[Non-adherence to the therapy in Crohn's disease patients: prevalence and risk factors].
BACKGROUND
Non-adherence to therapy, in any degree is a common event and occurs in several circumstances. It is one of most common cause of fail in therapy of chronic diseases and Crohn's disease is not an exception.


OBJECTIVE
To evaluate in patients with Crohn's disease the prevalence and the risk factors to non-adherence to therapy.


METHODS
From July 2006, for 12 months, were included prospectively, for non-adhesion to therapy 100 patients with Crohn's disease that were assisted in a Center for Inflammatory Bowel Diseases of University Hospital of Federal University of Juiz de Fora, MG, in Brazil. A modified Morisky & Green Test for Measure of Adherence to Therapy was answered by all of them. According to test the patients were classified in two groups defined as adherence and non-adherence, respectively, and the last one was separated in intentional and non-intentional adhesion. Clinical, psychological and pharmacotherapeutics variables were sought to find the factors related to non-adherence.


RESULTS
Sixty four percent of total group were noticed to have a score of non-adherence to therapy according to used test and non-intentional was the most common type of behavior in such patients, and they demonstrated to be conscious of therapy. The comparison of adherent and non-adherent patients displayed a significant tendency to occurrence of non-adherence in younger (P = 0.07) and in non-white patients (P = 0.06). No correlation was observed in comparison of psychological and pharmacotherapeutics variables and non-adherence.


CONCLUSIONS
In patients with Crohn's disease the prevalence of non-adherence to therapy is high (64%). The younger and non-white patients have higher propensity to non-adherence. In such circumstances efforts should be made to look for strategies to deal with this sort of people suffering from Crohn's disease, trying to increase the degree of adherence in this sort of patients.
Cornélio
Rita de Cássia Azevedo Couto
Rde C
Hospital Universitário, Universidade Federal de Juiz de Fora, MG. ritacornelio@acessa.com
Pinto
André Luis Tavares
AL
Pace
Fábio Heleno de Lima
FH
Moraes
Jussara Paixão
JP
Chebli
Júlio Maria Fonseca
JM
D000328:Adult; D000368:Aged; D003424:Crohn Disease / Q000188:drug therapy*; D004812:Epidemiologic Methods; D005260:Female; D006801:Humans; D008297:Male; D055118:Medication Adherence / Q000523:psychology; D008875:Middle Aged; D055815:Young Adult; D016903:Drug Monitoring