Associations between medication and disease beliefs and use of inhaled corticosteroids among inner city adults with persistent asthma

This study examined underlying beliefs that may explain suboptimal adherence with inhaled corticosteroid (ICS) among inner city adults with moderate and severe asthma. A prospective cohort of consecutive adults hospitalized at a large New York City hospital over 1 year were interviewed at baseline a...

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Bibliographic Details
Published in:Journal of allergy and clinical immunology 2004-02, Vol.113 (2), p.S261-S261
Main Authors: Halm, E.A., Cooperman, A., Leventhal, H.
Format: Article
Language:English
Online Access:Get full text
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Summary:This study examined underlying beliefs that may explain suboptimal adherence with inhaled corticosteroid (ICS) among inner city adults with moderate and severe asthma. A prospective cohort of consecutive adults hospitalized at a large New York City hospital over 1 year were interviewed at baseline and 6 months to assess medication and disease beliefs and self-reported ICS adherence. Overall, 204/218 patients (Pts) consented and 97% and 84% completed baseline and 6 month interviews(28% in Spanish). Mean age was 49.9 years, 78% female, 62% Hispanic, 28% African-American, and 5% White. Twenty-three percent had previous intubations and 88% prior steroids. Before hospitalization, 66% were on ICS. Of these, 73% used them regularly when symptomatic vs. 58% when asymptomatic (p
ISSN:0091-6749
1097-6825
DOI:10.1016/j.jaci.2004.01.408