Neighborhood social environment and patterns of adherence to oral hypoglycemic agents among patients with type 2 diabetes mellitus.
Neighborhood social environment and patterns of adherence to oral hypoglycemic agents among patients with type 2 diabetes mellitus.
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DOI：
10.1097/fch.0000000000000069
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发表时间：
2015-04
影响因子：
2.3
通讯作者：
Bogner HR
中科院分区：
文献类型：
--
作者：
de Vries McClintock HF;Wiebe DJ;OʼDonnell AJ;Morales KH;Small DS;Bogner HR
本研究探讨了社区社会环境是否与2型糖尿病初级保健患者口服降糖药依从性的模式有关。高社会富裕、高居住稳定性和高邻里优势的社区居民，与不存在或只存在一个高特征的社区居民相比，更有可能出现依附模式，而不是非依附模式。邻里社会环境可能影响依从模式。依靠多层次的背景框架，超越个人，促进糖尿病自我管理活动可能是显著改善公共卫生的必要条件。
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 multi-level contextual framework, extending beyond the individual, to promote diabetic self-management activities may be essential for notable public health improvements.