Abstract

Objective

The current research aims to examine a potential explanation for SES disparities in youth medication adherence: the frequency of children’s daily routines.

Design

In a cross-sectional sample of 194 youth with asthma (112 boys and 82 girls; average age = 12.8 years old) and their primary caregivers primarily from the Detroit metropolitan area, caregivers reported their SES and the frequency of their children’s daily routines during the first laboratory visit. At a follow-up visit, caregivers and their children completed the Family Asthma Management System Scale (FAMSS), a well-validated, semi-structured interview that assess children’s degree of adherence to prescribed medications.

Main Outcome Measures

Children’s daily routines were measured with the Child Routines Inventory while children’s medication adherence was measured with the FAMSS.

Results

Mediation analyses revealed that the association between subjective (but not objective) SES and medication adherence was partially mediated by the frequency of children’s daily routines.

Conclusion

These results suggest that the frequency of children’s daily routines is an important factor linking SES and medication adherence, a finding with important implications for improving health outcomes and reducing health disparities between low SES children and their high SES counterparts.

中文翻译：

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哮喘青年的社会经济地位和药物依从性：儿童日常生活频率的中介作用

摘要

目的

当前的研究旨在检验对青少年药物依从性方面SES差异的潜在解释：儿童日常活动的频率。

设计

在194名患有哮喘的青年（112名男孩和82名女孩；平均年龄= 12.8岁）及其主要来自底特律都会区的主要看护人的横断面样本中，看护人报告了他们在SES期间和儿童日常活动的频率。第一次实验室访问。在后续访问中，看护者及其子女完成了家庭哮喘管理系统量表（FAMSS），这是一种经过充分验证的半结构化访谈，用于评估儿童对处方药的依从程度。

主要观察指标

儿童的日常用儿童常规库存量表测量，而儿童对药物的依从性用FAMSS测量。

结果

调解分析表明，主观（而非客观）SES与药物依从性之间的关联部分由儿童的日常活动频率引起。

结论

这些结果表明，儿童日常活动的频率是将SES与药物依从性联系起来的重要因素，这一发现对于改善低SES儿童与高SES儿童之间的健康结果和减少健康差异具有重要意义。