Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Juch, H; Lupattelli, A; Ystrom, E; Verheyen, S; Nordeng, H.
Medication adherence among pregnant women with hypothyroidism-missed opportunities to improve reproductive health? A cross-sectional, web-based study.
Patient Educ Couns. 2016; 99(10):1699-1707
Doi: 10.1016/j.pec.2016.04.006
Web of Science
PubMed
FullText
FullText_MUG
- Führende Autor*innen der Med Uni Graz
- Juch Herbert
- Co-Autor*innen der Med Uni Graz
- Verheyen Sarah
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- Abstract:
- To evaluate patterns of and factors associated with a lack of pharmacotherapy as well as low adherence to treatment of hypothyroidism in pregnancy. This multinational, cross-sectional, internet-based study recruited pregnant woman in 18 countries. Data about women's socio-demographic and medical characteristics, medication adherence (8-item Morisky Medication Adherence Scale), beliefs about medication (Beliefs about Medicine Questionnaire), and personality traits (Big Five Personality Trait questionnaire) were collected via an online questionnaire. 229 of 5095 women had hypothyroidism during pregnancy; of these, 93% reported hypothyroidism pharmacotherapy. Adherence was low among 17% (95% CI: 12.5-22.5%) of medicated women, whilst it was moderate and high among 44% and 39%, respectively. Not using folic acid and not living in a stable relationship were associated with an increased likelihood for untreated hypothyroidism. Younger maternal age and not using folic acid in pregnancy were factors significantly associated with low adherence. Conscientiousness and the perception that the benefit of pharmacotherapy outweighed the risks were associated with higher levels of adherence. There is room for improvement of adherence to hypothyroidism treatment in pregnancy. Counselling of women with hypothyroidism in pregnancy should include a proper risk communication and information framing, to ameliorate maternal and foetal health. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Attitude to Health -
- Cross-Sectional Studies -
- Female -
- Health Knowledge, Attitudes, Practice -
- Humans -
- Hypothyroidism - diagnosis
- Hypothyroidism - drug therapy
- Internet -
- Maternal Age -
- Medication Adherence - psychology
- Medication Adherence - statistics & numerical data
- Perception -
- Pregnancy -
- Pregnancy Complications - diagnosis
- Pregnancy Complications - therapy
- Pregnant Women - psychology
- Reproductive Health -
- Surveys and Questionnaires -
- Young Adult -
- Find related publications in this database (Keywords)
- Medication adherence
- Hypothyroidism
- Pregnancy
- Levothyroxine
- Beliefs about medication