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Medication adherence among latinos

Lauren C Korhonen, Nicholas P DeGroote, R Luke Shouse, Linda A Valleroy, Joseph Prejean, Heather Bradley
The prevalence of diagnosed human immunodeficiency virus (HIV) infection in Hispanics/Latinos in the United States is more than twice as high as the prevalence among non-Hispanic whites (1). Services that support retention in HIV medical care and assist with day-to-day living, referred to here as ancillary services, help persons living with HIV access HIV medical care, adhere to HIV treatment, and attain HIV viral suppression. The needs for these ancillary services among Hispanics/Latinos are not well described (2)...
October 14, 2016: MMWR. Morbidity and Mortality Weekly Report
Mercedes Hernandez, Concepción Barrio
BACKGROUND: Medication nonadherence among Latinos with schizophrenia represents a significant treatment obstacle. Although some studies have examined patient and family perceptions of adherence, few have examined these perceptions together. However, such knowledge can provide a deeper understanding of how family processes may contribute to or impede adherence among underserved groups such as Latinos. AIMS: This study explored perceptions of medication and adherence among Latinos with schizophrenia and key family members...
October 1, 2016: Journal of Mental Health
Matthew M Ippolito, Courtney R Lyles, Kimberly Prendergast, Michelle Berger Marshall, Elaine Waxman, Hilary Kessler Seligman
OBJECTIVE: To examine the association between level of food security and diabetes self-management among food pantry clients, which is largely not possible using clinic-based sampling methods. DESIGN: Cross-sectional descriptive study. SETTING: Community-based food pantries in California, Ohio and Texas, USA, from March 2012 through March 2014. SUBJECTS: Convenience sample of adults with diabetes queuing at pantries (n 1237; 83 % response)...
July 13, 2016: Public Health Nutrition
Nicole Crepaz, Tian Tang, Gary Marks, Michael J Mugavero, Lorena Espinoza, H Irene Hall
BACKGROUND: We examined durable viral suppression, cumulative viral load (VL) burden, and transmission risk potential among human immunodeficiency virus (HIV)-diagnosed persons in care. METHODS: Using data from the National HIV Surveillance System from 17 jurisdictions with complete reporting of VL test results, we determined the percentage of persons in HIV care who achieved durable viral suppression (all VL results <200 copies/mL) and examined viremia copy-years and time spent above VL levels that increase the risk of HIV transmission during 2012-2013...
October 1, 2016: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
Philip A Chan, Leandro Mena, Rupa Patel, Catherine E Oldenburg, Laura Beauchamps, Amaya G Perez-Brumer, Sharon Parker, Kenneth H Mayer, Matthew J Mimiaga, Amy Nunn
INTRODUCTION: Despite the efficacy of pre-exposure prophylaxis (PrEP) in preventing HIV transmission, few studies have evaluated PrEP use and retention in care outcomes in real-world settings outside of clinical trials. METHODS: Data were collected from PrEP clinical care programmes in three mid-size US cities: Providence, Rhode Island (RI); Jackson, Mississippi (MS); and St. Louis, Missouri (MO). We assessed the demographic and social characteristics of patients prescribed PrEP and documented their insurance and copayment experiences...
2016: Journal of the International AIDS Society
Holly H Fisher, Tamika Hoyte, David W Purcell, Michelle Van Handel, Weston Williams, Amy Krueger, Patricia Dietz, Dale Stratford, Janet Heitgerd, Erica Dunbar, Choi Wan, Laurie A Linley, Stephen A Flores
OBJECTIVE: The Enhanced Comprehensive HIV Prevention Planning project was the first initiative of the Centers for Disease Control and Prevention (CDC) to address the goals of the National HIV/AIDS Strategy (NHAS). Health departments in 12 U.S. cities with a high prevalence of AIDS conducted comprehensive program planning and implemented cost-effective, scalable HIV prevention interventions that targeted high-risk populations. We examined trends in health department HIV prevention programs in these cities during the project...
January 2016: Public Health Reports
Cherriday G Joson, Shayna L Henry, Sue Kim, Mandy Y Cheung, Prajakta Parab, Antoine C Abcar, Steven J Jacobsen, Donald E Morisky, John J Sim
OBJECTIVE: The purpose of this study was to determine the influence of patient-reported medication adherence and phosphorus-related knowledge on phosphorus control and pharmacy-reported adherence to phosphorus binding medication among patients on maintenance hemodialysis. DESIGN: Retrospective, cross-sectional cohort study. SUBJECTS: Seventy-nine hemodialysis patients (mean age 64.2 years, SD = 14 years; 46.8% female) in a stand-alone hemodialysis unit within an integrated learning healthcare system...
