{"doi":"10.1177/1742395320968627","title":"Factors associated with non-adherence to insulin and non-insulin medications in patients with poorly controlled diabetes","abstract":"OBJECTIVES: To evaluate differences in factors associated with self-reported medication non-adherence to insulin and non-insulin medications in patients with uncontrolled type 2 diabetes. METHODS: In this secondary analysis of a randomized trial in patients with obesity and uncontrolled type 2 diabetes, multivariable logistic regression was used to evaluate associations between several clinical factors (measured with survey questionnaires at study baseline) and self-reported non-adherence to insulin and non-insulin medications. RESULTS: Among 263 patients, reported non-adherence was 62% (52% for insulin, 55% for non-insulin medications). Reported non-adherence to non-insulin medications was less likely in white versus non-white patients (odds ratio (OR) = 0.42; 95%CI: 0.22,0.80) and with each additional medication taken (OR = 0.75; 95%CI: 0.61,0.93). Non-adherence to non-insulin medications was more likely with each point increase in a measure of diabetes medication intensity (OR = 1.43; 95%CI: 1.01,2.03), the Problem Areas in Diabetes (PAID) score (OR = 1.06; 95%CI: 1.02,1.12), and in men versus women (OR = 3.03; 95%CI: 1.06,8.65). For insulin, reporting non-adherence was more likely (OR = 1.02; 95%CI: 1.00,1.04) with each point increase in the PAID. DISCUSSION: Despite similar overall rates of reported non-adherence to insulin and non-insulin medications, factors associated with reported non-adherence to each medication type differed. These findings may help tailor approaches to supporting adherence in patients using different types of diabetes medications.","journal":"Chronic Illness","year":2020,"id":107613,"datarank":0.41677717909229767,"base_score":1.9459101490553132,"endowment":1.9459101490553132,"self_citation_contribution":0.29188652235829704,"citation_network_contribution":0.12489065673400063,"self_endowment_contribution":0.29188652235829704,"citer_contribution":0.12489065673400063,"corpus_percentile":null,"corpus_rank":null,"citation_count":6,"citer_count":6,"citers_with_citation_signal":5,"citers_with_endowment":5,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9625,"is_data_producer":true,"deposit_databanks":{"ClinicalTrials.gov":["NCT01973972"]},"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2020-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":379195,"name":"William S. Yancy","orcid":"0000-0003-1221-1860","position":1,"is_corresponding":false},{"id":329840,"name":"David Edelman","orcid":"0000-0001-7112-6151","position":2,"is_corresponding":false},{"id":430301,"name":"Amy S. Jeffreys","orcid":"0000-0001-9565-248X","position":3,"is_corresponding":false},{"id":292212,"name":"Cynthia J. Coffman","orcid":"0000-0002-4554-1463","position":4,"is_corresponding":false},{"id":379187,"name":"Corrine I. Voils","orcid":"0000-0003-1913-663X","position":5,"is_corresponding":false},{"id":426829,"name":"Anastasia‐Stefania Alexopoulos","orcid":"0000-0002-0690-1526","position":6,"is_corresponding":false},{"id":430299,"name":"Matthew L. Maciejewski","orcid":"0000-0003-1765-5938","position":7,"is_corresponding":false},{"id":430303,"name":"M. Saeed Dar","orcid":"0000-0003-2026-636X","position":8,"is_corresponding":false},{"id":426827,"name":"Matthew J. Crowley","orcid":"0000-0002-6205-4536","position":9,"is_corresponding":false},{"id":516761,"name":"Nicole Sagalla","orcid":"0000-0002-2953-1724","position":0,"is_corresponding":true}],"reference_count":32,"raw_metadata":null,"created_at":"2026-07-18T23:12:34.898963Z","pmid":"33100020","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}