Self-reported Neighborhood Safety and Nonadherence to Treatment Regimens Among Patients with Type 2 Diabetes

Billimek, John; Sorkin, Dara H.

doi:10.1007/s11606-011-1882-7

Cited by 51 publications

(52 citation statements)

References 39 publications

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“…DMT2 subjects are typically recommended to maintain a healthy lifestyle and always do physical exercise, but such advice is sometimes considered hard to apply due to, for instance, a lack of viable sports facilities or restricted access to healthy food. [5,8,9] To our knowledge, only one international publication has studied the correlation between distress and the home environment of DMT2 patients. [5] QoL consists of three main components, namely physical and psychological conditions and the ability to interact with the surrounding environment.…”

Section: Introductionmentioning

confidence: 99%

“…[21] Meanwhile, male subjects or those in the retirement age group tend to suffer from distress triggered by therapy management, immediate family members, doctors who treat them, quality of health service, and HbA1c [6,7,12,19,20] It is reported that the safety and comfort of the surrounding neighborhood generate positive effects on the DMT2 patient. [9] Likewise, supporting facilities around the house, including accessibility to healthy foods and feasible sports facilities, can favorably influence the psychological condition of a DMT2 subject. [5,8,9] The identification of neighborhood as a reason for DMT2 distress requires a valid and reliable instrument.…”

Section: Introductionmentioning

confidence: 99%

“…[9] Likewise, supporting facilities around the house, including accessibility to healthy foods and feasible sports facilities, can favorably influence the psychological condition of a DMT2 subject. [5,8,9] The identification of neighborhood as a reason for DMT2 distress requires a valid and reliable instrument. This background serves as rationale for this study, which aims to translate and adapt the Perceived Neighborhood Environment Questionnaire (PNEQ) [5,8] to Indonesian and validate the translated version.…”

Section: Introductionmentioning

confidence: 99%

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Validation of the Perceived Neighborhood Environment Questionnaire for diabetes mellitus type 2 patients

Perwitasari

Faridah

Arifin³

et al. 2018

JER

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The success of diabetes mellitus type 2 (DMT2) therapy does not solely depend on laboratory test results, but is also influenced by the patients' quality of life (QoL). Patients' QoL is affected by numerous factors, including distress and their home environment. This study aims to acquire a valid and reliable instrument concerning neighborhood conditions felt by DMT2 subjects. The research applied a cross-sectional design with adult DMT2 patients at the Local General Hospital Moewardi Solo. The Perceived Neighborhood Environment Questionnaire (PNEQ) was translated from English to Indonesian with the procedure of forwardbackward translation. Statistical analyses were conducted to determine reliability, discriminant, convergent and known-group validity. The three domains of PNEQ have low reliability (Cronbach's alpha <0.7), while three questions have not met convergent validity and only one question has not attained discriminant validity. The PNEQ can be used on the Indonesian people with further explanations on questions that have not achieved reliability and validity.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Validation of the Perceived Neighborhood Environment Questionnaire for diabetes mellitus type 2 patients

Perwitasari

Faridah

Arifin³

et al. 2018

JER

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“…Additionally, self-care behaviors account for over 90% of the variance in glycemic control, in patients with type 2 diabetes (6). Yet, socio-environmental factors have been shown to contribute to up to 85% of patients’ nonadherence to self-care behaviors in adults with diabetes (5, 7-11). However, there is limited information on which socio-environmental elements have direct effects on self-care behaviors.…”

Section: Introductionmentioning

confidence: 99%

Effect of neighborhood factors on diabetes self-care behaviors in adults with type 2 diabetes

