RESUMO
OBJECTIVE: To determine the level of adherence, using a validated tool, among diabetics at the Princess Margaret Hospital. DESIGN AND METHODS: A cross-sectional observational study design was used. There were 150 participants, who were admitted to the Princess Margaret Hospital, with diabetes mellitus from May to July 2014. Patients were of either gender, 18 years or older, taking at least one hypoglycaemic medication. Random sampling was used to endeavor that the sample represented the population. The identified patients gave informed consent and then were given self-administered questionnaires on knowledge, compliance and depression. They were assessed through Modified Morisky Scale, and Self -Care habits form. RESULTS: The mean total number of drugs taken daily was 4.77 (+ 2.7). The mean duration on current medications was 8.08(+ 8.12) years. The mean number of changes to medications was 0.87(+ 1.82). The mean number of days in a week participants spaced carbohydrates was 4.09 + 2.365 days. Participants did 30 minutes of physical activity at a mean of 2.21 + 2.6 days a week. The mean previous Morisky score was 1.80 (+ 1.35). The mean of current modified Morisky score was 1.88 (+ 1.32). The mean current motivation score was 1.44 (+ 1.05). The mean of current knowledge score was 2 (+0 .94). The mean score on the Patient Health Questionnaire (PHQ9) depression screening questionnaire was 3.91 (+ 4.21). CONCLUSIONS: The modified Morisky Score showed a medium level of adherence amongst diabetics in the Bahamas.
Assuntos
Cooperação do Paciente , Diabetes Mellitus , BahamasRESUMO
INTRODUCTION: Since the designation of people as Hispanic involves the amalgamation of a number of different cultures and languages, we sought to test the hypothesis that menopausal symptoms would differ among Hispanic women, based upon country of origin and degree of acculturation. METHODS: A total of 419 women, aged 42-52 years at baseline, were categorized as: Central American (CA, n = 29) or South American (SA, n = 106), Puerto Rican (PR, n = 56), Dominican (D, n = 42), Cuban (Cu, n = 44) and non-Hispanic Caucasian (n = 142). We assessed vasomotor symptoms, vaginal dryness and trouble in sleeping. Hispanics and non-Hispanic Caucasians were compared using the chi(2) test, t test or non-parametric alternatives; ANOVA or Kruskal-Wallis testing examined differences among the five Hispanic sub-groups. Multivariable regression models used PR women as the reference group. RESULTS: Hispanic women were overall less educated, less acculturated (p < 0.001 for both) than non-Hispanic Caucasians and more of them reported vasomotor symptoms (34.1-72.4% vs. 38.3% among non-Hispanic Caucasians; p = 0.0293) and vaginal dryness (17.9-58.6% vs. 21.1% among non-Hispanic Caucasians, p = 0.0287). Among Hispanics, more CA women reported vasomotor symptoms than D, Cu, SA, or PR women (72.4% vs. 45.2%, 34.1%, 50.9%, and 51.8%, respectively). More CA (58.6%) and D women (38.1%) reported vaginal dryness than PR (17.9%), Cu (25.0%) and SA (31.4%) women. More PR and D women reported trouble in sleeping (66.1 and 64.3%, respectively) compared to CA (51.7%), Cu (36.4%), and SA (45.3%) women. CONCLUSION: Symptoms associated with menopause among Hispanic women differed by country of origin but not acculturation. Central American women appear to be at greatest risk for both vasomotor symptoms and vaginal dryness.