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© 2025. This work is licensed under https://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.

Abstract

Purpose: To identify psychosocial and sociodemographic factors influencing low medication awareness among patients with Chronic obstructive pulmonary disease (COPD) based on Indonesian Family Life Survey 5 (IFLS-5).

Methods: This study used a cross-sectional design, with data from IFLS-5 (2014/2015). Inclusion criteria were subjects with a self-reported diagnosis of COPD and aged at least 15 years. Two main factors were identified as modifiable psychosocial factors (eg, insomnia, depressive symptoms, happiness status, general health check status, smoking status, and health service satisfaction) and as non-modifiable sociodemographic factors (eg, gender, age, education level, marital status, economic status, insurance ownership, religiosity, comorbidity, and place of residence). Multivariate logistic regression analysis was used to explore the relationship between these factors and the awareness of COPD medication, by observing the adjusted odds ratio (aOR) within a 95% Confidence Interval.

Results: There were 618 subjects identified with COPD, of which 53.40% were male. 84.30% of subjects have low medication awareness. Non-modifiable sociodemographic factors such as age 15– 25 years (aOR: 2.531; 95% CI 1.024– 6.253; p-value 0.044), age 26– 35 years (aOR: 3.418; 95% CI 1.444– 8.091; p-value 0.005), high school education level (aOR: 4.870; 95% CI 1.685– 14.078; p-value 0.003), and modifiable psychosocial factors such as satisfaction with health services with the category “sufficient” (aOR: 2.510; 95% CI 510; 95% CI 1.508– 4.176; p-value 0.000), and subjects who smoked (aOR: 1.894; 95% CI 1.147– 3.127; p-value 0.013), were significantly associated with low COPD medication awareness.

Conclusion: This study shows that most subjects with COPD had low medication awareness, which is influenced by factors such as age, education level, smoking habits, and satisfaction with health services. This highlights the need for targeted interventions for high-risk groups. Limitations of this study include reliance on self-reported data, which may lead to recall bias. In addition, this study was unable to provide evidence of a causal relationship.

Details

Title
Identification of Psychosocial and Sociodemographic Factors Associated with Low Medication Awareness in COPD Subjects: A Cross-Sectional Study, Findings from the Indonesian Family Life Survey 5
Author
Jannah, W  VIAFID ORCID Logo  ; Alfian, S D  VIAFID ORCID Logo  ; Abdulah, R
Pages
1009-1026
Section
Original Research
Publication year
2025
Publication date
2025
Publisher
Dove Medical Press Ltd.
ISSN
11769106
e-ISSN
11782005
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
3190890981
Copyright
© 2025. This work is licensed under https://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.