ArticleLa Tunisie medicale2023
Assessment of therapeutic compliance and its associated factors in tunisian adult asthmatic patients.
Article in La Tunisie medicale, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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7 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
introductionDespite therapeutic advances, morbidity attributed to asthma continues to increase. This seems partly to be due to poor adherence.
aimTo assess therapeutic adherence and the association between poor compliance and asthma control.
methodsWe carried out a descriptive cross-sectional study on a sample of 150 asthmatics, followed in the pneumology department of Charles Nicolle hospital for more than 6 months. The survey took place over 1 month. The 4-item Morisky questionnaire (MMAS-4) was used to assess adherence to therapy.
resultsOur patients had a median age of 44.2 years and a sex ratio of 0.47. Asthma was severe in 48% of cases and poorly controlled in 34% of cases. Adherence was poor in 66% of patients. Factors significantly associated with adherence were educationlevel (p=0.02), socio- economic status (p = 0.01), treatment cost (p= 0.02), its availability (p=0.04) and its free cost (p = 0.001), consultation waiting time (p=0.03) and knowledge on asthma (p=0,04). We retained in multivariate analyze two factors determining therapeutic adherence, which are socio-economic status (OR = 2.02 ; [1.2-6.26]) and participation in the therapeutic choice (OR = 1.2 ; 95% CI [2.02-4.25]).
conclusionsIt appears that medication adherence is widely influenced by socio-economic status. So, improving these conditions would guarantee better treatment compliance.
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Identifiers
37682271PMC11138317W4386530071What OpenQuestion holds
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