Factors affecting the medication literacy of older adults and targeted initiatives for improvement: a cross-sectional study in central China

Front Public Health. 2024 Jan 16:11:1249022. doi: 10.3389/fpubh.2023.1249022. eCollection 2023.

Abstract

Introduction: This study explored the state of rational drug use among older adults in central China, aiming to unveil factors influencing their medication literacy and proposing targeted improvement measures.

Methods: A cross-sectional study involving 454 participants aged 60 and above was conducted in Hubei province between February 1 and May 30, 2023, with data collected through face-to-face interviews by pharmacists. Multiple logistic regression analysis was conducted to determine factors that affected medication literacy.

Results: Of the 412 valid questionnaires, findings revealed inadequate knowledge of rational drug use among older adults in central China. Those who fully understood (105, 25.49%, OR = 9.349, p < 0.001, 95%CI = 3.884-22.502) or partially understood (228, 55.34%, OR = 3.295, p = 0.002, 95%CI = 1.548-7.013) drug instructions exhibited significantly higher medication literacy than those who did not understand (79, 19.17%). Subsequent research revealed a lack of awareness in reading drug instructions or difficulty in understanding them. Most older adults seldom heard of but exhibited high acceptance of medication guidance services.

Discussion: In conclusion, the ability to comprehend drug instructions significantly influenced the medication literacy of older adults. Initiatives such as revising age-appropriate drug instructions could effectively enhance rational drug use among this demographic.

Keywords: aging; drug therapy; medication literacy; older adults; questionnaire survey.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • China
  • Cross-Sectional Studies
  • Health Literacy*
  • Humans
  • Medication Adherence
  • Surveys and Questionnaires

Grants and funding

This work was supported by The National Natural Science Foundation of China (No. 82304634). Hubei Provincial Natural Science Foundation of China (No. 2023AFD022), Scientific Research Projects of Union Hospital, Tongji Medical College, Huazhong University of Science and Technology (no. 2022xhyn055), Hubei Provincial Health Commission Guiding Project (no. J2023F009), and Young Talents Project, Hubei Administration of Traditional Chinese Medicine (no. ZY2023Q012).