May 2016: Journal of Renal Nutrition
Shadi Chamany, Elizabeth A Walker, Clyde B Schechter, Jeffrey S Gonzalez, Nichola J Davis, Felix M Ortega, Jeidy Carrasco, Charles E Basch, Lynn D Silver
INTRODUCTION: Scalable self-management interventions are necessary to address suboptimal diabetes control, especially among minority populations. The study tested the effectiveness of a telephone behavioral intervention in improving glycemic control among adults with diabetes in the New York City A1c Registry. DESIGN: RCT comparing a telephone intervention to print-only intervention in the context of the A1c Registry program. SETTING/PARTICIPANTS: Nine hundred forty-one adults with diabetes and hemoglobin A1c (A1c) >7% from a low-income, predominantly Latino population in the South Bronx were recruited from the A1c Registry...
December 2015: American Journal of Preventive Medicine
Antoinette Schoenthaler, Franzenith De La Calle, Miguel Barrios-Barrios, Aury Garcia, Maria Pitaro, Audrey Lum, Milagros Rosal
BACKGROUND: Latinos experience disproportionately higher rates of uncontrolled hypertension as compared to Blacks and Whites. While poor adherence is a major contributor to disparities in blood pressure control, data in Latino patients are scant. More importantly, translation of interventions to improve medication adherence in community-based primary care practices, where the majority of Latino patients receive their care is non-existent. METHODS: Using a randomized controlled design, this study evaluates the effectiveness of a culturally tailored, practice-based intervention compared to usual care on medication adherence, among 148 Latino patients with uncontrolled hypertension who are non-adherent to their antihypertensive medications...
2015: Trials
Raphael J Landovitz, Jesse B Fletcher, Steven Shoptaw, Cathy J Reback
Background.  Stimulant-using men who have sex with men (MSM) are at high risk of human immunodeficiency virus (HIV) acquisition. Contingency Management (CM) is a robust substance abuse intervention that provides voucher-based incentives for stimulant-use abstinence. Methods.  We conducted a randomized controlled trial of CM with postexposure prophylaxis (PEP) among stimulant-using MSM. Participants were randomized to CM or a noncontingent "yoked" control (NCYC) intervention and observed prospectively. Generalized linear models were used to estimate the effect of CM on PEP course completion, medication adherence, stimulant use, and sexual risk behaviors...
January 2015: Open Forum Infectious Diseases
Dallas Swendeman, Nithya Ramanathan, Laura Baetscher, Melissa Medich, Aaron Scheffler, W Scott Comulada, Deborah Estrin
BACKGROUND: Self-monitoring by mobile phone applications offers new opportunities to engage patients in self-management. Self-monitoring has not been examined thoroughly as a self-directed intervention strategy for self-management of multiple behaviors and states by people living with HIV (PLH). METHODS: PLH (n = 50), primarily African American and Latino, were recruited from 2 AIDS services organizations and randomly assigned to daily smartphone (n = 34) or biweekly Web-survey only (n = 16) self-monitoring for 6 weeks...
May 1, 2015: Journal of Acquired Immune Deficiency Syndromes: JAIDS
Sonjia Kenya, Cynthia Nicole Lebron, Aileen Yu Hen Chang, Hua Li, Yisel A Alonzo, Olveen Carrasquillo
INTRODUCTION: Latinos are the largest minority group in the United States and diabetes or pre-diabetes affects more than 70% of Latinos aged 45 years and older. Miami-Dade County is home to one of the highest populations of diverse Latinos. In this descriptive manuscript, we present baseline characteristics of participants enrolled in the Miami Healthy Heart Initiative (MHHI). This was a study conducted to determine the effects of a community health worker (CHW) intervention among Latinos with poorly controlled diabetes in South Florida...
2015: Journal of Community Hospital Internal Medicine Perspectives
Caitlin Smith, Andrea Brinkmann, Janet U Schneiderman
Children in the child welfare system have a high prevalence of health problems, making pediatric health service use critical. Latino children represent a growing proportion of the child welfare system, and are at increased risk for health problems. Many have argued that Latino caregivers can provide Latino children with the least disruptive out-of-home placement, but little is known about how caregiver factors might relate to health services utilization or child health status within this population. This study assessed relationships between caregiver psychosocial factors, health care service utilization, and health status for children in the child welfare system...
