Is Participation in Primary Care Actions Leading to Better Behaviors in People With Diabetes? Results From the Amazon Region
Year: 2025
Type: article
Study design: Observational Study
Abstract: BACKGROUND: Effective management of type 2 diabetes (T2DM) is critical, especially in regions with high social inequalities, such as Amazonas, Brazil. This study aimed to evaluate the impact of T2DM management activities offered by primary care settings on health behaviors. METHODS: This is a cross-sectional study conducted in 10 cities of the Amazonas state in Brazil (n = 965). The study included individuals with T2DM who participate in activities on disease management offered by primary care settings. The health behaviors assessed included medication adherence, physical activity, and food and vegetable consumption. RESULTS: There was a positive association between activity participation and medication adherence (OR = 0.51; 95% CI = 0.36-0.71). However, there was no association between participation and physical activity level, both for moderate (OR = 0.84; 95% CI = 0.58-1.22) or high levels (OR = 1.60; 95%; CI = 0.99-2.59) or daily fruit and vegetable consumption (OR = 0.61; 95% CI = 0.30-1.22). CONCLUSION: In conclusion, participation in activities offered in primary care positively impacts medication adherence. However, although participants received guidance on adhering to physical activity and healthy eating practices, no impact was observed in behavior changes in people diagnosed with T2DM.
Language: English
Subfield: Endocrinology, Diabetes and Metabolism
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,500
OpenAlex ID: W4412520637