Title |
Exposure to Direct-to-Consumer Pharmaceutical Advertising and Medication Nonadherence Among Patients With Serious Mental Illness
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Published in |
Psychiatric Services, September 2017
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DOI | 10.1176/appi.ps.201700035 |
Pubmed ID | |
Authors |
Charee E Green, Ramin Mojtabai, Bernadette A Cullen, Amethyst Spivak, Melissa Mitchell, Stanislav Spivak |
Abstract |
This study explored the association of exposure to direct-to-consumer advertising (DTCA) with medication nonadherence among individuals with serious mental disorders. Results of an anonymous survey administered at an inner-city mental health clinic were examined by using logistic regression. Nonadherence was defined as not taking prescribed medications for at least two out of seven days. Of 246 respondents, 48% reported DTCA exposure and 43% reported nonadherence. Sixty-one percent of those exposed to DTCA reported nonadherence, compared with 26% of those not exposed (adjusted odds ratio=4.96, 95% confidence interval=2.64-9.33, p<.001). Among those exposed to advertisements and reporting nonadherence, 59% reported changing medication-taking behaviors or stopping prescribed medications because of side effect information in advertisements. Only a minority communicated with providers before becoming nonadherent. This study found an association between self-report of DTCA exposure and self-reported nonadherence. These results support further research on DTCA as a possible risk factor for nonadherence. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 2 | 50% |
Unknown | 2 | 50% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 3 | 75% |
Science communicators (journalists, bloggers, editors) | 1 | 25% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 31 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 7 | 23% |
Student > Ph. D. Student | 5 | 16% |
Student > Bachelor | 3 | 10% |
Researcher | 3 | 10% |
Student > Doctoral Student | 3 | 10% |
Other | 1 | 3% |
Unknown | 9 | 29% |
Readers by discipline | Count | As % |
---|---|---|
Psychology | 5 | 16% |
Nursing and Health Professions | 3 | 10% |
Pharmacology, Toxicology and Pharmaceutical Science | 2 | 6% |
Social Sciences | 2 | 6% |
Engineering | 2 | 6% |
Other | 5 | 16% |
Unknown | 12 | 39% |