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The relationship between MAVs and patient- and medication-related factors was analyzed. On multiple linear regression analysis of patient-related factors with P 0.10 in the univariate analysis as explanatory variables, a lower number of chronic diseases (β = 0.017; P 0.001) and higher number of OHAs (β = - 0.021; P = 0.04) were independent factors for lower MAV. Medication-related factors were not found to be independent factors. Our findings suggest that poor adherence was independently associated with lower number of chron