Patient preference and adherence最新文献

{"title":"Medication Adherence During Pregnancy: A Hospital-Based Cross-Sectional Study in Bandung, Indonesia.","authors":"Restika E Putri, Neily Zakiyah, Falerina Puspita, Sofa D Alfian","doi":"10.2147/PPA.S514046","DOIUrl":"https://doi.org/10.2147/PPA.S514046","url":null,"abstract":"<p><strong>Background: </strong>Nonadherence to medication is common during pregnancy, as pregnant women often have concerns about the safety of the medications they are taking. This study aimed to assess medication adherence levels among pregnant women for various medications and to identify factors associated with nonadherence.</p><p><strong>Methods: </strong>We conducted an observational cross-sectional study among pregnant women who had used at least one medication in the past month at a hospital in Bandung City, West Java, Indonesia. Medication adherence was assessed using the Medication Adherence Report Scale (MARS-5), while medication beliefs were measured with the Beliefs about Medicine Questionnaire (BMQ). Binary logistic regression was used to evaluate the association between medication beliefs, sociodemographic factors, and medication adherence. Odds ratios (ORs) with 95% confidence intervals (CIs) were reported.</p><p><strong>Results: </strong>Among the 235 pregnant women, the adherence levels for each group were as follows: 60.5% for the pregnancy supplements and hormones group, 53.8% for the chronic condition medicines group, 100% for the antibiotics group, and 46.2% for the symptomatic medicines group. A small sample size led to perfect adherence in the antibiotics group. Factors associated with non-adherence were higher harm beliefs (OR 1.20, 95% CI 1.02-1.40) and negative beliefs (OR 2.42, 95% CI 1.09-5.33) for the pregnancy supplements and hormones group; negative beliefs (OR 5.16, 95% CI 1.44-18.4) for the chronic medication group; not being in the first pregnancy (23.92, 95% CI 1.08-530.55) and the use of more than two types of medicines (OR 29.55, 95% CI 1.06-825.08) for symptomatic medications.</p><p><strong>Conclusion: </strong>Medication adherence during pregnancy, especially to chronic condition medications, remains low, highlighting the urgent need for intervention. One of the main factors associated with this low adherence during pregnancy is negative beliefs about medications. Tailored counselling on medication use during pregnancy is necessary to address these misconceptions and improve medication adherence in pregnancy.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"19 ","pages":"1523-1537"},"PeriodicalIF":2.0,"publicationDate":"2025-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12121663/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aesthetic and Orthodontic Treatment Desires and Their Psychosocial Impact in Dental Students: A Questionnaire Study.","authors":"Muhammad Ashraf Nazir, Fatimah Abdullah Alaqili, Lojain Saleh Alnajjar, Hisham Abdulrahman Alarfaj, Faris Faisal Althawadi, Abdulaziz Alamri, Suliman Shahin","doi":"10.2147/PPA.S524287","DOIUrl":"10.2147/PPA.S524287","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of the study was to evaluate the desire for aesthetic and orthodontic treatments and their relationships with psychosocial impacts and other factors among dental students.</p><p><strong>Patients and methods: </strong>This cross-sectional study included 155 students from the College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia. There were 65.2% of females and 34.8% of males with mean age of 21.33±1.52 years in the study. The participants completed demographic information, questions related to desire for aesthetic dental treatment including orthodontic treatment, and a validated Psychosocial Impact of Dental Aesthetics (PIDAQ) questionnaire. The PIDAQ questionnaire was used to evaluate the psychosocial impact of dental aesthetics and includes four subscales such as dental self-confidence, social impact, psychological impact, and aesthetic concern.</p><p><strong>Results: </strong>Most participants (72%) desired aesthetic dental treatment. Teeth whitening (49%) was the most desired dental treatment, followed by orthodontic treatment (38.7%) and ceramic veneers (18.1%). The desire for aesthetic dental treatment was significantly associated with clinical years (P=0.042), knowledge of available esthetic treatment options (P=0.023), and attendance for routine dental care (P=0.028). The comparison of the PIDAQ scale scores showed that the participants with a desire for aesthetic treatment reported significantly lower dental self-confidence (P=0.018), and significantly greater social impact (P=0.049) and esthetic concern (P=0.006) than those without a desire for aesthetic treatment. Similarly, the participants desiring for orthodontic treatment showed significantly lower dental self-confidence (P<0.001) and significantly greater social impact (P=0.047), psychological impact (P=0.010), and aesthetic concern (P=0.019) than those who did not desire.