BACKGROUND: Disadvantaged urban children with asthma are at high risk for undermanagement of their disease and poor compliance with inhaled corticosteroids (ICS). OBJECTIVE: To determine whether spatial accessibility (SA) of retail pharmacy services is associated with ICS compliance. METHODS: Caregivers of 137 urban high-morbidity asthmatic children attended a comprehensive intervention to improve asthma care and outcomes. Subsequent ICS compliance was determined at 1, 3, and 6 months. We modeled 18 measures of SA to 339 pharmacies using logistic regression and adjusting for numerous covariates. RESULTS: No relationships between SA and compliance were found. CONCLUSIONS: In this group of disadvantaged urban children with severe asthma, compliance with ICS was not significantly associated with SA of retail pharmacy services.
BACKGROUND: Disadvantaged urban children with asthma are at high risk for undermanagement of their disease and poor compliance with inhaled corticosteroids (ICS). OBJECTIVE: To determine whether spatial accessibility (SA) of retail pharmacy services is associated with ICS compliance. METHODS: Caregivers of 137 urban high-morbidity asthmatic children attended a comprehensive intervention to improve asthma care and outcomes. Subsequent ICS compliance was determined at 1, 3, and 6 months. We modeled 18 measures of SA to 339 pharmacies using logistic regression and adjusting for numerous covariates. RESULTS: No relationships between SA and compliance were found. CONCLUSIONS: In this group of disadvantaged urban children with severe asthma, compliance with ICS was not significantly associated with SA of retail pharmacy services.
Authors: Caroline Hensley; Pamela C Heaton; Robert S Kahn; Heidi R Luder; Stacey M Frede; Andrew F Beck Journal: Pediatrics Date: 2018-03-16 Impact factor: 7.124
Authors: Yuhong Zhou; Kirsten M M Beyer; Purushottam W Laud; Aaron N Winn; Liliana E Pezzin; Ann B Nattinger; Joan Neuner Journal: J Pharm Health Serv Res Date: 2021-01-16