[Social support, self-rated health, treatment adherence and effectiveness in patients with type II diabetes and hypertension]

Rev Med Chil. 2018 Dec;146(10):1135-1142. doi: 10.4067/S0034-98872018001001135.
[Article in Spanish]

Abstract

Background: A high level of social support (SS) is associated with better health outcomes in many conditions, such as chronic diseases.

Aim: To describe the level of SS in patients with Hypertension and type II Diabetes at Primary Health Care level in Chile and its association with self-rated health, adherence to treatment and better glycemic and blood pressure control.

Material and methods: SS was measured using a social support inventory previously validated in Chile. Self-Rated Health was assessed with a single non-comparative general question; adherence to medication was assessed using the four-item Morisky medication adherence scale. Blood glucose and blood pressure control were also assessed. A logistic regression was performed to estimate Prevalence Odds Ratio (POR) and Robust Poisson method to estimate the Prevalence Ratio (PR).

Results: Eighty three percent of the 647 participants evaluated high for SS. There was a significant correlation between SS and Self-rated health (POR 2.32; 95% confidence intervals (CI) 1.19-11.23; PR 1.18; 95% CI 1.07-1.31). No statistically significant association was observed with medication adherence, glycemic or blood pressure control.

Conclusions: High levels of SS were found. The association between self-rated health suggests that SS interventions targeting vulnerable subgroups would be worthwhile.

MeSH terms

  • Aged
  • Chile / epidemiology
  • Cross-Sectional Studies
  • Diabetes Mellitus, Type 2 / epidemiology*
  • Diabetes Mellitus, Type 2 / therapy
  • Diagnostic Self Evaluation*
  • Female
  • Health Status*
  • Humans
  • Hypertension / epidemiology*
  • Hypertension / therapy
  • Logistic Models
  • Male
  • Middle Aged
  • Reference Values
  • Social Support*
  • Socioeconomic Factors
  • Statistics, Nonparametric
  • Treatment Adherence and Compliance / statistics & numerical data*