{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T11:40:47Z","timestamp":1789126847083,"version":"build-2803163510"},"reference-count":71,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,7,17]],"date-time":"2025-07-17T00:00:00Z","timestamp":1752710400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,7,17]],"date-time":"2025-07-17T00:00:00Z","timestamp":1752710400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing &amp;amp; Health Sciences"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Medication non\u2010adherence is common in chronic conditions and linked to poor outcomes and higher costs. Older adults with multimorbidity and polypharmacy face a higher non\u2010adherence risk. This cross\u2010sectional study in northeast China (April\u2013September 2024) examined medication adherence and its influencing factors among 240 community\u2010dwelling older adults with physical multimorbidity and polypharmacy, using structured interviews at health centers. Data was analyzed using multiple linear regression, with medication adherence as the outcome variable. Independent variables included functional social support, medicine beliefs, illness representation, medication literacy, depression, experience of medication\u2010related side effects, number of medications taken daily, and patient\u2010provider relationship. Medication adherence among participants was at a moderate level. Poorer medication adherence was associated with insufficient medication literacy (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001), strong illness representation (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.003), lower perceived functional social support (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.008), depression (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.050), and a strong belief in Traditional Chinese Medicine (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.040). These findings highlight modifiable risk factors for non\u2010adherence, offering targets for culturally tailored interventions to improve medication adherence and health outcomes in older adults with physical multimorbidity and polypharmacy.\n                  <\/jats:p>","DOI":"10.1111\/nhs.70192","type":"journal-article","created":{"date-parts":[[2025,7,17]],"date-time":"2025-07-17T11:19:47Z","timestamp":1752751187000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Factors Influencing Medication Adherence Among Chinese Older Adults With Physical Multimorbidity and Polypharmacy: A Cross\u2010Sectional Study"],"prefix":"10.1111","volume":"27","author":[{"given":"Xuewei","family":"Wang","sequence":"first","affiliation":[{"name":"Faculty of Nursing Chiang Mai University  Chiang Mai Thailand"},{"name":"School of Nursing Beihua University  Jilin China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8807-9512","authenticated-orcid":false,"given":"Phanida","family":"Juntasopeepun","sequence":"additional","affiliation":[{"name":"Faculty of Nursing Chiang Mai University  Chiang Mai Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sirirat","family":"Panuthai","sequence":"additional","affiliation":[{"name":"Faculty of Nursing Chiang Mai University  Chiang Mai Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nattaya","family":"Suwankruhasn","sequence":"additional","affiliation":[{"name":"Faculty of Nursing Chiang Mai University  Chiang Mai Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7,17]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1192\/j.eurpsy.2024.748"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.4103\/sjg.sjg_468_22"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.15386\/mpr\u20102133"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ctcp.2008.09.005"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2005.10.020"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650\u2010198807000\u201000006"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/bcp.14193"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0965\u20102299(03)00044\u2010x"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.14913"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/jcma.0000000000001181"},{"key":"e_1_2_13_12_1","volume-title":"Statistical Power Analysis for the Behavioral Sciences","author":"Cohen J.","year":"1988"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12872\u2010024\u201003827\u2010w"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/0361073X.2020.1846949"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/nuf.12619"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102020\u2010044987"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17010200"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/0969733020945752"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.14218\/FIM.2023.000892024"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph14121522"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0179290"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11096\u2010020\u201001138\u20106"},{"key":"e_1_2_13_23_1","first-page":"83","volume-title":"Social Support and Health","author":"House J. 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