Document Detail


Do asthma medication beliefs mediate the relationship between minority status and adherence to therapy?
MedLine Citation:
PMID:  18259993     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Minority status has been associated with lower asthma medication adherence. We evaluated whether medication beliefs mediated this association. 86 adults with asthma on inhaled corticosteroid therapy completed surveys regarding selected beliefs about asthma medications. Medication adherence for 1 month was electronically measured. Mean daily adherence was lower in minority patients than in Caucasians (p < .001). Multiple negative asthma medication beliefs were associated with lower adherence (p's < .05). Minorities had increased adjusted odds of having a high negative medication beliefs score. Finally, a bootstrapped estimate demonstrated a mediating effect by negative asthma beliefs on the minority status-adherence association (-.073 [95% CI: -.16, -.01]).
Authors:
Tao T Le; Andrew Bilderback; Bruce Bender; Frederick S Wamboldt; Charles F Turner; Cynthia S Rand; Susan J Bartlett
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  The Journal of asthma : official journal of the Association for the Care of Asthma     Volume:  45     ISSN:  1532-4303     ISO Abbreviation:  J Asthma     Publication Date:    2008 Jan-Feb
Date Detail:
Created Date:  2008-02-08     Completed Date:  2008-03-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8106454     Medline TA:  J Asthma     Country:  United States    
Other Details:
Languages:  eng     Pagination:  33-7     Citation Subset:  IM    
Affiliation:
University of Louisville, Louisville, Kentucky, USA. tao.le@louisville.edu
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MeSH Terms
Descriptor/Qualifier:
Administration, Inhalation
Adrenal Cortex Hormones / administration & dosage*
Adult
Androstadienes / administration & dosage*
Anti-Asthmatic Agents / administration & dosage*
Asthma / drug therapy*,  psychology*
Beclomethasone / administration & dosage*
Bronchodilator Agents / administration & dosage*
Culture*
Female
Humans
Male
Middle Aged
Minority Groups / psychology*
Patient Compliance / statistics & numerical data*
Prospective Studies
Questionnaires
Grant Support
ID/Acronym/Agency:
5R01HL064199-03/HL/NHLBI NIH HHS; 5R01HL064200-03/HL/NHLBI NIH HHS
Chemical
Reg. No./Substance:
0/Adrenal Cortex Hormones; 0/Androstadienes; 0/Anti-Asthmatic Agents; 0/Bronchodilator Agents; 4419-39-0/Beclomethasone; 90566-53-3/fluticasone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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