Drug Adherence and its Association with Health Literacy Among Patients with Autoimmune Bullous Diseases

Copyright © 2023. Matrix Medical Communications. All rights reserved..

Background: Despite the emergence of novel medications, poor drug adherence is an obstacle toward disease management in patients with autoimmune bullous dermatoses (AIBDs).

Objectives: We sought to evaluate medication adherence among patients with AIBDs and determine the impact of health literacy on adherence.

Methods: We performed a cross-sectional survey of patients with AIBDs who attended Razi Hospital from May to October 2021. Drug adherence and health literacy were assessed using the Morisky Medication Adherence Scale-8 (MMAS-8; scored 0-8) and Health Literacy for Iranian Adults (HELIA; scored 0-100) questionnaires, respectively. Multivariable ordinal regression, including the covariates age, sex, education level, and annual income, were employed for analyses.

Results: Two hundred participants with a mean±standard deviation (SD) age of 50.3±13.5 years were recruited. The female:male ratio was 1.2. About half (53%) of the patients reported good adherence (MMAS-8 score of 8) to their AIBD medications. Moreover, limited health literacy, with a mean±SD score of 57.8±25.8, was noted. Multivariable ordinal regression indicated that literacy score was significantly associated with good drug adherence (odds ratio [OR]: 0.11 per 1 score of health literacy increase, 95% confidence interval [CI]: 0.09-0.14).

Conclusion: These findings showed suboptimal drug adherence and health literacy of patients with AIBDs. Improving patient health literacy might be a way to increase drug adherence.

Medienart:

Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:16

Enthalten in:

The Journal of clinical and aesthetic dermatology - 16(2023), 4 vom: 17. Apr., Seite 38-42

Sprache:

Englisch

Beteiligte Personen:

Hatami, Parvaneh [VerfasserIn]
Sadeghinia, Ali [VerfasserIn]
Mahmoudi, Hamidreza [VerfasserIn]
Daneshpazhooh, Maryam [VerfasserIn]
Hashemi, Najme [VerfasserIn]
Aryanian, Zeinab [VerfasserIn]
Kianfar, Nika [VerfasserIn]

Themen:

Adherence
Autoimmune bullous disorders
Health literacy
Journal Article
Medication adherence

Anmerkungen:

Date Revised 21.04.2023

published: Print

Citation Status PubMed-not-MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM355817357