Relationship of adherence to pediatric asthma morbidity among inner-city children.

摘要: Objectives. Morbidity from asthma among children is one of the most important US health concerns. This study examines relationship baseline nonadherence to subsequent morbidity inner-city children. Methods. A multisite, prospective, longitudinal panel was conducted 1199 who were aged 4 9 years and had their caregivers, whom parents, in emergency departments clinics at 8 research centers 7 metropolitan areas. Nine indicators collected 3, 6, months after baseline, including hospitalizations, unscheduled visits, days wheeze/cough, reduced activities. Results. Children whose caregivers scored high on a new measure, Admitted Nonadherence, experienced significantly worse measures. Risk for Nonadherence measure all Multiple logistic regressions found that adherence measures independent significant effects morbidity. Combining improved estimates morbidity: poor either than those with good both, eg, rate hospitalization twice as high, they missed more much school, poorer overall functioning, wheezing restricted activity. Conclusions. independently jointly predicted Targeting risks may be an effective intervention strategy. Most can controlled by physicians through reducing complexity regimens, communicating effectively about medication use, correcting family misconceptions side effects.