Psychosocial factors associated with poor diabetes self-care management in a specialized Center in Mexico City
Por:
Lerman I., Lozano L., Villa A.R., Hernández-Jiménez S., Weinger K., Caballero A.E., Salinas C.A., Velasco M.L., Gómez-Pérez F.J., Rull J.A.
Publicada:
1 ene 2004
Resumen:
To examine the relationship between demographic, clinical and psychosocial variables and diabetes self-care management in Mexican type 2 diabetic patients. Cross-sectional study of 176 consecutive patients with type 2 diabetes aged 30-75:years, attending a tertiary health-care center in Mexico City. A brief medical history and previously validated questionnaires were completed. The study group consisted of 64 males/112 females, aged 55 ± 11:years, mean diabetes duration of 12 ± 8:years and HbA1c of 9.0 ± 2.0%, 78.4% reported following the correct dose of diabetes pills or insulin, 58% ate the recommended food portions, and 44.3% did exercise three or more times per week. A good adherence to these three recommendations was observed in only 26.1% of the patients. These patients considered as a group were characterized by a greater knowledge about the disease (P < 0.00001), regular home blood glucose monitoring (P < 0.01), an inner perception of better diabetes control (P = 0.007), good health (P = 0.004) and better communication with their physician (P < 0.02). A poor adherence to two or the three main diabetes care recommendations was associated with a depressive state (OR 2.38, 95% CI 1.1-4.9, P < 0.01) and a history of excessive alcohol intake (OR 4.03, 95% CI 1.1-21.0, P = 0.03). Poor adherence to standard diabetes care recommendations is frequently observed in patients with type 2 diabetes attending a specialized health care center in Mexico City. Depression must be identified and treated effectively. © 2004 Elsevier SAS. All rights reserved.
Filiaciones:
Lerman I.:
Departmento Endocrinol. Y M., Inst. Nac. Cie. Medicas Y Nutr. S., Tlalpan, Mexico City, Mexico
Dept. of Endocrinol. and Metabolism, Inst. Nac. Cie. Medicas Y Nutr. S., Vasco de Quiroga 15, Tlalpan, 14000 Mexico City, Mexico
Lozano L.:
Departmento Endocrinol. Y M., Inst. Nac. Cie. Medicas Y Nutr. S., Tlalpan, Mexico City, Mexico
Villa A.R.:
U. de Epidemiologia Clin., Inst. Nac. Cie. Medicas Y Nutr. S., Tlalpan, Mexico City, Mexico
Hernández-Jiménez S.:
Departmento Endocrinol. Y M., Inst. Nac. Cie. Medicas Y Nutr. S., Tlalpan, Mexico City, Mexico
Weinger K.:
Joslin Diabetes Center, Harvard Medical School, Boston, MA, United States
Caballero A.E.:
Joslin Diabetes Center, Harvard Medical School, Boston, MA, United States
Salinas C.A.:
Departmento Endocrinol. Y M., Inst. Nac. Cie. Medicas Y Nutr. S., Tlalpan, Mexico City, Mexico
Velasco M.L.:
Departmento Endocrinol. Y M., Inst. Nac. Cie. Medicas Y Nutr. S., Tlalpan, Mexico City, Mexico
Gómez-Pérez F.J.:
Departmento Endocrinol. Y M., Inst. Nac. Cie. Medicas Y Nutr. S., Tlalpan, Mexico City, Mexico
Rull J.A.:
Departmento Endocrinol. Y M., Inst. Nac. Cie. Medicas Y Nutr. S., Tlalpan, Mexico City, Mexico
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