title: Medication use practices and perceptions among patients in a U.S.-Mexico border community.
abstract: OBJECTIVE
  To identify themes surrounding medication use practices and perceptions among individuals from a U.S.-Mexico border community recruited to participate in focus groups.
  
  
  METHODS
  This study was conducted in El Paso, TX. Adult participants considered to be at risk for medication therapy problems (i.e., older adults, pregnant or breast-feeding women, parents of young children) were recruited for participation. Focus groups and a survey were used to evaluate perceptions, concerns, and patterns of use of U.S. medications, Mexican medications, and herbal products.
  
  
  RESULTS
  A sample of 73 adults, most of whom were Hispanic women (n = 60 [82%]), were recruited for participation in seven focus groups. Across groups, the majority participated in the older adult cohort (n = 42 [58%]), reported having an annual household income of less than $15,000 (n = 57 [78%]), and identified that they had less than a high school education (n = 40 [55%]). Four dominant themes emerged from the participants who completed both the survey and focus groups: (1) a "comfort" level for using a combination of U.S. medications, Mexican medications, and herbal products; (2) customary use of different drug information sources including physicians, Mexican pharmacy staff, U.S. pharmacists, and family members; (3) inconsistent levels of confidence in interpreting, measuring, and using medications; and (4) a sense of frustration regarding medication costs, which led participants to seek alternative options.
  
  
  CONCLUSIONS
  These qualitative results provide an increased understanding of medication use practices and perceptions in this population. Findings such as these can provide guidance and insight into the development of interventions to improve safe and effective medication use.
authors.affiliation: UTEP/UT Austin Cooperative Pharmacy Program, College of Health Sciences, University of Texas at El Paso, USA. amloya1@utep.edu
authors.forename: Amanda M
authors.initials: AM
authors.lastname: Loya
authors.forename: Jeri J
authors.initials: JJ
authors.lastname: Sias
authors.forename: José O
authors.initials: JO
authors.lastname: Rivera
mesh_terms: D000328:Adult; D000368:Aged; D003625:Data Collection; D005260:Female; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008800:Mexico; D008875:Middle Aged; D063046:Patient Medication Knowledge; D011247:Pregnancy; D013781:Texas; D014481:United States