Medication adherence and diabetes control in urban African Americans with type 2 diabetes

被引:59
作者
Hill-Briggs, F
Gary, TL
Bone, LR
Hill, MN
Levine, DM
Brancati, FL
机构
[1] Johns Hopkins Med Inst, Div Gen Internal Med, Dept Phys Med & Rehabil, Baltimore, MD 21205 USA
[2] Johns Hopkins Med Inst, Dept Epidemiol, Baltimore, MD 21205 USA
[3] Johns Hopkins Med Inst, Dept Hlth Policy & Management, Baltimore, MD 21205 USA
[4] Johns Hopkins Med Inst, Sch Nursing, Baltimore, MD 21205 USA
[5] Johns Hopkins Med Inst, Dept Hlth Policy & Management, Baltimore, MD 21205 USA
[6] Johns Hopkins Med Inst, Dept Med, Baltimore, MD 21205 USA
关键词
diabetes; African Americans; medication adherence; urban health; disease self-management;
D O I
10.1037/0278-6133.24.4.349
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
In 181 urban African Americans with Type 2 diabetes, medication adherence was assessed using a measure designed specifically for an urban, impoverished sociodemographic population. Hemoglobin A(1c), blood pressure and cholesterol levels, medication-related beliefs, and depression were assessed. Seventy-four percent of the sample reported adherence to diabetes medication. Adherence, adjusted for age, was associated with lower hemoglobin A(1c). The specific behaviors associated with poorer diabetes control were forgetting to take medications and running out of medications. Knowledge of blood glucose goals differed for adherers and nonadherers. Blood pressure and cholesterol medication adherence rates were not associated with actual levels of blood pressure or lipids, respectively. These data suggest that specific medication-taking behaviors are important to diabetes control and constitute logical targets for interventions.
引用
收藏
页码:349 / 357
页数:9
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