| Beliefs and barriers to medication use in parents of Latino children with asthma. | |
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MedLine Citation:
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PMID: 19672958 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Disparities in asthma outcomes exist between Latino and non-Latino white (NLW) children. We examined rates of medication use, medication beliefs, and perceived barriers to obtaining medication in US and island Puerto Rican parents of children with asthma. HYPOTHESES: Island PR parents would report the lowest rates of controller medication use, followed by RI Latino and RI NLW parents; Latino parents would report more medication concerns than NLW parents; and Island PR parents would report the most barriers to medication use. STUDY DESIGN: Five hundred thirty families of children with persistent asthma participated, including 231 Island PR, 111 RI NLW, and 188 RI Latino. Parents completed survey measures. RESULTS: Group differences were found on reported use of ICS (X(2) = 50.96, P < 0.001), any controller medication (X(2) = 56.49, P < 0.001), and oral steroids (X(2) = 10.87, P < 0.01). Island PR parents reported a greater frequency of barriers to medication use than the other two groups (X(2) = 61.13, P < 0.001). Latino parents in both sites expressed more medication concerns than NLW parents (F = 20.18, P < 0.001). Medication necessity was associated with ICS use in all three groups (all P's < 0.01). Medication concerns were positively associated with ICS use in PR only (OR = 1.64, P < 0.05). CONCLUSIONS: Differences in medication beliefs and the ability to obtain medications may explain the reported disparity in controller medication use. Further studies are needed to evaluate these obstacles to medication use. |
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Authors:
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Elizabeth L McQuaid; Juan Vasquez; Glorisa Canino; Gregory K Fritz; Alexander N Ortega; Angel Colon; Robert B Klein; Sheryl J Kopel; Daphne Koinis-Mitchell; Cynthia A Esteban; Ronald Seifer |
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Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural |
Journal Detail:
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Title: Pediatric pulmonology Volume: 44 ISSN: 1099-0496 ISO Abbreviation: Pediatr. Pulmonol. Publication Date: 2009 Sep |
Date Detail:
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Created Date: 2009-09-01 Completed Date: 2009-11-17 Revised Date: 2012-01-30 |
Medline Journal Info:
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Nlm Unique ID: 8510590 Medline TA: Pediatr Pulmonol Country: United States |
Other Details:
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Languages: eng Pagination: 892-8 Citation Subset: IM |
Copyright Information:
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Copyright 2009 Wiley-Liss, Inc. |
Affiliation:
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Bradley Hasbro Research Center, Warren Alpert Medical School of Brown University, Providence, Rhode Island 02903, USA. emcquaid@lifespan.org |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Administration, Inhalation Adolescent Adrenal Cortex Hormones / administration & dosage* Anti-Asthmatic Agents / therapeutic use* Asthma Child Cross-Cultural Comparison European Continental Ancestry Group Female Health Knowledge, Attitudes, Practice* Hispanic Americans* Humans Male Medication Adherence / ethnology* Parents* Puerto Rico United States |
| Grant Support | |
ID/Acronym/Agency:
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P60 MD002261-01/MD/NIMHD NIH HHS; P60 MD002261-01/MD/NIMHD NIH HHS; U01 HL072438-01/HL/NHLBI NIH HHS; U01HL 72438/HL/NHLBI NIH HHS |
| Chemical | |
Reg. No./Substance:
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0/Adrenal Cortex Hormones; 0/Anti-Asthmatic Agents |
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