Table 3

Predictors of adherence, bivariate analysis

FactorsnOR (95% CI)P value
Sociodemographic factors
Female sex1710.90 (0.44 to 1.85)0.775
Age (per year increase)1710.98 (0.96 to 1.01)0.270
Level of education165
Primary1
Secondary1.66 (0.80 to 3.42)0.170
College1.37 (0.37 to 5.10)0.634
University0.86 (0.33 to 2.19)0.747
Economic difficulties1670.93 (0.45 to 1.90)0.840
Living in a couple1671.38 (0.67 to 2.84)0.381
Smoking165
Never smoker1
Ex-smoker (>1 year)0.65 (0.32 to 1.31)0.225
Active smoker0.75 (0.32 to 1.76)0.507
Clinical factors
Swelling joints1710.96 (0.81 to 1.13)0.606
Painful joints1710.98 (0.89 to 1.08)0.686
Erythrocyte sedimentation rate (mm/hour)1491.02 (1.00 to 1.04)0.098
C reactive protein (mg/dL)1541.34 (0.79 to 2.29)0.274
Patient Global Assessment (0–10)1691.04 (0.94 to 1.15)0.451
Physician Global Assessment (0–10)1710.93 (0.82 to 1.04)0.214
DAS-281471.17 (0.85 to 1.60)0.329
RAID1670.99 (0.89 to 1.11)0.918
Comorbidities (number)1711.02 (0.79 to 1.33)0.852
Time of evolution (years)1561.00 (0.96 to .03)0.912
Treatment-related factors
Current treatment171
First-line csDMARD1
Second-line csDMARD3.13 (1.43 to 6.85)0.004
bDMARD/tsDMARD2.39 (1.13 to 5.03)0.022
Glucocorticoids1711.11 (0.59 to 2.08)0.754
NSAIDs1712.41 (1.01 to 5.75)0.046
In-hospital treatment1702.14 (1.14 to 4.01)0.017
Treatment agreed1672.88 (1.26 to 6.58)0.012
Prior adverse events (patient-reported)170
No1
Yes, but tolerable1.07 (0.42 to 2.67)0.891
Yes, with changes1.89 (0.96 to 3.71)0.065
Prior serious adverse events (from eCR)1711.21 (0.52 to 2.84)0.654
Concomitant treatments1711.03 (0.81 to 1.31)0.796
Administration is felt easy.1710.70 (0.20 to 2.44)0.580
Fear of medicine1690.81 (0.35 to 1.87)0.627
Patient–doctor relationship
Accessibility to rheumatologist (0–10)1671.12 (0.91 to 1.38)0.278
Trust in the rheumatologist (0–10)1651.14 (0.90 to 1.44)0.289
Patient trust in doctor (physician, 0–10)1711.71 (1.25 to 2.33)0.001
Patient trust in treatment (physician, 0–10)1691.22 (0.97 to 1.54)0.095
Time of visit165
Very short1
Suitable1.48 (0.20 to 10.7)0.701
Very long4.0 (0.211 to 75.6)0.355
Information is felt consistent.1680.73 (0.13 to 4.09)0.718
Adequacy of information (patient, 0–10)
Efficacy1701.25 (1.08 to 1.45)0.002
Toxicity1681.06 (0.95 to 1.17)0.281
Practical aspects1691.14 (0.96 to 1.36)0.137
Adaptation to needs1661.35 (1.14 to 1.59)0.001
Adequacy of information (physician, 0–10)
Efficacy1711.72 (1.26 to 2.35)0.001
Toxicity1711.44 (1.10 to 1.87)0.007
Practical aspects1701.40 (1.07 to 1.84)0.014
Adaptation to needs1711.34 (1.02 to 1.75)0.033
Access to health professionals if there are doubts1674.27 (1.09 to 16.7)0.037
Psychosocial factors
BMQ score
Need (0–25)1701.03 (0.95 to 1.11)0.487
Concern/damage (0–25)1700.97 (0.91 to 1.03)0.318
Feeling privileged by the medication1683.26 (1.45 to 7.37)0.004
Anxiety/depression1630.73 (0.33 to 1.63)0.447
Family/social support (0–10)1651.09 (0.93 to 1.28)0.284
Time to measure adherence (months)1710.064
<61
≥61.98 (0.96 to 4.07)
  • bDMARD, biological disease-modifying antirheumatic drug; BMQ, Beliefs about Medicines Questionnaire; csDMARD, conventional synthetic disease-modifying antirheumatic drug; DMARD, disease-modifying anti-rheumatic drug (c, conventional; eCR, electronic clinical records; NSAID, non-steroidal anti-inflammatory drug; RAID, Rheumatoid Arthritis Impact of Disease Index.