Correlates of low-adherence to oral hypoglycemic medications among Hispanic/Latinos of Mexican heritage with Type 2 Diabetes in the United States.
Diabetes Res Clin Pract
; 155: 107692, 2019 Sep.
Article
em En
| MEDLINE
| ID: mdl-30954512
ABSTRACT
AIMS:
We examined psychosocial- and social/economic factors related to low medication adherence, and sex differences, among 279 adults of Mexican heritage with Type 2 Diabetes.METHODS:
Self-report and health record data were used for cross-sectional analyses. Bivariate analyses tested the association of demographic, psychosocial (depression, anxiety, stress) and social/economic factors (insurance type, health literacy, social support) and medication adherence measured by proportion of days covered. Hierarchical regression analyses examined associations between demographic, psychosocial- and social/economic- related factors and low medication adherence stratified by sex.RESULTS:
More males than females demonstrated low adherence to hypoglycemic medications (75.0.% vs. 70.3%) (pâ¯<â¯0.05). We found significant differences between levels social support and medication adherence (pâ¯<â¯0.05). In hierarchical models, being US born and higher levels of social support were associated with low adherence among males (pâ¯<â¯0.05, and pâ¯<â¯0.001).CONCLUSIONS:
Approximately 72% of Mexican heritage adults demonstrated low adherence (PDCâ¯≤â¯0.50) to their hypoglycemic regimen, and gender differences exist. Interventions should address gender differences in preferences for social support to improve medication-taking behaviors among Mexican heritage males.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Hispânico ou Latino
/
Diabetes Mellitus Tipo 2
/
Adesão à Medicação
/
Hipoglicemiantes
Tipo de estudo:
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
America do norte
/
Mexico
Idioma:
En
Revista:
Diabetes Res Clin Pract
Ano de publicação:
2019
Tipo de documento:
Article