Int. J. Environ. Res. Public Health 2011, 8 2512 Table 3. Factors related to JHS hospitalization-regression coefficients. Female Past 2 weeks, did not take medication for angina/chest pains Past 2 weeks, did not take medication for diabetes/high blood sugar Constant −1.179 0.240 24.158 −0.336 0.148 5.191 −0.915 0.296 10.373 B 0.307 S.E. 0.148 Wald 4.290 df 1 1 1 1 Sig. 0.038 Exp (B) 1.359 0.000 0.308 0.023 0.714 0.001 0.385 Table 4 provides a ranking of the top ten reasons cited by the JHS participants for not taking their medications. The number one reason cited for creating this lapse in practice was that participants got in too much of a hurry and forgot to take their medications. Almost half of the participants (47.3%) recognized the busy lifestyle as a deterrent to maintaining a regular medical regimen. About one quarter of the participants (23.5%) believed that they could combat their medical issues without the aid of the prescriptions, and over 20.0% of the participants did not take their medications because the medications were not available to them. Approximately 19.0% participants of the JHS admitted that they did not take their medications because the medications made them feel bad. Over 18.0% of the JHS participants indicated that the high cost of living and the cost of medication made it difficult for them to acquire their prescriptions, and about 17.0% of them viewed the medication regimen as an obstacle to their normal daily activities. The discomforts they experienced prevented them from engaging in effective medical adherence. More than 13.0% of the participants believed that the prescribed medication created an inconvenience that they could not overcome and this caused them to become delinquent in their treatment regimen. About 10.0% of the participants had little faith in the efficacy of the medical regimen and desisted adherence, and 10.0% of the participants feared that they might become addicted to the medication so they refused to fill their prescriptions. In addition, 10.0% of the participants simply did not like taking medication, so they abstained from practicing adherence. Table 4. JHS participants’ top ten reasons for not taking medications. Top Ten Ranked Reasons 1. In a hurry, too busy, forgot to take medications. 2. Trying to do without taking medications. 3. Did not have medication available. 4. Medication made you feel bad-did not take. 5. No money to purchase medication. 6. Can’t carry out normal activities-did not take medications. 7. Medication was inconvenient to take. 8. Medication wouldn’t do any good-did not take. 9. Thought you might become addicted-did not take medications. 10. Don’t like to take medicine. % 47.3 23.5 21.1 18.9 18.2 17.1 13.3 10.5 10.3 9.9