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2021, Number 6

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Med Int Mex 2021; 37 (6)

Economic and confinement factors influence self-care activities during COVID-19 pandemic in patients with type 2 diabetes

González-Cantú A, Silva-Tinoco R, De la Torre-Saldaña VA, Ferreira-Hermosillo A, Cuatecontzi-Xochitiotzi T, Ochoa-Moreno J
Full text How to cite this article

Language: Spanish
References: 23
Page: 962-970
PDF size: 217.25 Kb.


Key words:

Self-care, Health, COVID-19, Medication adherence, Social determinants, Exercise.

ABSTRACT

Objective: To assess the barriers to self-care and adherence to medication during confinement for COVID-19 in patients with type 2 diabetes.
Materials and Methods: An observational, cross-sectional and longitudinal study was done in patients with type 2 diabetes, the diabetes self-care activities summary tool was used to compare self-care behaviors and the 8-item Morisky-Green questionnaire to assess adherence to medication from April 20 to May 29, 2020. A questionnaire designed by the research team was used to assess difficulties in coping with type 2 diabetes. A multiple linear regression model was used to predict the association between the presence of difficulties and self-care.
Results: The frequency of self-care activities decreased for diet (p ‹ 0.008), physical activity/exercise (p ‹ 0.054) and glucose monitoring (p ‹ 0.001). Lack of economic resources was an inverse predictor for adherence to diet (p ‹ 0.001) and glucose monitoring (p ‹ 0.001), and the confinement barrier was an inverse predictor for adherence to diet (p ‹ 0.001) and activity physical/exercise (p ‹ 0.001).
Conclusions: Economic and confinement barriers were predictors for the execution of self-care behaviors independently.


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Med Int Mex. 2021;37