Beliefs about complementary and alternative medicine and asthma medication among Hispanic/Latinx and Black adolescents in New York City.

This was a secondary analysis of baseline survey data from a larger trial, so it measured beliefs at one time and cannot show that beliefs caused poor asthma control or non-adherence. The CAM and ICS belief measure was previously validated in Black/African American adults, not adolescents, so it may not fully capture adolescent beliefs. Only adolescents with uncontrolled asthma were included, so results may not apply to adolescents with controlled asthma. Only 58 adolescents who reported ICS use completed the ICS questions, so negative beliefs among those not using ICS were not measured. Beliefs were self-reported and could be affected by recall or social desirability. Many individual comparisons were made, so the significant item-level findings may reflect multiple testing despite correction. Most participants did not know their insurance type, so insurance-related differences could not be examined.

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Do not conclude that CAM treatments work for asthma or that CAM or ICS beliefs caused poor control. This was a cross-sectional self-report study of adolescents with uncontrolled asthma, and only adolescents who had used ICS completed the ICS belief questions.