Factors associated with levels of adherence to inhaled corticosteroids in minority adolescents with asthma
Factors associated with levels of adherence to inhaled corticosteroids in minority adolescents with asthma
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DOI：
10.1016/j.anai.2013.11.021
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发表时间：
2014-02-01
影响因子：
5.9
通讯作者：
Powell, Lynda
中科院分区：
文献类型：
--
作者：
Mosnaim, Giselle;Li, Hong;Powell, Lynda
背景资料：不坚持吸入皮质类固醇（ICS）是一个显着的危险因素，哮喘预后不良的少数青少年与持续asthma.Objective：确定相关因素与不坚持每日ICS在此目标population.Methods：青少年11至16岁，自认为是非洲裔美国人或西班牙裔，诊断为持续性哮喘和积极处方每日ICS被邀请参加。在14天内以电子方式测量参与者对ICS的依从性。同时，参与者完成了以下评估：人口统计学信息，哮喘史，哮喘控制，哮喘急性发作，媒体使用，抑郁，哮喘知识，ICS知识和ICS自我效能。在93名受试者中，68人（48%）的依从性较低。
Background: Nonadherence to inhaled corticosteroids (ICS) is a significant risk factor for poor asthma outcomes in minority adolescents with persistent asthma.Objective: To identify factors associated with nonadherence to daily ICS in this target population.Methods: Adolescents 11 to 16 years old, self-identified as African American or Hispanic, diagnosed with persistent asthma and with an active prescription for daily ICS were invited to participate. Participant adherence to ICS was electronically measured during 14 days. Concurrently, participants completed the following assessments: demographic information, asthma history, asthma control, asthma exacerbations, media use, depression, asthma knowledge, ICS knowledge, and ICS self-efficacy. Of the 93 subjects, 68 had low (48%) adherence.Results: Older age and low ICS knowledge each were associated with low (