Association of Polypharmacy and Health-Related Quality of Life Among US Adults: A Cross-Sectional Analysis of the 2022 MEPS Data Article Swipe
YOU?
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· 2025
· Open Access
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· DOI: https://doi.org/10.3390/jal5040052
Polypharmacy is common among aging populations and is associated with adverse health outcomes. We designed this cross-sectional study to determine the association of polypharmacy with physical and mental health-related quality of life (HRQoL) among the United States (US) adults aged ≥50 years. We used the nationally representative Medical Expenditure Panel Survey (MEPS) data, 2022, and conducted the analysis on 5343 adults. Polypharmacy was operationalized as the use of five or more medications simultaneously. HRQoL was assessed via physical and mental component summary scores from the 12-item short form health survey. We applied a multivariate linear regression model to determine the relationship between polypharmacy and HRQoL, after adjusting for sociodemographic factors (age, sex, race/ethnicity, and marital status) and comorbidities (diabetes and cardiovascular disease). Polypharmacy was reported by 70% of participants and was significantly associated with decreased physical (adjusted β: −2.95, 95% confidence interval [CI]: −3.64, −2.26, R2 = 0.25, p < 0.001) and mental HRQoL (adjusted β: −0.85, 95% CI: −1.48, −0.22, R2 = 0.07, p < 0.001). Other significant predictors of poor HRQoL included female sex, unmarried status, public insurance, lower educational attainment, and higher comorbidity index (p < 0.001). In contrast, higher education and private insurance were associated with better HRQoL. Based on the study findings, it is crucial to invest in programs and targeted interventions such as routine medication review and deprescribing strategies to reduce the negative impact of polypharmacy on HRQoL among US adults.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/jal5040052
- OA Status
- diamond
- References
- 22
- OpenAlex ID
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Raw OpenAlex JSON
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https://openalex.org/W7106168344Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3390/jal5040052Digital Object Identifier
- Title
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Association of Polypharmacy and Health-Related Quality of Life Among US Adults: A Cross-Sectional Analysis of the 2022 MEPS DataWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
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2025-11-20Full publication date if available
- Authors
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Sreelatha Akkala, Meesha Iqbal, Regina Hansen, Jyothi AkkulaList of authors in order
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https://doi.org/10.3390/jal5040052Publisher landing page
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YesWhether a free full text is available
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diamondOpen access status per OpenAlex
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https://doi.org/10.3390/jal5040052Direct OA link when available
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Polypharmacy, Medicine, Medical Expenditure Panel Survey, Quality of life (healthcare), Marital status, Psychological intervention, Gerontology, Comorbidity, Mental health, Deprescribing, Multivariate analysis, Confidence interval, Life expectancy, Cross-sectional study, National Health and Nutrition Examination Survey, Association (psychology), Bayesian multivariate linear regression, Psychiatry, Public health, Discontinuation, Odds ratio, Environmental health, Population, Adverse effect, Activities of daily living, Mental illness, MEDLINE, Bivariate analysis, Multimorbidity, OddsTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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| primary_location.raw_source_name | Journal of Ageing and Longevity |
| primary_location.landing_page_url | https://doi.org/10.3390/jal5040052 |
| publication_date | 2025-11-20 |
| publication_year | 2025 |
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