Insulin Adherence in Type 2 Diabetes in Mexico: Behaviors and Barriers

Autor: Roopa Mehta, Carlos A. Aguilar-Salinas, Josefa Riofrios-Palacios, Paloma Almeda-Valdes, Janneth Bermeo-Cabrera
Rok vydání: 2018
Předmět:
Adult
Male
medicine.medical_specialty
Activities of daily living
Article Subject
Cross-sectional study
Endocrinology
Diabetes and Metabolism
medicine.medical_treatment
Health Behavior
030209 endocrinology & metabolism
Type 2 diabetes
Hypoglycemia
lcsh:Diseases of the endocrine glands. Clinical endocrinology
Medication Adherence
03 medical and health sciences
0302 clinical medicine
Endocrinology
Patient Education as Topic
Surveys and Questionnaires
Internal medicine
Diabetes mellitus
Activities of Daily Living
medicine
Humans
Hypoglycemic Agents
Insulin
030212 general & internal medicine
Patient participation
Mexico
Aged
lcsh:RC648-665
business.industry
Type 2 Diabetes Mellitus
Middle Aged
medicine.disease
Cross-Sectional Studies
Treatment Outcome
Diabetes Mellitus
Type 2
Social Class
Linear Models
Female
Patient Participation
business
Attitude to Health
Research Article
Zdroj: Journal of Diabetes Research
Journal of Diabetes Research, Vol 2018 (2018)
ISSN: 2314-6753
2314-6745
DOI: 10.1155/2018/3190849
Popis: Objective. To investigate factors associated with insulin adherence in subjects with type 2 diabetes mellitus (T2D) attending a tertiary care centre in Mexico City. Material and Methods. Cross-sectional study, including 200 patients. Adherence to insulin therapy was measured with a medication adherence questionnaire. Sociodemographic data and factors related to insulin omission were collected and compared between the nonadherent and adherent groups. Results. We categorized 117 (58.5%) patients as nonadherent and 83 (41.5%) as adherent. Among the adherent, only 22 patients (11%) had excellent adherence to insulin therapy. The following factors were associated with nonadherence: lack of planning of daily activities (46.1%), fear of hypoglycemia (41%), economic factors (15.4%), and number of insulin applications (2.31 versus 1.76 applications per day). Conclusions. In this study, patients with type 2 diabetes attending a tertiary care referral centre showed inadequate adherence to insulin therapy. The principal factors associated with insulin omission were low socioeconomic status, fear of hypoglycemia, and a greater number of insulin applications per day.
Databáze: OpenAIRE
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