Neighborhood social environment and patterns of adherence to oral hypoglycemic agents among patients with type 2 diabetes mellitus.
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.
Department of Family Medicine and Community Health, University of Pennsylvania, Philadelphia (Drs de Vries McClintock and Bogner and Ms O'Donnell); Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania, Philadelphia (Drs de Vries McClintock, Wiebe, Morales, and Bogner and Ms O'Donnell); Department of Biostatistics and Epidemiology, University of Pennsylvania, Philadelphia (Dr Morales); Department of Statistics, The Wharton School, The University of Pennsylvania, Philadelphia (Dr Small).
Heather F
HF
de Vries McClintock
Douglas J
DJ
Wiebe
Alison J
AJ
OʼDonnell
Knashawn H
KH
Morales
Dylan S
DS
Small
Hillary R
HR
Bogner
D000284:Administration, Oral; D003153:Community Health Services; D003924:Diabetes Mellitus, Type 2 / Q000188:drug therapy*; D004334:Drug Administration Schedule; D005260:Female; D006801:Humans; D007004:Hypoglycemic Agents / Q000008:administration & dosage*; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D015143:Philadelphia; D012111:Residence Characteristics; D012648:Self Care; D012931:Social Environment
D007004:Hypoglycemic Agents