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Adherence to antidiabetic treatment in primary health care in individuals with type 2 diabetes. A survey including socio-demographic, patient related and clinical factors.
Silva-Tinoco, Ruben; Cuatecontzi-Xochitiotzi, Teresa; Bernal-Ceballos, Fernanda; Torre-Saldaña, Viridiana de la; Galindez-Fuentes, Ana; Castillo-Martínez, Lilia.
Affiliation
  • Silva-Tinoco R; Clinic Specialized in the Diabetes Management of the Mexico City Government, Servicios de Salud Pública de la Ciudad de México, Mexico. Electronic address: ruben_ost@hotmail.com.
  • Cuatecontzi-Xochitiotzi T; Clinic Specialized in the Diabetes Management of the Mexico City Government, Servicios de Salud Pública de la Ciudad de México, Mexico. Electronic address: xochitiotzi1@gmail.com.
  • Bernal-Ceballos F; Facultad de Estudios Superiores Zaragoza, Universidad Nacional Autónoma de México, Mexico. Electronic address: fer_6187@hotmail.com.
  • Torre-Saldaña V; Clinic Specialized in the Diabetes Management of the Mexico City Government, Servicios de Salud Pública de la Ciudad de México, Mexico. Electronic address: itzel.galindez13@outlook.com.
  • Galindez-Fuentes A; Clinic Specialized in the Diabetes Management of the Mexico City Government, Servicios de Salud Pública de la Ciudad de México, Mexico. Electronic address: dradelatorreviridiana@gmail.com.
  • Castillo-Martínez L; Department of Clinical Nutrition, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubiran, México; Facultad de Medicina, Universidad Nacional Autónoma de México, México. Electronic address: cam7125@gmail.com.
Prim Care Diabetes ; 16(6): 780-785, 2022 12.
Article in En | MEDLINE | ID: mdl-36127243
ABSTRACT

BACKGROUND:

Adherence to medications is a critical element in diabetes management.

OBJECTIVE:

To investigate patient-related factors associated with adherence to antidiabetic treatment in patients with type 2 diabetes in primary health-care units.

METHODS:

A cross-sectional study among patients receiving diabetes care in 18 primary care units in Mexico City was conducted. Data were collected from medical records and medical interviews. Adherence to antidiabetic therapy and patient-related factors associated with adherence were evaluated through a self-administered questionnaire. Socio-demographic, clinical, behavioral (self-care activities including a healthy diet, exercise or physical activity, self-monitoring of blood glucose testing, and foot care), and patients-adherence-related factors (health-care provider-patient communication; daily and social activities, and support network; alternative treatment beliefs; comorbidity, diabetes symptoms, and treatment; side effects and treatment access) were compared between the adherent and non-adherent group.

RESULTS:

Of 319 outpatients, 48.3% were adherent to their antidiabetic therapy. In the adjusted analysis, patient-related factors associated to adherence were exercise and physical activity self-care behavior (OR=1.26; 95%CI 1.09-1.46), treatment interference with daily activities (OR=0.27; 95%CI 0.14-0.52), not satisfied with resolution of questions by the physician (OR=0.42; 95%CI 0.19-0.94), independently to increased cardiovascular risk and insulin treatment.

CONCLUSION:

A low proportion of outpatients with T2D with regular primary care were adherent to diabetes treatment and this was associated with patient-related factors like answering patients' treatment-related questions by the physician. This information may be useful to identify patients at risk for low adherence, and to guide the design of quality-of-care strategies, like diabetes education programs to address suboptimal adherence in patients, and health-care professional communication skills training, particularly in primary care health systems.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Diabetes Mellitus, Type 2 / Hypoglycemic Agents Type of study: Diagnostic_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Aspects: Implementation_research Limits: Humans Language: En Journal: Prim Care Diabetes Journal subject: ENDOCRINOLOGIA Year: 2022 Document type: Article

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Diabetes Mellitus, Type 2 / Hypoglycemic Agents Type of study: Diagnostic_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Aspects: Implementation_research Limits: Humans Language: En Journal: Prim Care Diabetes Journal subject: ENDOCRINOLOGIA Year: 2022 Document type: Article