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首页> 外文期刊>Health Services Insights >The Role of Parents' Medication Beliefs, Religious Problem-Solving, and Risks for Treatment Nonadherence in Urban Families with Asthma
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The Role of Parents' Medication Beliefs, Religious Problem-Solving, and Risks for Treatment Nonadherence in Urban Families with Asthma

机译：父母对哮喘家庭的药物治疗信念，宗教问题解决和不依从治疗风险的作用

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摘要

Childhood asthma is highly prevalent, affecting approximately nine million children in the United States. Negative effects of pediatric asthma are disproportionately experienced by ethnic minorities living in low-income, urban settings. Given the great diversity in families' ways of addressing children's asthma symptoms, sociocultural factors underlying asthma disparities must be examined. The current study investigated associations among parents' beliefs about conventional and holistic/alternative medications, parents' religious problem-solving strategies and childrens' risks for asthma treatment nonadherence. The sample included 66 parents of ethnically diverse children with asthma living in urban settings. Factor analysis of the Religious Problem Solving Questionnaire yielded two factors, self-directed (ie, solving problems independently of God) and God-involved problem solving. Parents' strong positive beliefs about conventional and alternative medications were associated with greater self-directed problem solving and with more risks for nonadherence. Higher levels of self-directed problem solving also were associated with more risks for nonadherence. Self-directed problem solving mediated the associations of conventional and alternative medication beliefs with risks for nonadherence. Possible explanations for these findings are discussed.
机译：儿童哮喘非常普遍，在美国影响了大约900万儿童。生活在低收入城市地区的少数民族很少遇到小儿哮喘的负面影响。鉴于家庭解决儿童哮喘症状的方法差异很大，因此必须检查哮喘差异背后的社会文化因素。本研究调查了父母对常规和整体/替代药物的信念，父母的宗教问题解决策略以及儿童哮喘治疗不依从风险之间的关联。样本包括居住在城市环境中的66名不同种族哮喘儿童的父母。宗教问题解决调查表的因素分析得出两个因素，即自我指导（即独立于上帝解决问题）和涉及上帝的问题解决。父母对常规和替代药物的强烈积极信念与更大的自我解决问题能力和更大的不依从风险有关。更高水平的自我解决问题的能力也与更多的不遵守风险相关。自我解决问题的能力调解了传统和替代药物信仰与不依从风险之间的联系。讨论了这些发现的可能解释。

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