Variables associated with adherence to the treatment of type 2 diabetes mellitus among elderly people

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Abstract
Aim To estimate the prevalence and variables associated with the adherence to medical treatment for type 2 diabetes mellitus in elderly people attending the family healthcare units in Ribeirão Preto, State of São Paulo, Brazil. Methods This is a population-based household survey with a random conglomerate sample of 338 elderly people. Treatment adherence was measured with the Brief Medication Questionnaire. Poisson regression model was used for gross and adjusted analyses at 95% confidence intervals and P value. Results Adherence to treatment of type 2 diabetes mellitus among elderly people was found to be 52.4% (95%CI 47.9–57.7). There was evidence of positive associations between treatment adherence and age older than 80 years, one to four years of schooling, non-abusive alcoholic use, self-efficacy, clinical diagnosis of type 2 diabetes mellitus only, non-obesity, use of oral anti-diabetic drugs, non-occurrence of side effects, no daily use of multiple-dose medication, no delay in medication delivery and treatment at family healthcare units (P < 0.05). Conclusion Low treatment adherence was found to be important and it was also possible to know the variables influencing this process. Strategies aimed at improving adherence to medical treatment should be a priority in the family healthcare units for the control of diabetes.
Funding Information
  • Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (001)

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