title: Understanding the Subjective Experience of Medication Adherence for Older Urban African Americans With Type 2 Diabetes and a History of Illicit Drug Addiction.
abstract: OBJECTIVE
  African Americans experience high rates of type 2 diabetes mellitus (T2D). Self-management strategies, such as medication adherence, are key to mitigating negative T2D outcomes. This article addresses a gap in the literature by examining the intersections of drug abuse histories and medication adherence among urban, older African Americans with T2D.
  
  
  METHODS
  In-depth interview data were collected as part of a larger ethnographic study examining the subjective experience of T2D among urban older adults. Two representative focal cases were selected and thematic analysis performed to illustrate how former illicit drug addicts perceive prescription medication usage.
  
  
  RESULTS
  Narratives reveal that participants are displeased about having to take prescription drugs and are making lifestyle changes to reduce medication usage and maintain sobriety.
  
  
  CONCLUSIONS
  Previous drug abuse not only complicates medication adherence but is also a significant part of how older African Americans who are former drug users frame their understanding of T2D more broadly.
authors.affiliation: 1 University of Maryland, Baltimore County, Baltimore, USA.
authors.forename: Brandy Harris
authors.initials: BH
authors.lastname: Wallace
authors.affiliation: 2 Spelman College, Atlanta, GA, USA.
authors.forename: Ashante M
authors.initials: AM
authors.lastname: Reese
authors.affiliation: 1 University of Maryland, Baltimore County, Baltimore, USA.
authors.forename: Sarah
authors.initials: S
authors.lastname: Chard
authors.affiliation: 1 University of Maryland, Baltimore County, Baltimore, USA.
authors.forename: Erin G
authors.initials: EG
authors.lastname: Roth
authors.affiliation: 3 University of Maryland School of Medicine, Baltimore, USA.
authors.forename: Charlene
authors.initials: C
authors.lastname: Quinn
authors.affiliation: 1 University of Maryland, Baltimore County, Baltimore, USA.
authors.forename: J Kevin
authors.initials: JK
authors.lastname: Eckert
mesh_terms: D001741:Black or African American / Q000523:psychology*; D000368:Aged; D015142:Baltimore; D003924:Diabetes Mellitus, Type 2 / Q000188:drug therapy*; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D055118:Medication Adherence; D036301:Qualitative Research; D019966:Substance-Related Disorders; D011795:Surveys and Questionnaires; D014505:Urban Population
keywords: African Americans; diabetes; drug abuse; illness prototypes; medications