The Impact of Socio Economic Factors on the Adherence of Patients with Gestational Diabetes Mellitus to Medical Recommendations
Background: Adherence to medical recommendations is very important to control gestational diabetes mellitus (GDM), as one of the most important disorders during pregnancy. In this study, we explored the impact of socio-economic status (SES) on the adherence of a cohort of GDM in Iran. Methods: In...
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2019-09-01
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| Series: | Iranian Journal of Public Health |
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| Online Access: | https://ijph.tums.ac.ir/index.php/ijph/article/view/18256 |
| _version_ | 1818899204431413248 |
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| author | Ali Akbar HAGHDOOST Mohammad Reza BANESHI Alireza RAZZAGHI Adel NOORI |
| author_facet | Ali Akbar HAGHDOOST Mohammad Reza BANESHI Alireza RAZZAGHI Adel NOORI |
| author_sort | Ali Akbar HAGHDOOST |
| collection | DOAJ |
| description | Background: Adherence to medical recommendations is very important to control gestational diabetes mellitus (GDM), as one of the most important disorders during pregnancy. In this study, we explored the impact of socio-economic status (SES) on the adherence of a cohort of GDM in Iran.
Methods: In this prospective study, 230 pregnant women with confirmed GDM were followed from Feb to Jun 2013 in a referral diabetic care center in Iran. The SES of subjects were quantified using a combined score generated by principal component analysis (PSA). Medical adherence score of subjects was measured in three follow up visits in a range of 0 to 10 and were linked to SES using linear regression model.
Results: The adherence scores women in the first, second, and third follow up visits were 5.06±2.12, 5.46±2.06, and 5.08±1, respectively. Women fourth quartile of SES (the highest level of SES) has a least compliance to medical orders in comparison to first quartile of SES (the lowest level of SES) with the OR -2.75 (95% Cl: -3.17, -2.23).
Conclusion: The medical adherence of pregnant women with GDM is significantly poorer in high SES groups. Therefore, as an important determinant, we may target high SES pregnant women to control the adverse effects of the disorder more efficiently. |
| first_indexed | 2024-12-19T19:44:15Z |
| format | Article |
| id | doaj.art-1e95ae9bd3784a9381d78f8c9d00de8e |
| institution | Directory Open Access Journal |
| issn | 2251-6085 2251-6093 |
| language | English |
| last_indexed | 2024-12-19T19:44:15Z |
| publishDate | 2019-09-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Iranian Journal of Public Health |
| spelling | doaj.art-1e95ae9bd3784a9381d78f8c9d00de8e2022-12-21T20:08:10ZengTehran University of Medical SciencesIranian Journal of Public Health2251-60852251-60932019-09-0148910.18502/ijph.v48i9.3029The Impact of Socio Economic Factors on the Adherence of Patients with Gestational Diabetes Mellitus to Medical RecommendationsAli Akbar HAGHDOOST0Mohammad Reza BANESHI1Alireza RAZZAGHI2Adel NOORI3Social Determinants of Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, IranModeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, IranSafety Promotion and Injury Prevention Research Center, Shahid Beheshti University of Medical Sciences, Tehran, IranSocial Determinants of Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, IranBackground: Adherence to medical recommendations is very important to control gestational diabetes mellitus (GDM), as one of the most important disorders during pregnancy. In this study, we explored the impact of socio-economic status (SES) on the adherence of a cohort of GDM in Iran. Methods: In this prospective study, 230 pregnant women with confirmed GDM were followed from Feb to Jun 2013 in a referral diabetic care center in Iran. The SES of subjects were quantified using a combined score generated by principal component analysis (PSA). Medical adherence score of subjects was measured in three follow up visits in a range of 0 to 10 and were linked to SES using linear regression model. Results: The adherence scores women in the first, second, and third follow up visits were 5.06±2.12, 5.46±2.06, and 5.08±1, respectively. Women fourth quartile of SES (the highest level of SES) has a least compliance to medical orders in comparison to first quartile of SES (the lowest level of SES) with the OR -2.75 (95% Cl: -3.17, -2.23). Conclusion: The medical adherence of pregnant women with GDM is significantly poorer in high SES groups. Therefore, as an important determinant, we may target high SES pregnant women to control the adverse effects of the disorder more efficiently.https://ijph.tums.ac.ir/index.php/ijph/article/view/18256Gestational diabetes mellitusSocio-economic statusAdherenceMedical ordersFactor analysis |
| spellingShingle | Ali Akbar HAGHDOOST Mohammad Reza BANESHI Alireza RAZZAGHI Adel NOORI The Impact of Socio Economic Factors on the Adherence of Patients with Gestational Diabetes Mellitus to Medical Recommendations Iranian Journal of Public Health Gestational diabetes mellitus Socio-economic status Adherence Medical orders Factor analysis |
| title | The Impact of Socio Economic Factors on the Adherence of Patients with Gestational Diabetes Mellitus to Medical Recommendations |
| title_full | The Impact of Socio Economic Factors on the Adherence of Patients with Gestational Diabetes Mellitus to Medical Recommendations |
| title_fullStr | The Impact of Socio Economic Factors on the Adherence of Patients with Gestational Diabetes Mellitus to Medical Recommendations |
| title_full_unstemmed | The Impact of Socio Economic Factors on the Adherence of Patients with Gestational Diabetes Mellitus to Medical Recommendations |
| title_short | The Impact of Socio Economic Factors on the Adherence of Patients with Gestational Diabetes Mellitus to Medical Recommendations |
| title_sort | impact of socio economic factors on the adherence of patients with gestational diabetes mellitus to medical recommendations |
| topic | Gestational diabetes mellitus Socio-economic status Adherence Medical orders Factor analysis |
| url | https://ijph.tums.ac.ir/index.php/ijph/article/view/18256 |
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