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Medication adherence among acne patients: a review
Robert Lott1, Sarah L Taylor, Jenna L O'Neill
1Department of Dermatology, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
Journal of Cosmetic Dermatology
|July 13, 2010
Summary
Medication adherence in teens with acne is challenging, with many citing lack of time for topical treatments. Improving adherence may enhance treatment success and quality of life for acne patients.
Area of Science:
- Dermatology
- Pharmacology
- Public Health
Background:
- Acne is a chronic skin condition requiring long-term medication use.
- Adherence to topical acne treatments is often poor, increasing the risk of treatment failure.
- Poor medication adherence is a significant factor in treatment failure among adolescents with acne.
Purpose of the Study:
- To review existing literature on medication adherence in adolescent acne patients.
- To assess adherence levels and identify predictors of adherence in this population.
- To establish a foundation for future research on acne medication adherence.
Main Methods:
- A comprehensive literature search was performed using Medline.
- Keywords included "acne" and "adherence" or "compliance."
- Studies that reported adherence data were included in the analysis.
Main Results:
- A positive correlation exists between quality of life and medication adherence in acne patients.
- Factors such as increased age, female gender, and employment were weaker predictors of adherence.
- Inadequate time for treatment application was the most common reason for nonadherence.
- Less frequent medication dosing correlated with better adherence.
- Medication adherence was associated with improved health status.
- Longer intervals between office visits may decrease compliance.
Conclusions:
- Measuring medication adherence accurately is difficult, with patient self-reports often overestimating actual adherence.
- Lack of time is a primary reason cited by patients for nonadherence to topical acne medications.
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