower trust (AOR 1.89 [95% CI 1.41–2.54]), lower cohesion (AOR 1.68 [95% CI 1.24–2.26]), and lower reciprocity (AOR 1.52 [95% CI 1.14–2.04]) were all found to have a greater odds of inadequate medication adherence in frail respondents. Conclusion By enhancing the relationship between social capital and medication adherence in this challenging community and offering educational programs that promote medication adherence from the perspective of social capital, our findings emphasize the relevance of social capital in improving medication adherence in later life, especially for frail and pre-frail older adults.https://doi.org/10.1186/s12889-024-21253-7Social capitalMedication adherenceFrailtyOlder peopleCross-sectional |
| spellingShingle | Zixuan Hong Ying Guo Wenwen Cao Chenglin Cao Zhi Hu Jing Yan Ren Chen Zhongliang Bai Relationship between social capital and medication adherence among frail and pre-frail older people: a cross-sectional study from China BMC Public Health Social capital Medication adherence Frailty Older people Cross-sectional |
| title | Relationship between social capital and medication adherence among frail and pre-frail older people: a cross-sectional study from China |
| title_full | Relationship between social capital and medication adherence among frail and pre-frail older people: a cross-sectional study from China |
| title_fullStr | Relationship between social capital and medication adherence among frail and pre-frail older people: a cross-sectional study from China |
| title_full_unstemmed | Relationship between social capital and medication adherence among frail and pre-frail older people: a cross-sectional study from China |
| title_short | Relationship between social capital and medication adherence among frail and pre-frail older people: a cross-sectional study from China |
| title_sort | relationship between social capital and medication adherence among frail and pre frail older people a cross sectional study from china |
| topic | Social capital Medication adherence Frailty Older people Cross-sectional |
| url | https://doi.org/10.1186/s12889-024-21253-7 |
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