Drug compliance and identity: reasons for non-compliance. Experiences of medication from persons with asthma/allergy

Patient Educ Couns. 2004 Jul;54(1):3-9. doi: 10.1016/S0738-3991(03)00199-X.


The aim of the study was to describe patient experiences of medication. Patients with asthma/allergy were interviewed in depth twice with 8 years between. The interviews were analysed according to the phenomenographic approach and three categories, one with four sub-categories, were identified: 'access to medicine is important to relieve discomfort and to avoid fear', 'medicine damages your body and your identity without curing the illness' (because 'you can become immune or addicted', 'the ability of your body to heal itself is weakened', 'your body's own signals are camouflaged' and 'you become stigmatised') and 'production and distribution of medicine is a profit-seeking commercial undertaking which is not primarily aimed at curing the patient'. Medication experiences were stable over time. Sociological and biological survival must be compared in an open discussion along with the patient's and health professional's different reasons for how they take or prescribe medication.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Asthma* / drug therapy
  • Asthma* / psychology
  • Denial, Psychological
  • Drug Prescriptions
  • Fear
  • Female
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Hypersensitivity* / drug therapy
  • Hypersensitivity* / psychology
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Motivation*
  • Nursing Methodology Research
  • Qualitative Research
  • Self Concept*
  • Stereotyping
  • Surveys and Questionnaires
  • Sweden
  • Treatment Refusal / psychology*