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Association of medication beliefs and self-efficacy with adherence in urban Hispanic and African–American rheumatoid arthritis patients
  1. Tanya M Spruill1,
  2. Gbenga Ogedegbe1,
  3. Leslie R Harrold2,
  4. Jeffrey Potter3,
  5. Jose U Scher3,
  6. Pamela B Rosenthal3,
  7. Jeffrey D Greenberg3
  1. 1Department of Population Health, New York University School of Medicine, New York, New York, USA
  2. 2Departments of Orthopedics and Physical Rehabilitation and Medicine, University of Massachusetts Medical School, Worcester, Massachusetts, USA
  3. 3Department of Medicine (Rheumatology), New York University School of Medicine, New York, New York, USA
  1. Correspondence to Dr Tanya M Spruill, Center for Healthful Behavior Change, Department of Population Health, New York University School of Medicine, 227 East 30th Street, 6th floor, Room 640, New York, NY 10016, USA; tanya.spruill{at}nyumc.org

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Adherence to rheumatoid arthritis (RA) medications varies widely but is frequently suboptimal1 and is particularly poor among racial/ethnic minority patients,2 which may help to explain the growing evidence of disparities in RA clinical outcomes.2 Beliefs about medications and self-efficacy perceptions (ie, confidence) regarding medication-taking behaviour are two modifiable patient factors that have been associated with adherence to RA medications in largely Caucasian study samples.1 Minority RA patients report more negative medication beliefs and lower self-efficacy compared with Caucasians,3–5 but to our knowledge, the relationship between these psychological factors and medication adherence in these groups has not been reported.

We addressed this question in a cross-sectional study of 56 urban Hispanic and African–American RA patients recruited consecutively from the waiting rooms of two NYU-affiliated rheumatology clinics in New York City (Bellevue Hospital and Hospital for Joint Diseases) between November 2012 and January 2013. All patients meeting …

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