Intrinsic and Extrinsic Factors Relating to Medication Nonadherence Among Older Adults With Cognitive Decline: A Consideration of Geographic Disparities in New York State
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The present study investigates potential disparities in the state of medication nonadherence, associated risk factors, and solutions among rural and urban counties and health professional shortage areas within New York State. A recently developed online survey was distributed across New York. Participants were home health care providers who provided direct care to patients with cognitive decline. This study did not find significant differences between rural/ urban counties and counties with or without health professional shortage areas, however found non-significant differences in these areas. A qualitative review without geographic consideration identified several risk factors, barriers, and solutions associated with nonadherence in New York State. Further research and a larger sample size is needed to depict patterns related to geographic disparities relating to medication adherence to inform context-specific interventions in New York State.