Title of article :
Medication Non-adherence Prevalence and Determinants in Children and Adolescents with Chronic Liver Diseases
Author/Authors :
Dehghani ، Mohsen Shiraz Transplant Research Center - Shiraz University of Medical Sciences , Shamsaeefar ، Alireza Shiraz Organ Transplant Center - Shiraz University of Medical Sciences , Kazemi ، Azar Department of Medical Informatics - School of Medicine - Mashhad University of Medical Sciences , Kazemi ، Kourosh Shiraz Organ Transplant Center - Shiraz University of Medical Sciences , Mashhadiagha ، Amirali Shiraz Transplant Research Center - Shiraz University of Medical Sciences , Moosavi ، Seyed Ali Shiraz Transplant Research Center - Shiraz University of Medical Sciences , Motazedian ، Nasrin Shiraz Transplant Research Center - Shiraz University of Medical Sciences , Nikeghbalian ، Saman Shiraz Organ Transplant Center - Shiraz University of Medical Sciences , Malekhosseini ، Seyed Ali Shiraz Organ Transplant Center - Shiraz University of Medical Sciences
Abstract :
Background: Medication adherence is one of the most important challenges in chronic diseases. Objectives: In this study, we investigated medication adherence prevalence among children with chronic liver diseases. Methods: A total of 160 children with chronic liver disease were enrolled in our study. We evaluated medication adherence using the 8-item Morisky Medication Adherence Scale (MMAS-8) and classified them based on the scores (score 6 = low adherence, scores 6 - 8 = medium adherence, and 8 = high adherence). Logistic regression recognized final influencing variables on adherence. Results: Of 160 patients, 84 (52.5%) were female, and the mean age of patients was 11.2 4.4 years. Also, 56 participants (35%) were high adherers, and 66 (41.25%) were low adherers. The most common reason for low adherence was forgetfulness in 37 patients (23.13%) and low access to medication in 21 subjects (13.13%). In multivariate logistic regression, age, housing status, and underlying disease were significantly associated with medication adherence. Conclusions: Almost half of the children with chronic liver disease demonstrated low medication adherence. Age, housing status, and underlying disease were significantly associated with medication adherence. We should implement programs to reduce medication non-adherence among children with chronic liver disease.
Keywords :
Medication Adherence , Children , Chronic , Liver Diseases , Adolescents
Journal title :
Iranian Journal of Pediatrics
Journal title :
Iranian Journal of Pediatrics
