Adherence to Insulin, Emotional Distress, and Trust in Physician Among Patients with Diabetes: A Cross-Sectional Study

Autor: Lucine Halepian, Mary Bou Saleh, Lydia Rabbaa Khabbaz, Souheil Hallit
Přispěvatelé: Université Saint-Joseph de Beyrouth (USJ), Bordeaux population health (BPH), Université de Bordeaux (UB)-Institut de Santé Publique, d'Épidémiologie et de Développement (ISPED)-Institut National de la Santé et de la Recherche Médicale (INSERM), Université Libanaise, Admin, Oskar
Jazyk: angličtina
Rok vydání: 2018
Předmět:
medicine.medical_specialty
Cross-sectional study
Endocrinology
Diabetes and Metabolism
medicine.medical_treatment
030209 endocrinology & metabolism
Type 2 diabetes
03 medical and health sciences
0302 clinical medicine
Emotional distress
Diabetes mellitus
Internal medicine
Internal Medicine
Medicine
Insulin
030212 general & internal medicine
Original Research
Sedentary lifestyle
[SDV.MHEP.EM] Life Sciences [q-bio]/Human health and pathology/Endocrinology and metabolism
business.industry
Public health
Diabetes
[SDV.MHEP.EM]Life Sciences [q-bio]/Human health and pathology/Endocrinology and metabolism
medicine.disease
3. Good health
Distress
[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie
Adherence
Trust in physician
[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie
business
Zdroj: Diabetes Therapy
Diabetes Therapy, Springer, 2018, 9 (2), pp.713-726. ⟨10.1007/s13300-018-0389-1⟩
ISSN: 1869-6953
Popis: Introduction Type 2 diabetes represents a significant public health issue, with increasing prevalence in developing countries while adherence to insulin treatment remains a challenge. No studies have evaluated the relationship between adherence to insulin, diabetes-related distress, and trust in physician among persons with diabetes. Our objectives were to evaluate treatment adherence to insulin, emotional distress (using the Problem Areas in Diabetes Questionnaire, PAID), trust in physician, and to examine associations between them among Lebanese patients with diabetes. Methods This cross-sectional study, conducted in all districts of Lebanon between August 2016 and April 2017, enrolled 135 adult patients. Results The mean percentage score of adherence to insulin was 79.7 ± 19.94. A significantly higher mean adherence score was found in non-sedentary (81.96) compared to sedentary patients (67.41) (p = 0.017), with no difference between gender, employment, rural vs non-rural residence, or familial history of diabetes. In addition, no significant relationship was seen between adherence score and education level, smoking, or alcohol intake. A significant positive association was found between trust in physician and adherence scores, whereas a significant but negative one was found between PAID and adherence scores. The results of linear regressions showed that a secondary level of education (beta = − 13.48) significantly decreased the trust in physician score, whereas the total number of oral antidiabetics (beta = 0.93) increased it. Having a sedentary lifestyle (beta = − 12.73) and smoking < 3 waterpipes/week compared to no smoking (beta = − 16.82) significantly decreased the adherence score. Female gender (beta = 10.46), smoking < 3 waterpipes (beta = 27.42) and 3 + waterpipes/week (beta = 17.95) significantly increased the PAID score. Conclusion Trust in physician is associated with an increased adherence and with decreased diabetes-related distress. This distress was also associated with poor adherence in our study. Electronic supplementary material The online version of this article (doi:10.1007/s13300-018-0389-1) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE
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