Prevalencia de la no adherencia al tratamiento de la Diabetes Tipo 2 y su relación con los determinantes de la salud, en el Centro de Rehabilitación Integral Especializado Azogues IESS, septiembre 2020 - febrero 2021

Abstract

Background: Type 2 Diabetes is the seventh leading cause of mortality in the world. In Ecuador, the prevalence has increased in people over 35 years of age. The social determinants of health are risk factors for non-adherence to Type 2 Diabetes treatment. Objective: to determine the prevalence of non-adherence to type 2 diabetes treatment and its relationship with the determinants of health, at the Azogues IESS Specialized Comprehensive Rehabilitation Center, September 2020- February 2021. Methods: a cross-sectional analytical study was carried out in 121 patients from the Azogues Specialized Comprehensive Rehabilitation Center, in men and women with Type 2 Diabetes, through telephone interviews, applying the Morisky-Green test. Lifestyle Measurement (IMEVID). Stratification of the INEC Socioeconomic Level and Duke scale. The data were analyzed using SPSS version 20 and Excel 2017. Results: the average age was 69 years (SD 11.2). 50.4% corresponded to the male sex. Non-adherence to Type 2 Diabetes treatment was presented in 51.2%. The statistically significant social determinants of health were: low socioeconomic level with PR 5.5 (95% CI 1.9-15.9; p = 0.001), low family support with PR 2.2 (95% CI 1.1-12 , 2; p = 0.024), polypharmacy with PR 2.2 (95% CI 1-4; p = 0.036) and unhealthy lifestyle with PR (95% CI 1.6-7.7; p = 0.001 ). Conclusion: a statistically significant association was found between low socioeconomic status, low family support, polypharmacy and unhealthy lifestyles with non-adherence to treatment.