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BETSY L. SLEATH, PH.D., B.S.PHARM., is Associate Professor, School of Pharmacy, University of North Carolina at Chapel Hill (UNCCH), and Research Associate, Cecil G. Sheps Center for Health Services Research, UNCCH. ELIZABETH JACKSON, PH.D., is Research Associate, Cecil G. Sheps Center for Health Services Research. KATHLEEN C. THOMAS, PH.D., is Research Associate and Fellow, Program on Mental Health Services and Systems Research, Cecil G. Sheps Center for Health Services Research. JAMES GALLOWAY, B.S., M.DIV., is Executive Director, Pan Lutheran Ministries of Wake County, Inc., Raleigh, NC. LISA DUMAIN, M.S.W., is Research Assistant, Cecil G. Sheps Center for Health Services Research. JOSHUA THORPE, PH.D., is Research Assistant Professor, School of Nursing, Duke University. ANGELA ROLLINS, PHARM.D., is Research Assistant, School of Pharmacy, UNCCH. JOSEPH MORRISSEY, PH.D., is Professor and Deputy Director for Research, Cecil G. Sheps Center for Health Services Research.
Address correspondence to Dr. Sleath at the Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, CB #7590, Chapel Hill, NC 27599-7590 (betsy_sleath{at}unc.edu).
Methods. Women in 18 homeless shelters in four counties in central North Carolina were recruited. Head-of-household homeless mothers with psychiatric or substance-abuse disorders and dependent children were eligible to participate. Trained interviewers administered a site-specific questionnaire on medication use.
Results. One hundred sixty-four homeless women participated. Forty-two percent of the women were currently taking a medication. Forty-six percent of the women stated that there was a barrier to taking their medications as prescribed. Medical literacy was not significantly related to whether women felt there were barriers to taking a medication. Seventy-five percent of the women reported having one or more children living with them. Thirty-seven percent reported having a child with asthma live with them, and 12% reported having a child with attention-deficit disorder. Forty percent reported a barrier to giving their child a needed medication. Taste was the most commonly reported barrier. Women with lower medical literacy and younger women were significantly more likely to report a barrier to giving their children a needed medication. Over 80% of women listed pharmacists as their first or second choice for receiving drug information orally.
Conclusion. Race and perceived barriers to medication use affected the medication-taking behavior of homeless women, while their age and literacy level affected the reporting rates of the barriers to medication use for their children. Homeless women preferred receiving both written and oral drug information from a physician or a pharmacist.
Index terms: Age; Comprehension; Drug abuse; Drug information; Drug use; Homeless persons; Pediatrics; Pharmacists; Race; Sociology; Taste; Women
Purpose. The relation of medical literacy to women-reported barriers to taking medication themselves or giving medication to their children was studied.
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