Smalls

Gregory

Zoller

et al. 2014

Diabetes Research and Clinical Practice

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Objective The objective of this study was to identify latent variables for neighborhood factors and diabetes self-care and examine the effect of neighborhood factors on diabetes self-care in adults with type 2 diabetes. Research Design and Methods 615 subjects were recruited from an academic medical center and a Veterans affairs medical center in the southeastern United States. Validated scales were used to assess neighborhood factors and diabetes-related self-care. Confirmatory factor analysis (CFA) was used to determine the latent constructs. Structural equation modeling (SEM) was then used to assess the relationship between neighborhood factors and diabetes self-care. Results Based on a theoretical framework, CFA yielded four latent variables for neighborhood factors (neighborhood violence, access to healthy food, social support, and neighborhood aesthetics) and one latent variable diabetes self-care ( including diet, exercise, foot care, blood sugar testing and medication adherence). SEM showed that social support (r=0.28, p<0.001) and access to healthy foods (r=-0.16, p=0.003) were significantly associated with self-care behaviors, while neighborhood violence (r= -0.06, p<0.001) and aesthetics (r=-0.07, p=0.278) were not χ2 (180, N=611)=192, p=0.26, RMSEA=0.01, CFI=0.999). In the final trimmed model, social support (r=0.31, p<0.001) and access to healthy foods (r=-0.20, p<0.001) remained significantly associated with self-care behaviors χ2 (76, N=611)=60, p=0.91, RMSEA=0.00, CFI=1.0). Conclusion This study developed latent factors for neighborhood characteristics and diabetes self-care and found that social support and access to healthy foods were significantly associated with diabetes self-care and should be considered as targets for future interventions.

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“…Living in lower socioeconomic status (SES) neighborhoods is associated with poorer health behaviors and outcomes (e.g., Dubowitz et al, 2011; Ludwig et al, 2012), even after accounting for individual-level characteristics. Few studies (Billimek & Sorkin, 2012; Platt et al, 2009) have investigated the link between neighborhood characteristics and nonadherence to a provider-prescribed medication regimen.…”

mentioning

confidence: 99%

Costs and beliefs: Understanding individual- and neighborhood-level correlates of medication nonadherence among Mexican Americans with type 2 diabetes.

Billimek

August

2014

Health Psychology

Self Cite

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Objective High rates of medication nonadherence observed in disadvantaged populations are often attributed to socioeconomic factors. Little is known, however, about how a person’s neighborhood environment may contribute to nonadherence beyond what can be explained by a lack of individual resources to pay for medications. This study considered the reasons patients reported for deviating from their medication regimens to understand how individual-level and neighborhood-level indicators of socioeconomic status (SES) may each influence adherence behavior. Method Cross-sectional data were collected between 2006 and 2011 from a sample of Mexican American patients with type 2 diabetes (N = 749) treated at university-affiliated clinics in Southern California. Measures included individual-level SES (years of education, health insurance type, and household income), neighborhood deprivation, and medication nonadherence (for reasons related to cost and reasons related to beliefs about medications). Neighborhood deprivation was assessed using the Neighborhood Socioeconomic Status Index (Dubowitz et al., 2011), a validated aggregate of census tract-level indicators linked to each participant’s home address. Results Results from multilevel logistic regression models revealed that individual-level SES was associated with nonadherence related to cost (annual household income < $20,000 vs. > $40,000, p = .001; Medicare vs. commercial health insurance, p < .001), whereas neighborhood deprivation was associated with nonadherence related to beliefs about medications (p = .011). Conclusion Findings from this study suggest that an individual’s lack of resources may contribute to nonadherence related to cost, whereas elements of the broader social environment may promote nonadherence related to negative beliefs about medications.

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Self-reported Neighborhood Safety and Nonadherence to Treatment Regimens Among Patients with Type 2 Diabetes

Cited by 51 publications

References 39 publications

Validation of the Perceived Neighborhood Environment Questionnaire for diabetes mellitus type 2 patients

Validation of the Perceived Neighborhood Environment Questionnaire for diabetes mellitus type 2 patients

Effect of neighborhood factors on diabetes self-care behaviors in adults with type 2 diabetes

Costs and beliefs: Understanding individual- and neighborhood-level correlates of medication nonadherence among Mexican Americans with type 2 diabetes.

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