Introduction

The purpose of this study was to identify risk factors for primary medication nonadherence among low-income minority children with persistent asthma.

Method

Data were from an environmental control and educational intervention for children with uncontrolled asthma who were treated in the emergency department for an asthma exacerbation. Presence or absence of pharmacy records for child asthma medications was the outcome of interest. A range of sociodemographic, health, and psychosocial measures were included in the binary logistic regression.

Results

Of the 222 youths (mean age = 6.3 years; 93.7% Black), 25 (11.3%) lacked pharmacy records of asthma medications. For every 1-point increase in caregiver depressive symptoms, the odds of the child having a pharmacy record declined by 5% (odds ratio = 0.95; p = .012).

Discussion

Providers should systematically assess and monitor caregiver depressive symptoms as a potential contributing factor for primary medication nonadherence in low-income minority children with persistent, uncontrolled asthma.

中文翻译：

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哮喘患儿的照顾者抑郁症状和主要药物依从性不佳

介绍

本研究的目的是确定患有持续性哮喘的低收入少数民族儿童主要药物治疗不依从的危险因素。

方法

数据来自对在急诊室接受哮喘发作治疗的未控制哮喘儿童的环境控制和教育干预。是否存在儿童哮喘药物的药房记录是感兴趣的结果。二元逻辑回归中包括一系列社会人口学、健康和社会心理指标。

结果

在 222 名年轻人（平均年龄 = 6.3 岁；93.7% 为黑人）中，25 名 (11.3%) 缺乏哮喘药物的药房记录。照顾者抑郁症状每增加 1 分，孩子有药房记录的几率就会下降 5%（几率比 = 0.95；p  = .012）。

讨论

提供者应系统地评估和监测看护者的抑郁症状，这是导致患有持续性、不受控制的哮喘的低收入少数民族儿童主要药物治疗不依从的潜在促成因素。