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Caregiver Depressive Symptoms and Primary Medication Nonadherence in Children With Asthma.


ABSTRACT:

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.

SUBMITTER: Margolis RHF 

PROVIDER: S-EPMC8594280 | biostudies-literature | 2022 Mar-Apr

REPOSITORIES: biostudies-literature

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Publications

Caregiver Depressive Symptoms and Primary Medication Nonadherence in Children With Asthma.

Margolis Rachel H F RHF   Bellin Melissa H MH   Morphew Tricia T   Tsoukleris Mona M   Bollinger Mary Elizabeth ME   Butz Arlene A  

Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners 20210516 2


<h4>Introduction</h4>The purpose of this study was to identify risk factors for primary medication nonadherence among low-income minority children with persistent asthma.<h4>Method</h4>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,  ...[more]

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