Abstract
Ethnic disparities exist when comparing glycemic control: Latino patients have suboptimal glycemic control as compared to
non-Latino whites. A key factor to achieving optimal diabetes management and control is medication adherence. We conducted
a nested, cross-sectional retrospective study of data (n = 61) collected from a larger parallel, randomized, longitudinal study conducted at an urban primary care practice examining
a culturally tailored community-based peer counselor intervention. Baseline demographic and medication utilization covariates
were evaluated for eligibility into the multivariate logistic regression to predict medication adherence. Significant correlates
of medication adherence were physician or healthcare team support (OR 12.79, 95% CI 1.04, 157.21), and increasing numbers
of medications taken (OR 1.24, 95% CI 1.04, 1.48). Receipt of government benefits was associated with medication non-adherence
(OR 0.06, 95% CI 0.01, 0.51). Modifiable factors such as the number of medications and the patient-healthcare team relationship
appear to play a role in medication adherence.
non-Latino whites. A key factor to achieving optimal diabetes management and control is medication adherence. We conducted
a nested, cross-sectional retrospective study of data (n = 61) collected from a larger parallel, randomized, longitudinal study conducted at an urban primary care practice examining
a culturally tailored community-based peer counselor intervention. Baseline demographic and medication utilization covariates
were evaluated for eligibility into the multivariate logistic regression to predict medication adherence. Significant correlates
of medication adherence were physician or healthcare team support (OR 12.79, 95% CI 1.04, 157.21), and increasing numbers
of medications taken (OR 1.24, 95% CI 1.04, 1.48). Receipt of government benefits was associated with medication non-adherence
(OR 0.06, 95% CI 0.01, 0.51). Modifiable factors such as the number of medications and the patient-healthcare team relationship
appear to play a role in medication adherence.
- Content Type Journal Article
- Category Original Paper
- Pages 1-7
- DOI 10.1007/s10903-011-9545-7
- Authors
- Jennifer A. Colby, Institute for Clinical and Economic Review, 101 Merrimac St., 3rd Floor, Boston, MA 02114, USA
- Fei Wang, Department of Pharmacy Practice, University of Connecticut, 69 North Eagleville Road, Unit 3092, Storrs, CT 06269, USA
- Jyoti Chhabra, Research Department, Hartford Hospital, 80 Seymour Street, Hartford, CT 06102, USA
- Rafael Pérez-Escamilla, Department of Epidemiology and Public Health, Office of Community Health Yale School of Public Health, 135 College Street, Suite 200, New Haven, CT 06510, USA
- Journal Journal of Immigrant and Minority Health
- Online ISSN 1557-1920
- Print ISSN 1557-1912