</p><p><strong>Conclusion: </strong>The study showed that most participants desired aesthetic dental treatment, and teeth whitening and orthodontic treatment being the most sought-after procedures. Knowledge of treatment options, routine dental care visits, and clinical years were associated with increased desire for aesthetic dental treatment. The desire for aesthetic and orthodontic treatments was significantly related to low dental self-confidence and higher social impact and aesthetic concern.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"19 ","pages":"1487-1495"},"PeriodicalIF":2.0,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12105660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144151102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preferences for Biologic Treatments: A Discrete Choice Experiment Survey of Canadians with Severe Asthma.","authors":"Jessica S Dunne, Jenna Reynolds, Alexa C Bowie, Shelagh M Szabo, Andrea E Bever, Susan Waserman, Alan G Kaplan, Andrew O'Keefe, Stacey N McNeilly, Jeffrey D Beach","doi":"10.2147/PPA.S512755","DOIUrl":"10.2147/PPA.S512755","url":null,"abstract":"<p><strong>Purpose: </strong>The safety and efficacy of biologics for severe asthma have been demonstrated in clinical trials, and subsequent economic evaluations have established their value from a population perspective. Insight into patient preferences for attributes of biologic treatments can inform treatment-related decisions and promote adherence. However, such data are limited in Canada, and no willingness-to-pay (WTP) data exists. This study aimed to quantify the strength of preferences of those with severe asthma for attributes of biologic treatments.</p><p><strong>Patients and methods: </strong>Canadians with severe asthma completed a discrete choice experiment (DCE) consisting of 15 choice tasks and six biologic treatment attributes (improving daily activities, controlling other health conditions, frequency of administration, monthly out-of-pocket costs, reducing attack frequency, and reducing rescue inhaler use). Odds ratios (OR) and 95% confidence intervals (CI), and WTP (the marginal rate of substitution of attributes for money) were estimated using a conditional logistic regression.</p><p><strong>Results: </strong>Ninety-seven eligible and unique participants completed the survey (70.1% female; mean [SD] age: 54.6 [14.4]; 48.4% ever used biologics). A dramatic (vs slight) improvement in daily activities increased the odds of a biologic being preferred by 78% (OR 1.78, 95% CI 1.48, 2.14), and a $100 increase in monthly out-of-pocket costs decreased the odds by 64% (OR 0.64, 95% CI 0.61, 0.67). On average, WTP was an extra $129 CAD in monthly out-of-pocket costs for a dramatic (vs slight) improvement in daily activities. WTP for a hypothetical biologic treatment was an extra $430 CAD in monthly out-of-pocket costs.</p><p><strong>Conclusion: </strong>Canadians with severe asthma prefer biologic treatments that dramatically improve daily activities and have lower out-of-pocket costs. This DCE is the first to include a cost attribute and estimate WTP. These data can help inform decision-making when considering access to new biologic treatments for severe asthma and clinicians when helping patients select treatments for severe asthma.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"19 ","pages":"1509-1522"},"PeriodicalIF":2.0,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12105640/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144151326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing Previous Strategies and Presenting a Novel Smart Glasses to Enhance Adherence to Amblyopia Therapy in Children.","authors":"Saeed Aljohani","doi":"10.2147/PPA.S504566","DOIUrl":"10.2147/PPA.S504566","url":null,"abstract":"<p><p>Amblyopia treatment in children, often involving patching or atropine, faces significant challenges with adherence. Adherence to patching is often poor due to discomfort and psychosocial factors such as social stigma, while adherence data for atropine treatment remains scarce, hindering a clear understanding of patients' adherence in real-world settings. This review assesses both traditional methods and alternative strategies aimed at improving adherence, including Bangerter filters, binocular therapies, intermittent occlusion, and perceptual learning. While these alternatives help reduce the treatment burden, they do not consistently outperform conventional methods in improving visual outcomes and still face notable adherence challenges, especially in older children. Educational interventions, such as cartoons and motivational tools, show promise in improving adherence, especially in low-adherence populations, but their long-term effectiveness has yet to be established. Digital therapies such as Luminopia and CureSight represent promising alternatives to traditional amblyopia treatments, with preliminary evidence indicating improvements in visual outcomes and adherence. Nevertheless, further research is necessary to determine their efficacy and how they compare to established methods. Building on this, we hypothesize that the AmblySmart glasses, a novel technology that integrates with smart devices, could further improve adherence by linking treatment to children's screen time. However, further studies are needed to investigate this technology's effectiveness and practicality compared to traditional methods. Overall, this review highlights the importance of developing innovative approaches to optimize adherence and improve treatment outcomes in amblyopic children.