Medication Non-adherence Prevalence and Determinants in Children and Adolescents with Chronic Liver Diseases

AuthorSeyed Mohsen Dehghanien
AuthorAlireza Shamsaeefaren
AuthorAzar Kazemien
AuthorKourosh Kazemien
AuthorAmirali Mashhadiaghaen
AuthorSeyed Ali Moosavien
AuthorNasrin Motazedianen
AuthorSaman Nikeghbalianen
AuthorSeyed Ali Malekhosseinien
OrcidAzar Kazemi [0000-0003-3197-0491]en
OrcidAmirali Mashhadiagha [0000-0002-8953-8979]en
OrcidSeyed Ali Moosavi [0000-0002-6128-7717]en
OrcidNasrin Motazedian [0000-0001-9534-4014]en
Issued Date2021-06-30en
AbstractBackground: 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.en
DOIhttps://doi.org/10.5812/ijp.112323en
KeywordMedication Adherenceen
KeywordChildrenen
KeywordChronicen
KeywordLiver Diseasesen
KeywordAdolescentsen
PublisherBrieflandsen
TitleMedication Non-adherence Prevalence and Determinants in Children and Adolescents with Chronic Liver Diseasesen
TypeResearch Articleen

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