Factors associated with therapy noncompliance in type-2 diabetes patients

OBJECTIVE: To identify the frequency and factors associated with therapy noncompliance in type-2 diabetes mellitus patients. MATERIAL AND METHODS: A cross-sectional study was carried out in 79 patients with type-2 diabetes mellitus seen in major hospitals of Mexico City. Patients were visited at hom...

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Main Authors: Hernández-Ronquillo Lizbeth, Téllez-Zenteno José Francisco, Garduño-Espinosa Juan, González-Acevez Erick
Format: Article
Language:English
Published: Instituto Nacional de Salud Pública 2003-01-01
Series:Salud Pública de México
Subjects:
Online Access:http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0036-36342003000300008
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author Hernández-Ronquillo Lizbeth
Téllez-Zenteno José Francisco
Garduño-Espinosa Juan
González-Acevez Erick
author_facet Hernández-Ronquillo Lizbeth
Téllez-Zenteno José Francisco
Garduño-Espinosa Juan
González-Acevez Erick
author_sort Hernández-Ronquillo Lizbeth
collection DOAJ
description OBJECTIVE: To identify the frequency and factors associated with therapy noncompliance in type-2 diabetes mellitus patients. MATERIAL AND METHODS: A cross-sectional study was carried out in 79 patients with type-2 diabetes mellitus seen in major hospitals of Mexico City. Patients were visited at home, from March 1998 to August 1999, to measure compliance with prescribed therapy. Complying patients were defined as those taking at least 80% of their pills or 80% of their corresponding insulin dose. The degree of compliance with therapy components (diet, amount of exercise, and keeping appointments) was measured. RESULTS: The average age of study subjects was 59 years (SD 11 years); 73% (n=58) were female subjects. The overall frequency of noncompliance was 39%. Noncompliance rates were: 62% for dietary recommendations, 85% for exercise, 17% for intake of oral hypoglycemic medication, 13% for insulin application, and 3% for appointment keeping. Hypertension plus obesity was the only factor significantly associated with noncompliance (OR 4.58, CI 95% 1.0, 22.4, p=0.02). CONCLUSIONS: The frequency of therapy noncompliance was very high, especially for diet and exercise.
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spelling doaj.art-a876ea3a582a40e9b50ddebf9bc059d82022-12-22T00:43:43ZengInstituto Nacional de Salud PúblicaSalud Pública de México0036-36342003-01-01453191197Factors associated with therapy noncompliance in type-2 diabetes patientsHernández-Ronquillo LizbethTéllez-Zenteno José FranciscoGarduño-Espinosa JuanGonzález-Acevez ErickOBJECTIVE: To identify the frequency and factors associated with therapy noncompliance in type-2 diabetes mellitus patients. MATERIAL AND METHODS: A cross-sectional study was carried out in 79 patients with type-2 diabetes mellitus seen in major hospitals of Mexico City. Patients were visited at home, from March 1998 to August 1999, to measure compliance with prescribed therapy. Complying patients were defined as those taking at least 80% of their pills or 80% of their corresponding insulin dose. The degree of compliance with therapy components (diet, amount of exercise, and keeping appointments) was measured. RESULTS: The average age of study subjects was 59 years (SD 11 years); 73% (n=58) were female subjects. The overall frequency of noncompliance was 39%. Noncompliance rates were: 62% for dietary recommendations, 85% for exercise, 17% for intake of oral hypoglycemic medication, 13% for insulin application, and 3% for appointment keeping. Hypertension plus obesity was the only factor significantly associated with noncompliance (OR 4.58, CI 95% 1.0, 22.4, p=0.02). CONCLUSIONS: The frequency of therapy noncompliance was very high, especially for diet and exercise.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0036-36342003000300008diabetes mellitusnon-insulin-dependentnoncompliancediabetic dietexercisedepressionMexico
spellingShingle Hernández-Ronquillo Lizbeth
Téllez-Zenteno José Francisco
Garduño-Espinosa Juan
González-Acevez Erick
Factors associated with therapy noncompliance in type-2 diabetes patients
Salud Pública de México
diabetes mellitus
non-insulin-dependent
noncompliance
diabetic diet
exercise
depression
Mexico
title Factors associated with therapy noncompliance in type-2 diabetes patients
title_full Factors associated with therapy noncompliance in type-2 diabetes patients
title_fullStr Factors associated with therapy noncompliance in type-2 diabetes patients
title_full_unstemmed Factors associated with therapy noncompliance in type-2 diabetes patients
title_short Factors associated with therapy noncompliance in type-2 diabetes patients
title_sort factors associated with therapy noncompliance in type 2 diabetes patients
topic diabetes mellitus
non-insulin-dependent
noncompliance
diabetic diet
exercise
depression
Mexico
url http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0036-36342003000300008
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