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"19 ","pages":"1497-1508"},"PeriodicalIF":2.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12104753/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144151298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Influence of Cognitive and Affective Trust on the Utilization of Family Doctor Services: A Chinese Cross-Sectional Survey Based on McAllister's Theory.","authors":"Wenqi Xiao, Bo Huang, Huiyan Fang, Yilin Li, Weizhuo Chen, Ting Ye","doi":"10.2147/PPA.S504605","DOIUrl":"10.2147/PPA.S504605","url":null,"abstract":"<p><strong>Purpose: </strong>This study explores the impact of cognitive and affective trust on the utilization of family doctor services based on McAllister's theory. It also analyzes the factors influencing these forms of trust.</p><p><strong>Patients and methods: </strong>A cross-sectional study using stratified random sampling gathered data from 325 adult patients registered with family doctors in six community health centers in Wuhan, China. PLS-SEM was employed to examine the relationships among cognitive trust, affective trust, and the utilization of family doctor services. Logistic regression was utilized to identify the factors influencing cognitive and affective trust.</p><p><strong>Results: </strong>Higher cognitive trust significantly influenced affective trust (β = 0.549, p < 0.01) and was positively associated with service utilization (β = 0.524, p < 0.01). Affective trust also showed a positive association with service utilization (β= 0.481, p < 0.01). Occupation and marital status were found to have a significant impact on both cognitive and affective trust. Specifically, professional and technical workers(OR=9.699, p=0.001;OR=2.309, p=0.011) and non-married individuals(OR=7.591, p=0.001;OR=2.737, p=0.002) demonstrated higher trust levels.</p><p><strong>Conclusion: </strong>The study reveals the importance of cognitive and affective trust in patient engagement with family doctor services. It suggests that family doctors should enhance their professionalism while also demonstrating emotional care to improve overall healthcare quality. Additionally, attention should be given to the influence of factors such as occupation and marital status on patients' trust in family doctors.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"19 ","pages":"1463-1473"},"PeriodicalIF":2.0,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12095426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Influence of Perception on Self-Efficacy Among Patients with Coronary Artery Disease in Indonesia: A Rasch Analysis.","authors":"Aan Nuraeni, Firman Sugiharto, Anastasia Anna, Ristina Mirwanti, Yanny Trisyani, Etika Emaliyawati, Indah Pratiwi Lingga","doi":"10.2147/PPA.S510692","DOIUrl":"10.2147/PPA.S510692","url":null,"abstract":"<p><strong>Background: </strong>The prevalence of Coronary Artery Disease (CAD) in Indonesia continues to rise, necessitating practical management approaches. Self-efficacy (SE) is critical in supporting CAD patients' autonomy in managing their condition. Patients' perceptions of their disease significantly influence decision-making and health management behaviours.</p><p><strong>Purpose: </strong>This study aimed to identify the influence of perceptions on self-efficacy in managing CAD among diagnosed patients.</p><p><strong>Patients and methods: </strong>A cross-sectional study design was employed among 102 adult patients with CAD. The sample was selected using convenience sampling based on predefined inclusion and exclusion criteria. Data were collected using the Health Belief Related to Cardiovascular Disease (HBCVD) Scale to assess perceived susceptibility, severity, benefits, and barriers; the Health Belief Model instrument to evaluate cues to action; and the Self-Efficacy Questionnaire for Coronary Heart Disease Management to measure self-efficacy (SE). The scale has been validated and demonstrated strong psychometric properties (validity ≥ 0.7, reliability ≥ 0.8). The Rasch model approach was employed in this study, with data analysis conducted using Pearson correlation and simple linear regression.</p><p><strong>Results: </strong>A total of 91.2% of respondents exhibited high levels of SE. The mean logit scores for CAD management-related perceptions were as follows: perceived severity (0.494 ± 1.28), perceived susceptibility (-0.961 ± 3.06), perceived barriers (0.261 ± 1.00), perceived benefits (3.68 ± 2.25), cues to action (0.968 ± 1.17), and perception (0.544 ± 0.668). The analysis revealed a significant relationship between perceptions and SE (<i>p</i><0.001). Perceived severity and perceived barriers emerged as the most influential predictors of SE, with an adjusted <i>R²</i> = 0.899 and a standardized estimate of 0.949 (95% CI = 0.886-1.01; <i>p</i><0.001).