ArticlePatient preference and adherence2026
Adherence to Self-Care and Associated Factors Among Patients with Type 2 Diabetes in Southwestern Iran.
Article in Patient preference and adherence, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Sociodemographic and disease-related factors associated with treatment adherence among patients with type 2 diabetes: a cross-sectional study in southern Iran.BMC public health · 2026Article
- Adherence to Diabetes Self-Care Practices Across Demographic and Clinical Characteristics Among Patients with Type 2 Diabetes.Patient preference and adherence · 2026Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Effective self-care is essential for managing type 2 diabetes and preventing complications. However, adherence remains suboptimal. This study assessed self-care behaviors and associated factors among patients with type 2 diabetes in southwestern Iran. Methods: A cross-sectional study was conducted on 153 patients (selected from 160 invited individuals; response rate: 95.6%) in Behbahan and Susangerd between October 2023 and March 2024. Questionnaires were checked for completeness, and complete-case analysis was performed. Self-care was assessed using the Persian version of the Summary of Diabetes Self-Care Activities (SDSCA). Differences among components were tested using Cochran's Q, and multivariate logistic regression identified factors associated with adherence, with significance set at p < 0.05. An operational cutoff of ≥3.5 days per week was used to define "adequate" self-care. Results: Adherence differed significantly among components (p < 0.001). It was highest for Diabetes Diet (OR 7.57, 4.63-12.39) and Non-Smoking (OR 5.23, 3.25-8.41) compared with General Diet (39.2%), whereas Glucose Monitoring (OR 0.41, 0.25-0.67), Foot Care (OR 0.07, 0.03-0.17), and Physical Activity (OR 0.03, 0.01-0.10) were substantially lower. Only 8.5% adhered to five or more components. Higher income, older age, longer disease duration, and being single were associated with better adherence to specific behaviors. Conclusion: Overall self-care was suboptimal, particularly for physical activity and foot care. Targeted interventions focusing on patient education and follow-up, especially for individuals with lower income or education, are urgently needed to improve adherence and reduce diabetes-related complications.
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