Neighborhood Social Environment and Patterns of Adherence to Oral Hypoglycemic Agents Among Patients With Type 2 Diabetes Mellitus

McClintock, Heather F.; Wiebe, Douglas J.; O’Donnell, Alison; Morales, Knashawn H.; Small, Dylan S.; Bogner, Hillary R.

doi:10.1097/fch.0000000000000069

Cited by 29 publications

(29 citation statements)

References 56 publications

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“…The authors found that residents living in neighborhoods with high social affluence and high residential stability were more likely to have an adherent pattern. These results confirm that the neighborhood environment is an important factor for the adherence to the treatment and subsequent outcomes ( 53 ).…”

Section: Neighborhood Environmentsupporting

confidence: 75%

Impact of Demographic, Socioeconomic, and Psychological Factors on Glycemic Self-Management in Adults with Type 2 Diabetes Mellitus

Gonzalez-Zacarias

Mavarez-Martinez

Arias-Morales

et al. 2016

Front. Public Health

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Diabetes mellitus (DM) is reported as one of the most complex chronic diseases worldwide. In the United States, Type 2 DM (T2DM) is the seventh leading cause of morbidity and mortality. Individuals with diabetes require lifelong personal care to reduce the possibility of developing long-term complications. A good knowledge of diabetes risk factors, including obesity, dyslipidemia, hypertension, family history of DM, and sedentary lifestyle, play an essential role in prevention and treatment. Also, sociodemographic, economic, psychological, and environmental factors are directly and indirectly associated with diabetes control and health outcomes. Our review intends to analyze the interaction between demographics, knowledge, environment, and other diabetes-related factors based on an extended literature search, and to provide insight for improving glycemic control and reducing the incidence of chronic complications.

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Section: Neighborhood Environmentsupporting

confidence: 75%

Impact of Demographic, Socioeconomic, and Psychological Factors on Glycemic Self-Management in Adults with Type 2 Diabetes Mellitus

Gonzalez-Zacarias

Mavarez-Martinez

Arias-Morales

et al. 2016

Front. Public Health

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“…Fewer studies have investigated the associations between contextual factors and people's behaviour regarding seeking medical care and adherence to medication. Adherence behaviour to some treatments, such as those for type 2 diabetes mellitus and HIV, has been linked to environmental factors in some studies (de Vries McClintock et al, ; Surratt, Kurtz, Levi‐Minzi, & Chen, ). The results seen in this study may, to some extent, be related to housing and neighbourhoods as a marker for socioeconomic status (SES), since SES is known to have a large impact on health behaviour (Pampel, Krueger, & Denney, ).…”

Section: Discussionmentioning

confidence: 99%

Living environment, social support, and informal caregiving are associated with healthcare seeking behaviour and adherence to medication treatment: A cross‐sectional population study

Berglund

Lytsy

Westerling

2019

Health Soc Care Community

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Despite the well‐known associations between local environment and health, few studies have focused on environment and healthcare utilisation, for instance healthcare seeking behaviour or adherence. This study was aimed at analysing housing type, behaviour based on perceived local outdoor safety, social support, informal caregiving, demographics, socioeconomics, and long‐term illness, and associations with health‐seeking and adherence behaviours at a population level. This study used data from the Swedish National Public Health Survey 2004–2014, an annually repeated, large sample, cross‐sectional, population‐based survey study. In all, questionnaires from 100,433 individuals were returned by post, making the response rate 52.9% (100,433/190,000). Descriptive statistics and multiple logistic regressions were used to investigate associations between explanatory variables and the outcomes of refraining from seeking care and non‐adherence behaviour. Living in rented apartment, lodger, a dorm or other was associated with reporting refraining from seeking care (adjusted OR 1.16, 95% CI 1.00–1.22), and non‐adherence (adjusted OR 1.22; 95% CI 1.13–1.31). Refraining from going out due to a perceived unsafe neighbourhood was associated with refraining from seeking care (adjusted OR 1.59, 95% CI 1.51–1.67) and non‐adherence (adjusted OR 1.26, 95% CI 1.17–1.36). Social support and status as an informal caregiver was associated with higher odds of refraining from seeking medical care and non‐adherence. This study suggests that living in rental housing, refraining from going out due to neighbourhood safety concerns, lack of social support or informal caregiver status are associated with lower health‐seeking behaviour and non‐adherence to prescribed medication.

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“…13 Theoretically, people residing in the same neighborhood are more likely to share common social norms, cultural background, socioeconomic status, and systemic and lifestyle characteristics compared to people living in different neighborhoods, which may further shape health behaviors, including medication-taking behaviors, above the individual level. 14 There may also be provider neighborhood effects, such as possible ineffective or inadequate patient-provider communication in the Health Professional Shortage Area (HPSA) that leads to the failure to underscore the importance of AET adherence, or similar prescribing or practice behaviors under the influence of similar policies, regulations or interventions in one area.…”

Section: Introductionmentioning

confidence: 99%

Geographic disparities in adherence to adjuvant endocrine therapy in Appalachian women with breast cancer

Tan

Camacho

Marshall

et al. 2017

Research in Social and Administrative Pharmacy

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Background Appalachia is a largely rural, mountainous, poor and underserved region of the United States. Adherence to adjuvant endocrine therapy among Appalachian women with breast cancer is suboptimal. Objectives To explore small-area geographic variations and clustering patterns of breast cancer patient adherence to adjuvant endocrine therapy and associated factors in Appalachia. Methods In this retrospective study, we analyzed Medicare claims data linked with cancer registries from four Appalachian states (PA, OH, KY, and NC) in 2006–2008. We included adult women who were diagnosed with stage I–III, hormone-receptor positive, primary breast cancer and who newly started adjuvant endocrine therapy after the primary treatment for breast cancer. Hot spot analysis was conducted to explore geographic variations in adjuvant endocrine therapy adherence. Geographically weighted logistic regression (GWLR) was used to examine whether the impacts of factors associated with adherence varied across the region. Results Breast cancer patients living in PA and OH showed higher adherence to adjuvant endocrine therapy than those living in KY and NC. We identified clusters of high adherence in most of PA but poor adherence in Erie County, PA and in Buncombe, Transylvania, Henderson, and Polk Counties, NC. Adherence to adjuvant endocrine therapy was significantly associated with the Health Professional Shortage Area designation, catastrophic coverage, dual-eligibility status of Medicaid and Medicare, adjuvant endocrine therapy drug class, and side effects. And among these factors, the impacts of dual-eligibility status and the use of pain medications to treat side effects on adherence were more pronounced in KY and NC than in PA. Conclusions There were significant geographic disparities in adherence to adjuvant endocrine therapy in the Appalachian counties in PA, OH, KY, and NC. This study explored these geographic areas with poor adherence as well as geographically varying effects of predictors on adherence; our results may provide more localized information that may be used to improve adjuvant therapy use and breast cancer care in these high-risk and underserved areas.

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Neighborhood Social Environment and Patterns of Adherence to Oral Hypoglycemic Agents Among Patients With Type 2 Diabetes Mellitus

Cited by 29 publications

References 56 publications

Impact of Demographic, Socioeconomic, and Psychological Factors on Glycemic Self-Management in Adults with Type 2 Diabetes Mellitus

Impact of Demographic, Socioeconomic, and Psychological Factors on Glycemic Self-Management in Adults with Type 2 Diabetes Mellitus

Living environment, social support, and informal caregiving are associated with healthcare seeking behaviour and adherence to medication treatment: A cross‐sectional population study

Geographic disparities in adherence to adjuvant endocrine therapy in Appalachian women with breast cancer

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