Prevalence and characteristics of medication sharing behavior in a pediatric Medicaid population with asthma
| Autor: | Kimberly B. Woodward, Ann Chen Wu, Tebeb Gebretsadik, Patricia A. Minton, Emma K. Larkin, Tina V. Hartert, Robert S. Valet |
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| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Pulmonary and Respiratory Medicine
Male medicine.medical_specialty Pediatrics Immunology Population Article Acute care Recall bias medicine Prevalence Immunology and Allergy Humans Anti-Asthmatic Agents Medical prescription education Child Prescription Drug Misuse Asthma education.field_of_study business.industry Medicaid Data Collection social sciences Emergency department medicine.disease United States Family medicine Child Preschool Cohort Female business |
| Popis: | Few studies have examined sharing or borrowing of non-addicting prescription medications (references 1–6; reviewed in reference 7) and no study has looked at this behavior in patients with asthma. We hypothesized that medication sharing/borrowing would be common in families with children with asthma and be associated with worsened asthma control, and undertook this investigation to describe features surrounding this behavior and examine its effect on adverse asthma outcomes. We studied 112 children enrolled from primary care or pediatric pulmonology clinic at the Vanderbilt University site of a larger study regarding barriers to asthma medication adherence. Eligible children were aged 4–11 years, insured under Tennessee Medicaid (TennCare), and carried a chart reviewed physician’s diagnosis of asthma, with a controller medication prescribed in the previous year. The child and caregiver completed an interview including an Asthma Control Test (ACT) score (for ages 4–11 years),8 and questions about asthma adverse events, asthma controller adherence, and medication sharing/borrowing behaviors. Medication sharing (“Sometimes patients share medicine that a doctor prescribed with someone else. In the last year, have you ever given your child’s prescription medicine for asthma or allergy to someone else?”) and borrowing (“In the last year, has your child ever taken a dose of a medicine for asthma or allergy that was prescribed for someone else?”) were determined by parental report, using questions modeled on those utilized in previous studies.3,6,7 We examined, by sharing/borrowing status, subjects’ ACT scores, reported emergency department (ED) or asthma acute care visits in the past 6 months, rescue inhaler usage, and reported asthma controller medication adherence in the past week. Parents provided written informed consent, and the protocol was approved by the Institutional Review Board of Vanderbilt University. A total of 112 children were studied. The cohort was 52% African-American, 29% white, 3% Asian, and 14% other or >1 race; 20% were of Latino ethnicity. The cohort had a slight male predominance (64%), and mean age was 7.8 years (range 4–11 years). Sixty percent of families had yearly income |
| Databáze: | OpenAIRE |
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