Work

Stressors May Compromise Medication Adherence Among Adults With Diabetes and Low Socioeconomic Status

Year: 2014

Type: article

Abstract: Studies examining the impact of stressors on diabetes self-care have focused on a single stressor or have been largely qualitative. Therefore, we assessed the stressors experienced by a high-risk population with type 2 diabetes, and tested whether having more stressors was associated with less adherence to multiple self-care behaviors. Participants were recruited from a Federally Qualified Health Center and 192 completed a stressors checklist. Experiencing more stressors was associated with less adherence to diet recommendations and medications among participants who were trying to be adherent, but was not associated with adherence to other self-care behaviors. Because having more stressors was also associated with more depressive symptoms, we further adjusted for depressive symptoms. Stressors remained associated with less adherence to medications, but not to diet recommendations. For adults engaged in adherence, experiencing an accumulation of stressors presents barriers to adherence that are distinct from associated depressive symptoms.

Source: Western Journal of Nursing Research

DOI: 10.1177/0193945914524639

Authors: Chandra Y. Osborn, Lindsay Satterwhite Mayberry, Julie A. Wagner, Garry W. Welch

Institutions: Vanderbilt University Medical Center, UConn Health, Tufts University, Baystate Medical Center

Language: English

Topic: Diabetes Management and Education

Subfield: Endocrinology, Diabetes and Metabolism

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: green