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Psychosocial factors associated with poor diabetes self-care management in a specialized center in Mexico City.
Biomed Pharmacother. 2004 Dec; 58(10):566-70.BP

Abstract

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.

Authors+Show Affiliations

Departmento de Endocrinología y Metabolismo, Instituto Nacional de Ciencias Medicas y Nutrición Salvador Zubirán, Vasco de Quiroga 15, Tlalpan, 14000 Mexico City, Mexico. lerman@netservice.com.mxNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15589064

Citation

Lerman, Israel, et al. "Psychosocial Factors Associated With Poor Diabetes Self-care Management in a Specialized Center in Mexico City." Biomedicine & Pharmacotherapy = Biomedecine & Pharmacotherapie, vol. 58, no. 10, 2004, pp. 566-70.
Lerman I, Lozano L, Villa AR, et al. Psychosocial factors associated with poor diabetes self-care management in a specialized center in Mexico City. Biomed Pharmacother. 2004;58(10):566-70.
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. (2004). Psychosocial factors associated with poor diabetes self-care management in a specialized center in Mexico City. Biomedicine & Pharmacotherapy = Biomedecine & Pharmacotherapie, 58(10), 566-70.
Lerman I, et al. Psychosocial Factors Associated With Poor Diabetes Self-care Management in a Specialized Center in Mexico City. Biomed Pharmacother. 2004;58(10):566-70. PubMed PMID: 15589064.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Psychosocial factors associated with poor diabetes self-care management in a specialized center in Mexico City. AU - Lerman,Israel, AU - Lozano,Liliana, AU - Villa,Antonio R, AU - Hernández-Jiménez,Sergio, AU - Weinger,Katie, AU - Caballero,A Enrique, AU - Salinas,Carlos Aguilar, AU - Velasco,Maria Luisa, AU - Gómez-Pérez,Francisco Javier, AU - Rull,Juan A, PY - 2004/07/06/received PY - 2004/12/14/pubmed PY - 2005/4/9/medline PY - 2004/12/14/entrez SP - 566 EP - 70 JF - Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie JO - Biomed. Pharmacother. VL - 58 IS - 10 N2 - 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. SN - 0753-3322 UR - https://www.unboundmedicine.com/medline/citation/15589064/Psychosocial_factors_associated_with_poor_diabetes_self_care_management_in_a_specialized_center_in_Mexico_City_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0753-3322(04)00148-9 DB - PRIME DP - Unbound Medicine ER -