Lupus & antiphospholipid syndrome

Differences in Self-Reported Medication Nonadherence and Its Drivers in Young Adults Versus Older Adults With Systemic Lupus Erythematosus

J RheumatolPublished Cross-sectional study

Authors' conclusion

Younger patients reported greater extent of nonadherence, often due to logistical impediments.

Study context

Population
Patients with systemic lupus erythematosus (SLE) completing the DOSE-Nonadherence-SLE questionnaire, February 2020 to June 2024
Participants
336 surveys
Exposure
Medication nonadherence across age groups
Outcome
Rate of self-reported medication nonadherence by age and reasons for nonadherence
Methodological detailssurvey (DOSE-Nonadherence-SLE questionnaire), logistic regression
  • Survey (DOSE-Nonadherence-SLE questionnaire)
  • Logistic regression

Main finding

As reported in the abstract

Medication nonadherence across age groups
Nonadherence differed significantly across age groups 18-29, 30-39, 40-49 and 50+
P < 0.001
Self-reported nonadherence decrease per each increased year of age
2% (P < 0.05)

Observational data: associations, not effects.

Further findings

Reasons for nonadherence, < 30 age group

OR (95% CI)
< 30Inability to fill medications on time3.72 (1.53–9.02)
< 30Needing to take medicines with food2.55 (1.06–6.13)

Predictors of nonadherence across age groups

Black race and Hispanic ethnicity also predictive of nonadherence

Original publication

Differences in Self-Reported Medication Nonadherence and Its Drivers in Young Adults Versus Older Adults With Systemic Lupus Erythematosus. J Rheumatol. Published 1 March 2026. doi:10.3899/jrheum.2025-0602

Composed by AI from the published abstract and checked against it. How Briefs are made →

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