Medication Experience and Associated Factors in Older Adults with Multiple Chronic Conditions in Rural Henan Province, China: A Single-Center Cross-Sectional Study

中国河南省农村地区患有多种慢性疾病的老年人用药经历及其相关因素:一项单中心横断面研究

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Abstract

Objectives: We aimed to investigate the medication experience of older adults with multiple chronic conditions in rural areas and to analyze its associated factors, so as to provide evidence for developing targeted medication management interventions. Design: This was a single-center cross-sectional study. Methods: From June to July 2025, a convenience sample of 539 older adults with multiple chronic conditions was recruited from a county hospital in Henan Province, China. The survey utilized a general information questionnaire, the Chinese version of the Medication Experience Scale, the Safe Medication Knowledge Scale, the Perceived Social Support Scale, the Chinese version of the Chronic Disease Self-Efficacy Scale, and the Chinese version of the Medication Errors Scale. Results: The medication experience score among rural older adults with multiple chronic conditions was (117.14 ± 17.19). Multivariate hierarchical regression analysis revealed that age, marriage status, source of income, medical insurance schemes, duration of medication use, safe medication knowledge, perceived social support, self-efficacy for chronic disease management, and medication errors were significant factors associated with medication experience (all p < 0.05). Conclusions: The medication experience among older adults with multiple chronic conditions in our study sample was at a moderate level. Age, marriage status, source of income, medical insurance schemes, duration of medication use, safe medication knowledge, perceived social support, self-efficacy for chronic disease management, and medication errors were associated factors of medication experience for older adults with multiple chronic conditions. Countermeasures should be implemented to improve medication experience in this population.

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