Barriers to medication adherence in asthma

Abstract

Disparities in controller medication use are pervasive. Identifying the sources of these disparities is a critical step toward generating intervention approaches to enhance disease management among the groups that bear the greatest asthma burden.

Assessment of adherence to asthma controllers in children and adolescents

“…22 inequality, which may affect adherence. 13,24,25 However, filling prescriptions might still have a socially unequal distribution due to medication costs and pharmacy travel distances.…”

“…However, the lack of consensus on how to measure adherence to multiple medications has resulted in inconsistent approaches and difficulties comparing study findings 12 . Therefore, there is a need for more detailed studies of adherence to asthma controllers as a group to determine risk factors 13‐15 . Here, we assess long‐term adherence and analyze risk factors of low adherence to multiple asthma controllers in a Danish pediatric asthma population using proportion of days covered (PDC) taking account of treatment cessations, dose adjustments, and polypharmacy using pharmacy claims data over a two‐year period.…”

Determinants of non-adherence to inhaled steroids in adult asthmatic patients on follow up in referral hospital, Ethiopia: cross-sectional study

“…One of the main challenges in asthma control is adherence to pharmaceutical treatment [4] and lead to poor outcome and increases the economic and clinical burden. There is clear evidence of the underuse of asthma controller medications in a prescription receipt, prescription initiation, and medication use once obtained [5].…”

Aerosol Therapy in Asthma–Why We Are Failing Our Patients and How We Can Do Better

“…Children with asthma are known to suffer with increased emotional and behavioral problems and emotional difficulties for parents and caregivers may affect their ability to care for their child. There is evidence that factors such as depression can play a role in adherence (68) to medication and treatment of these factors are important to improve asthma control. The age of children can affect their adherence.…”