</p><p><strong>Conclusion: </strong>Perceived severity and perceived barriers significantly influence self-efficacy in CAD patients. These findings provide a foundation for healthcare professionals to design perception-based interventions, such as health education and personalized counselling, to enhance SE within this population.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"19 ","pages":"1475-1485"},"PeriodicalIF":2.0,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12091058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144111616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Symptom Experience and Management Strategies Among Patients with Corneal Ulcers Based on Symptom Management Theory: A Qualitative Study.","authors":"Dan Lei, Xin Li, Wei Bian, Junli Wan, Lu Wang, Jun Su","doi":"10.2147/PPA.S515296","DOIUrl":"10.2147/PPA.S515296","url":null,"abstract":"<p><strong>Background: </strong>Corneal ulcers, often caused by eye trauma, are the main cause of corneal blindness. Knowledge of their symptom experiences and self-management is limited. The aim of this study was to describe the symptom experience and self-management of patients with corneal ulcers and to provide references for clinical medical staff to understand their impact on quality of life.</p><p><strong>Methods: </strong>Between July and December 2022, semi-structured interviews were conducted with 20 patients with corneal ulcers who were hospitalised. Colaizzi's analysis was used to organise and analyse the interview data and this study followed the symptom management theory(SMT) model.</p><p><strong>Results: </strong>The study comprised 10 male and 10 female patients with a mean age of 54.95 ± 8.41 years. Two major themes and six sub-themes were formed through the analysis of textual data: <i>symptom experience</i> and the <i>diversification of symptom management strategies. Symptom experience</i> illustrated the distressing symptoms faced by patients and the subsequent effects on their daily lives, with ocular pain and blurred vision reported by nearly all patients. In an attempt to manage these symptoms, patients demonstrated a <i>diversification of symptom management strategies</i>, which were derived from various sources, while also making adaptive changes to their daily lives.</p><p><strong>Conclusion: </strong>This study revealed patients' experiences and strategies of symptom self-management, which may be a step towards providing a reference for evaluating the quality of life in patients with corneal ulcers.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"19 ","pages":"1449-1462"},"PeriodicalIF":2.0,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12091063/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144111666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Ramadan Fasting on Medication Adherence in Patients with Diabetes Mellitus: Evidence from Indonesia.","authors":"Yunita Nita, Riza Alfian, Libriansyah Libriansyah, Ana Yuda, Renata Diva Erifiannisa, Sonia Anggitha Putri","doi":"10.2147/PPA.S526018","DOIUrl":"10.2147/PPA.S526018","url":null,"abstract":"<p><strong>Background: </strong>Diabetes mellitus is a chronic disease that requires long-term drug use and medication compliance to achieve optimal disease control. Indonesia's population is predominantly muslim. Fasting during Ramadan presents unique challenges for patients with diabetes mellitus in maintaining medication adherence due to lifestyle changes, such as mealtimes and medication schedules.</p><p><strong>Objective: </strong>This study aimed to compare the medication adherence levels among diabetes mellitus patients in Indonesia who fast during the month of Ramadan with those in other regular months.</p><p><strong>Methods: </strong>A longitudinal study was conducted using a survey of patients with diabetes at the Central Naval Hospital (RSPAL) Dr. Ramelan Surabaya. Data were collected from February to March 2024 using the picture pill count method. Data were analyzed using the chi-square test to determine the differences in medication adherence between the groups recruited during Ramadan and the other months.</p><p><strong>Results: </strong>In both groups, there was a predominance of single-drug and two-drug combination therapies, with metformin being the most widely used drug. The level of adherence to treatment during Ramadan was significantly lower than that during the regular month (p=0.005). In total, 96.5% of patients showed high levels of compliance during the regular month compared to 89% during Ramadan.</p><p><strong>Conclusion: </strong>The level of adherence to diabetes treatment among patients with diabetes mellitus during Ramadan was lower than during regular months.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"19 ","pages":"1425-1431"},"PeriodicalIF":2.