Background And Objective: Accessibility to medications among the elderly is a source of concern in Lithuania and beyond. However, there are no studies carried out on this topic in Lithuania. Therefore, the aim of this study was to evaluate the causes of refraining from buying prescribed medications among the elderly in Kaunas, Lithuania.
Material And Methods: The data were collected in a cross-sectional ABUEL study in 2009. A total of 624 filled-in questionnaires (response rate, 48.9%) from the elderly aged 60-84 years living in Kaunas (Lithuania) were received. For evaluation of the impact of explanatory variables on the analyzed event (binary dependent variable), an Enter model of logistic regression was used.
Results: The study showed that 32.7% of the respondents refrained from buying prescribed medications. The most common reasons (respondents could select several options) for this decision were financial problems (48.0%), disappearance of problems (40.7%), and fear of side effects (22.5%). Refraining from buying prescribed medications was positively associated with age (OR, 0.85; 95% CI, 0.74 to 0.99). Higher education was associated with a reduced risk of refraining from buying prescribed medications due to financial problems (OR, 0.49; 95% CI, 0.31 to 0.78) and an increased risk of refraining from buying medications due to the disappearance of health problems (OR, 1.75; 95% CI, 1.15 to 2.68). An opposite association with worries about daily expenses was observed.
Conclusions: Study has revealed that one-third of the elderly refrained from buying prescribed medications, and the main reasons for this were financial problems and disappearance of health problems.
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J Gen Intern Med
December 2024
School of Public Health, Harbin Medical University, Harbin, China.
J Educ Health Promot
August 2024
Department of Pharmacology, Bharati Vidyapeeth (DTU) Medical College, Pune, Maharashtra, India.
Background: Antimicrobial resistance (AMR) is a global problem and an important consequence of inappropriate use of antimicrobial agents (AMAs). Studies have observed that a lack of awareness of AMR among healthcare professionals as well as consumers results in the irrational use of AMAs, a significant driver of AMR.
Materials And Methods: This educational intervention study was undertaken to assess community awareness regarding AMAs and AMR and to educate them.
Health Soc Care Deliv Res
October 2024
Peninsula School of Medicine and Dentistry, University of Plymouth, ITTC Building, Davy Road, Plymouth Science Park, Plymouth, UK.
Background: As a matter of policy, voluntary, community and social enterprises contribute substantially to the English health and care system. Few studies explain how the National Health Service and local authorities commission them, what outputs result, what contexts influence these outcomes and what differentiates this kind of commissioning.
Objectives: To explain how voluntary, community and social enterprises are commissioned, the consequences, what barriers both parties face and what absorptive capacities they need.
Rev Neurol (Paris)
December 2024
Inserm, CNRS, Department of Neurology, CIC Neurosciences, Pitié-Salpêtrière Hospital, Paris Brain Institute - ICM, Sorbonne Université, Assistance publique-Hôpitaux de Paris, Paris, France. Electronic address:
Introduction: Parkinson's disease (PD) is a neurodegenerative disorder characterized by motor and non-motor symptoms, among which impulse control disorders behaviors (ICD) emerge as significant non-motor manifestations. ICD in PD patients, including pathological gambling, hypersexuality, compulsive buying, among others, lead to considerable impairment and reduced quality of life. This review aims to explore the multifaceted risk factors associated with ICD in PD patients, including clinical, pharmacological, and genetic aspects, to enhance early identification, prevention, and management strategies.
View Article and Find Full Text PDFProc Natl Acad Sci U S A
March 2024
School of Finance, Shanghai University of Finance and Economics, Shanghai 200433, China.
To construct a stochastic version of [R. J. Barro, , 940-971 (1979)] normative model of tax rates and debt/GDP dynamics, we add risks and markets for trading them along lines suggested by [K.
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