Journal
DIABETES RESEARCH AND CLINICAL PRACTICE
Volume 155, Issue -, Pages -Publisher
ELSEVIER IRELAND LTD
DOI: 10.1016/j.diabres.2019.04.007
Keywords
Hispanic/Latino; Type 2 diabetes; Glycemic control; Proportion of days covered
Categories
Funding
- National Institute of Nursing Research [5R01NR014866-03]
- San Diego State University Research Foundation
- American Heart Association [16SFRN27940007]
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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%) (p < 0.05). We found significant differences between levels social support and medication adherence (p < 0.05). In hierarchical models, being US born and higher levels of social support were associated with low adherence among males (p < 0.05, and p < 0.001). Conclusions: Approximately 72% of Mexican heritage adults demonstrated low adherence (PDC <= 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. (C) 2019 Elsevier B.V. All rights reserved.
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