May 1, 2015: Children and Youth Services Review
Sandra C Soto, Sabrina Y Louie, Andrea L Cherrington, Humberto Parada, Lucy A Horton, Guadalupe X Ayala
PURPOSE: The purpose of this study was to examine the role of self, interpersonal (ie, family/friend), and organizational (ie, health care) support in performing diabetes-related self-management behaviors and hemoglobin A1C (A1C) levels among rural Latinos with type 2 diabetes. METHODS: Cross-sectional data from baseline interviews and medical records were used from a randomized controlled trial conducted in rural Southern California involving a clinic sample of Latinos with type 2 diabetes (N = 317)...
April 2015: Diabetes Educator
Vicki S Conn, Maithe Enriquez, Todd M Ruppar, Keith C Chan
OBJECTIVE: This meta-analysis systematically compiles intervention research designed to increase medication adherence among underrepresented adults. METHOD: Comprehensive searching located published and unpublished studies with medication adherence behavior outcomes. Studies were included if samples were adults living in North America who had any of the following backgrounds or identities: African American, Native American, Latino, Latino American, Asian, Asian American, Pacific Islander, Native Alaskan, or Native Hawaiian...
December 2014: Preventive Medicine
Rafael Pérez-Escamilla, Grace Damio, Jyoti Chhabra, Maria L Fernandez, Sofia Segura-Pérez, Sonia Vega-López, Grace Kollannor-Samuel, Mariana Calle, Fatma M Shebl, Darrin D'Agostino
OBJECTIVE: Latinos with type 2 diabetes (T2D) face major healthcare access and disease management disparities. We examined the impact of the Diabetes Among Latinos Best Practices Trial (DIALBEST), a community health worker (CHW)-led structured intervention for improving glycemic control among Latinos with T2D. RESEARCH DESIGN AND METHODS: A total of 211 adult Latinos with poorly controlled T2D were randomly assigned to a standard of healthcare (n = 106) or CHW (n = 105) group...
February 2015: Diabetes Care
Alexandra Main, Deborah J Wiebe, Andrea R Croom, Katie Sardone, Elida Godbey, Christy Tucker, Perrin C White
OBJECTIVE: To examine associations of parent-adolescent relationship quality (parental acceptance and parent-adolescent conflict) with adolescent type 1 diabetes management (adherence and metabolic control) and depressive symptoms in Latinos and Caucasians. METHODS: In all, 118 adolescents and their mothers (56 = Latino, 62 = Caucasian) completed survey measures of parental acceptance, diabetes conflict, adolescent adherence, and adolescent depressive symptoms. Glycemic control was obtained from medical records...
November 2014: Journal of Pediatric Psychology
David W Baker, Tiffany Brown, David R Buchanan, Jordan Weil, Kate Balsley, Lauren Ranalli, Ji Young Lee, Kenzie A Cameron, M Rosario Ferreira, Quinn Stephens, Shira N Goldman, Alred Rademaker, Michael S Wolf
IMPORTANCE: Colorectal cancer (CRC) screening rates are lower among Latinos and people living in poverty. Fecal occult blood testing (FOBT) is one recommended screening modality that may overcome cost and access barriers. However, the ability of FOBT to reduce CRC mortality depends on high rates of adherence to annual screening. OBJECTIVE: To determine whether a multifaceted intervention increases adherence to annual FOBT compared with usual care. DESIGN, SETTING, AND PARTICIPANTS: Patient-level randomized controlled trial conducted in a network of community health centers...
August 2014: JAMA Internal Medicine
David A Fedele, Alvina Rosales, Robin S Everhart, Daphne Koinis-Michell, Glorisa Canino, Greg K Fritz, Elizabeth L McQuaid
OBJECTIVE: The current study examined the role of alternate caregivers (i.e., caregivers living outside of the home who spend at least 6 hr per week caring for the child) in a sample of Latino and non-Latino White (NLW) families with a child with asthma. METHODS: Participants included 665 families of children with asthma from NLW, Puerto Rican, and Dominican backgrounds from Rhode Island and Puerto Rico. All caregivers completed a validated semistructured family interview assessing asthma management strategies in the family context...
July 2014: Journal of Pediatric Psychology
Frank H Galvan, Laura M Bogart, Glenn J Wagner, David J Klein, Ying-Tung Chen
HIV-positive Latino men have been found to have poorer medication adherence compared to Whites. This study sought to identify how cultural conceptualisations of masculinity are associated with self-reported medication adherence among Latino men. A total of 208 HIV-positive men reported the number of doses of antiretroviral medication missed in the previous seven days (dichotomised at 100% adherence versus less). Conceptualisations of masculinity consisted of traditional machismo (e.g., power and aggressive attitudes, which are normally associated with negative stereotypes of machismo) and caballerismo (e...
June 2014: Culture, Health & Sexuality
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