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12087913/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144102288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of Blood Pressure, Cholesterol, and Cardiovascular Screening Among Saudis at Primary Healthcare Settings in Riyadh, Saudi Arabia.","authors":"Naif M Alhawiti, Mamdouh M Shubair, Seema Mohammed Nasser, Amani Alharthy, Badr F Al-Khateeb, Fatmah Othman, Awad Alshahrani, Lubna Alnaim, Abdulmajeed Abdullah Abukhamis, Noof Alwatban, Ashraf El-Metwally","doi":"10.2147/PPA.S516304","DOIUrl":"10.2147/PPA.S516304","url":null,"abstract":"<p><strong>Purpose: </strong>This study was conducted to estimate proportion of individuals undergoing screening for cardiovascular disease (CVD) and its risk factors and to identify predictors of CVD, blood pressure, and blood cholesterol screening.</p><p><strong>Patients and methods: </strong>This cross-sectional study was conducted in 48 primary healthcare centers in Saudi Arabia and 14,239 participants were enrolled. The analysis was performed in SPSS version 26 and adjusted odds ratios (AOR) and 95% Cis were reported.</p><p><strong>Results: </strong>Blood pressure screening was reported by 35.3%, cholesterol screening by 9.3%, and cardiovascular screening by 3.7%. Significant positive predictors for blood pressure screening included older age (50-75 years: AOR 1.34, 95% CI: 1.20-1.50; ≥75 years: AOR 2.12, 95% CI: 1.84-2.43), being married (AOR: 1.15; 95% CI: 1.04-1.27), non-smoking (AOR: 1.97; 95% CI: 1.79-2.17), physical activity (AOR: 1.16; 95% CI: 1.05-1.28), and diabetes (AOR: 2.14; 95% CI: 1.88-2.44). For cholesterol screening, significant positive predictors were older age (≥75 years: AOR 1.89, 95% CI: 1.56-2.29), unemployment (AOR: 1.26; 95% CI: 1.10-1.45), insurance coverage (AOR: 1.52; 95% CI: 1.33-1.74), smoking (AOR: 1.32; 95% CI: 1.14-1.53), diabetes history (AOR: 1.33; 95% CI: 1.09-1.61), and hypertension (AOR: 1.66; 95% CI: 1.36-2.02). For cardiovascular screening, significant positive predictors included older age (≥75 years: AOR 1.81, 95% CI: 1.35-2.43), unemployment (AOR: 1.53; 95% CI: 1.24-1.88), insurance coverage (AOR: 1.56; 95% CI: 1.27-1.92), smoking (AOR: 1.89; 95% CI: 1.52-2.34), diabetes (AOR: 1.85; 95% CI: 1.41-2.43), and high cholesterol (AOR: 1.76; 95% CI: 1.31-2.36).</p><p><strong>Conclusion: </strong>A very low proportion of Saudi residents have undergone blood pressure, cholesterol, and CVD screening. Common predictors of screening included older age, insurance coverage, diabetes, hypertension, physical activity, and high cholesterol levels. Low prevalence of screening is alarming, and Saudi Government needs to implement strategies that can help increase proportion of Saudi residents who receive blood pressure, cholesterol, and CVD screening.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"19 ","pages":"1433-1447"},"PeriodicalIF":2.0,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12085128/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144094563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceptions and Knowledge of Cholesterol and Lipid-Lowering Medications Among Treatment-Naive Individuals: A Cross-Sectional Study.","authors":"Mehmet Kök, Feyzi Bostan, Ayşe Yacan Kök","doi":"10.2147/PPA.S511454","DOIUrl":"10.2147/PPA.S511454","url":null,"abstract":"<p><strong>Purpose: </strong>The literature often includes studies on cholesterol perception and lipid-lowering medication (LLM) use with patients who have used or discontinued LLM for primary or secondary prevention. With the exponential rise in patients needing LLM each year, understanding their knowledge and perceptions of cholesterol and these drugs is crucial. For this reasons, we aimed to determine the perception and knowledge of treatment-naive participants about cholesterol and LLM.</p><p><strong>Patients and methods: </strong>This cross-sectional study was conducted in Turkey between August 2020 and August 2022. A self-designed online survey developed from literature sources was used to determine the level of knowledge and perception of cholesterol, LLM and influencing factors.</p><p><strong>Results: </strong>A total of 2062 respondents completed the survey, which was sent to the participants via an online link. The most common sources of information about cholesterol and lipid-lowering medications were medical staff (71%) media (58.4%) and scientific publications (33.3%). The most three common factors affecting the participants' perception of cholesterol and LLM were medical staff (49.6%), media (23.7%), and scientific publications (15.6%).</p><p><strong>Conclusion: </strong>Our study revealed that participants have some inaccurate and incomplete information about cholesterol and LLM. Medical staff and the media emerged as the primary sources of information and crucial influences on most participants' perceptions of cholesterol and LLM.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"19 ","pages":"1411-1422"},"PeriodicalIF":2.0,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12085121/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144094562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}