Do Asthma Medication Beliefs Mediate the Relationship Between Minority Status and Adherence to Therapy?

Tao T. Le University of Louisville, Louisville, Kentucky, USA; Johns Hopkins University, Baltimore, Maryland, USA

, M.D., M.H.S.,

Andrew Bilderback Johns Hopkins University, Baltimore, Maryland, USA

, M.S.,

Bruce Bender National Jewish Medical and Research Center, Denver, Colorado, USA

, Ph.D.,

Frederick S. Wamboldt National Jewish Medical and Research Center, Denver, Colorado, USA

, M.D.,

Charles F. Turner City University of New York, Queens College and the Graduate Center, New York, New York, USA

, Ph.D.,

Cynthia S. Rand Johns Hopkins University, Baltimore, Maryland, USA

, Ph.D. &

Susan J. Bartlett Johns Hopkins University, Baltimore, Maryland, USA

, Ph.D. show all

Abstract

Minority status has been associated with lower asthma medication adherence. We evaluated whether medication beliefs mediated this association. 86 adults with asthma on inhaled corticosteroid therapy completed surveys regarding selected beliefs about asthma medications. Medication adherence for 1 month was electronically measured. Mean daily adherence was lower in minority patients than in Caucasians (p <. 001). Multiple negative asthma medication beliefs were associated with lower adherence (p′s <. 05). Minorities had increased adjusted odds of having a high negative medication beliefs score. Finally, a bootstrapped estimate demonstrated a mediating effect by negative asthma beliefs on the minority status-adherence association (−.073 [95% CI: −.16, −.01]).

Keywords:

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Order Reprints Request Corporate Permissions

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

Request Academic Permissions

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.

Do Asthma Medication Beliefs Mediate the Relationship Between Minority Status and Adherence to Therapy?

Information for

Open access

Opportunities

Help and information

Do Asthma Medication Beliefs Mediate the Relationship Between Minority Status and Adherence to Therapy?

Abstract

Reprints and Corporate Permissions

Academic Permissions

Related research

To cite this article:

Download citation

Information for

Open access

Opportunities

Help and information

Keep up to date

Your download is now in progress and you may close this window

Login or register to access this feature