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Learning Objective 1: The learner will be able to characterize the type 2 diabetic patients that showed treatment nonadherence according to sociodemographic and clinical variables
Learning Objective 2: The learner will be able to check the relationship between prevalence of type 2 diabetes mellitus treatment nonadherence and socio-demographic, clinical and metabolic control variables
Methods: Cross-sectional research of baseline data from a cross-sectional research conducted in 17 primary health care units in Passos, Brazil, in 2010. The goal of the original study was to evaluate the treatment adherence and metabolic control in people with diabetes mellitus. The participants were 417 type 2 diabetic patients not adherent to treatment. For data collection, instruments were used to assess socio-demographic, clinical and biochemical data and adherence to medication, diet and exercise. To presentation of the results statistic descriptive was used.
Results: Higher prevalence of medication non-adherence to medication in male patients (17.0%), over 60 years old (17.1%), 4-8 years of study (18.3%), less than 10 years of diabetes diagnosis (16.0%) and higher hemoglobin A1c level (18.2%). Higher prevalence of diet non-adherence in female patients (98.6%), over 60 years old (98.5%), less than 4 years of study (98,9%), less then 10 years of diabetes diagnosis (98.4%) and normal hemoglobin A1c level(99.0%). Higher prevalence of physical exercise non-adherence in female patients (43.5%), less then 60 years old (44.0%), 4-8 years of study (42.3%), less than 10 years of diabetes diagnosis (42.2%) and higher hemoglobin A1c level (45,6%).
Conclusion: The prevalence of nonadherence to treatment is greater in female patients, with over 60 years old, low education, with less time of diabetes diagnosis and higher hemoglobin A1c level.