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Journal article
Beliefs and Barriers to Medication Use in Parents of Latino Children With Asthma
Pediatric pulmonology, v 44(9), pp 892-898
01 Sep 2009
PMID: 19672958
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
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 Ps < 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. Pediatr Pulmonol. 2009; 44:892-898. (C) 2009 Wiley-Liss, Inc.
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Details
- Title
- Beliefs and Barriers to Medication Use in Parents of Latino Children With Asthma
- Creators
- Elizabeth L. McQuaid - Brown UniversityJuan Vasquez - Brown UniversityGlorisa Canino - University of Puerto Rico SystemGregory K. Fritz - Brown UniversityAlexander N. Ortega - University of California, Los AngelesAngel Colon - Univ Puerto Rico, San Juan, PR 00936 USARobert B. Klein - Brown UniversitySheryl J. Kopel - Brown UniversityDaphne Koinis-Mitchell - Brown UniversityCynthia A. Esteban - Brown UniversityRonald Seifer - Brown University
- Publication Details
- Pediatric pulmonology, v 44(9), pp 892-898
- Publisher
- Wiley
- Number of pages
- 7
- Grant note
- U01HL 72438; P60 MD002261-01 / NIH/NHLBI; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI) P60MD002261 / NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Minority Health & Health Disparities (NIMHD) U01HL072438 / NATIONAL HEART, LUNG, AND BLOOD INSTITUTE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Health Management and Policy
- Web of Science ID
- WOS:000269681900009
- Scopus ID
- 2-s2.0-69749098479
- Other Identifier
- 991019296806104721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Pediatrics
- Respiratory System