Publication Date

10-16-2017

Document Type

Article

Organizational Units

College of Arts Humanities and Social Sciences, Anthropology

Keywords

Chronic kidney disease, Pediatric patients, Treatment access, Medication adherence, Guatemala

Abstract

Pediatric patients with Chronic Kidney Disease face several barriers to medication adherence that, if addressed, may improve clinical care outcomes. A cross sectional questionnaire was administered in the Foundation for Children with Kidney Disease (FUNDANIER, Guatemala City) from September of 2015 to April of 2016 to identify the predisposing factors, enabling factors and need factors related to medication adherence. Sample size was calculated using simple random sampling with a confidence level of 95%, confidence interval of 0.05 and a proportion of 87%. A total of 103 participants responded to the questionnaire (calculated sample size was 96). Independent variables were defined and described, and the bivariate relationship to dependent variables was determined using Odds Ratio. Multivariate analysis was carried out using logistic regression. The mean adherence of study population was 78% (SD 0.08, max = 96%, min = 55%). The mean adherence in transplant patients was 82% (SD 7.8, max 96%, min 63%), and the mean adherence in dialysis patients was 76% (SD 7.8 max 90%, min 55%). Adherence was positively associated to the mother's educational level and to higher monthly household income. Together predisposing, enabling and need factors illustrate the complexities surrounding adherence in this pediatric CKD population. Public policy strategies aimed at improving access to comprehensive treatment regimens may facilitate treatment access, alleviating economic strain on caregivers and may improve adherence outcomes.

Copyright Date

10-16-2017

Copyright Statement / License for Reuse

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

Rights Holder

Brooke Ramay, Alejandro Cerón, Luis Pablo Méndez-Alburez, Randall Lou-Meda

Provenance

Received from author

File Format

application/pdf

Language

English (eng)

Extent

12 pgs

File Size

401 KB

Publication Statement

Copyright is held by the author. User is responsible for all copyright compliance.

Publication Title

PLOS One

Volume

12

Issue

10

First Page

1

Last Page

12

ISSN

1932-6203

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