Attitudes towards medication use in a general population of adolescents

被引:10
作者
Koster, Ellen S. [1 ,3 ]
Heerdink, Eibert R. [1 ]
de Vries, Tjalling W. [2 ]
Bouvy, Marcel L. [1 ]
机构
[1] Univ Utrecht, Utrecht Inst Pharmaceut Sci, Div Pharmacoepidemiol & Clin Pharmacol, NL-3508 TB Utrecht, Netherlands
[2] Med Ctr Leeuwarden, Dept Pediat, Leeuwarden, Netherlands
[3] Univ Utrecht, Fac Sci, Div Pharmacoepidemiol & Clin Pharmacol, NL-3508 TB Utrecht, Netherlands
关键词
Adherence; Adolescence; Medication beliefs; Medication use; Online recruitment; ADHERENCE; BELIEFS; ASTHMA; CARE; MEDICINES; CHILDREN; ILLNESS;
D O I
10.1007/s00431-013-2211-4
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Adolescents are becoming more independently responsible for their medication regimen; therefore, adolescence is a crucial period to address medication beliefs, as many of the beliefs may persist into adulthood and can impair adherence and willingness to continue a prescribed therapy. Within this study, we aimed to explore adolescents' general perceptions towards medicines. Adolescent students attending secondary schools in the Netherlands were invited through the school's virtual learning environment to fill in an online questionnaire. Medication beliefs were assessed using the Beliefs About Medicines Questionnaire-General assessing general harm and general overuse beliefs. Within a 2-week period, 434 adolescent students responded to the questionnaire; 47.2 % thought that doctors overprescribed medication, and 20.5 % perceived medication as harmful in general. Being religious was associated with stronger harm (odds ratio (OR) 2.0, 95 % confidence interval (CI) 1.2-3.2) and overuse beliefs (OR 1.4, 95 % CI 0.9-2.1). Adolescents of native background had less concerns about overuse (OR 0.4, 95 % CI 0.2-0.8). Adolescents who actually consulted physicians had lower overuse beliefs (OR 0.6, 95 % CI 0.4-1.0). Conclusion: Adolescents more strongly believe in the general overuse of medicines than in general harm. Religious and ethnic background influence medication beliefs, as does previous experiences with the health-care system. Gaining more insight in adolescent patients' medication use behavior and identifying patients at risk for negative medication beliefs associated with poor adherence in clinical practice might be a first step towards a lifelong good medication use.
引用
收藏
页码:483 / 488
页数:6
相关论文
共 31 条
  • [1] Asthma medication adherence: the role of God and other health locus of control factors
    Ahmedani, Brian K.
    Peterson, Edward L.
    Wells, Karen E.
    Rand, Cynthia S.
    Williams, L. Keoki
    [J]. ANNALS OF ALLERGY ASTHMA & IMMUNOLOGY, 2013, 110 (02) : 75 - +
  • [2] Archer T.M., 2007, PRACTICAL ASSESSMENT, V12, P12, DOI 10.7275/ec5p-zg50
  • [3] ABC of adolescence - Adolescent development
    Christie, D
    Viner, R
    [J]. BRITISH MEDICAL JOURNAL, 2005, 330 (7486): : 301 - 304
  • [4] Couriel Jon, 2003, Paediatr Respir Rev, V4, P47, DOI 10.1016/S1526-0542(02)00309-3
  • [5] De Maria C, 2011, CAN FAM PHYSICIAN, V57, P291
  • [6] A systematic review of interventions to enhance medication adherence in children and adolescents with chronic illness
    Dean, Angela J.
    Walters, Julie
    Hall, Anthony
    [J]. ARCHIVES OF DISEASE IN CHILDHOOD, 2010, 95 (09) : 717 - 723
  • [7] Medication Adherence in the Asthmatic Child and Adolescent
    Desai, Mauli
    Oppenheimer, John J.
    [J]. CURRENT ALLERGY AND ASTHMA REPORTS, 2011, 11 (06) : 454 - 464
  • [8] Do young people's illness beliefs affect healthcare? A systematic review
    Haller, Dagmar M.
    Sanci, Lena A.
    Sawyer, Susan M.
    Patton, George
    [J]. JOURNAL OF ADOLESCENT HEALTH, 2008, 42 (05) : 436 - 449
  • [9] Predictors of Deteriorations in Diabetes Management and Control in Adolescents With Type 1 Diabetes
    Hilliard, Marisa E.
    Wu, Yelena P.
    Rausch, Joseph
    Dolan, Lawrence M.
    Hood, Korey K.
    [J]. JOURNAL OF ADOLESCENT HEALTH, 2013, 52 (01) : 28 - 34
  • [10] The beliefs about medicines questionnaire: The development and evaluation of a new method for assessing the cognitive representation of medication
    Horne, R
    Weinman, J
    Hankins, M
    [J]. PSYCHOLOGY & HEALTH, 1999, 14 (01) : 1 - 24