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

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Statistics Papers
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Administration, Oral
Community Health Services
Diabetes Mellitus, Type 2
Drug Administration Schedule
Female
Humans
Hypoglycemic Agents
Male
Middle Aged
Patient Compliance
Philadelphia
Residence Characteristics
Self Care
Social Environment
Administration
Oral
Community Health Services
Diabetes Mellitus
Type 2
Drug Administration Schedule
Female
Humans
Hypoglycemic Agents
Male
Middle Aged
Patient Compliance
Philadelphia
Residence Characteristics
Self Care
Social Environment
Business
Community Health and Preventive Medicine
Environmental Public Health
Health Services Administration
Health Services Research
Medical Humanities
Statistics and Probability
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de Vries McClintock, Heather F
Wiebe, Douglas J
OʼDonnell, Alison J
Morales, Knashawn H
Small, Dylan S
Bogner, Hillary R
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Abstract

This study examined whether neighborhood social environment was related to patterns of adherence to oral hypoglycemic agents among primary care patients with type 2 diabetes mellitus. Residents in neighborhoods with high social affluence, high residential stability, and high neighborhood advantage, compared to residents in neighborhoods with one or no high features present, were significantly more likely to have an adherent pattern compared to a nonadherent pattern. Neighborhood social environment may influence patterns of adherence. Reliance on a multilevel contextual framework, extending beyond the individual, to promote diabetic self-management activities may be essential for notable public health improvements.

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2015-04-01
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