ArticleFrontiers in pharmacology2025
The relationships between social support, medication adherence, and glycemic control among inpatients with type 2 diabetes: a cross-sectional survey in Xi'an, China.
Article in Frontiers in pharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Social support and medication adherence in type 2 diabetes: unraveling the sequential mediating pathways of empowerment and health literacy.Frontiers in public health · 2026Article
- Factors Influencing Poor Drug Compliance Among Patients with Diabetes Mellitus: An Experience from Rural Indonesia.Journal of multidisciplinary healthcare · 2026Article
- The mediating role of health literacy in the relationship between social support and glycemic control among rural patients with diabetes in Western China: a cross-sectional SEM study.Frontiers in endocrinology · 2026Article
- Beyond glycemic control: a holistic perspective on psychosocial support in outpatient diabetes management.Frontiers in endocrinology · 2025Review
- A Mediation Model of Medication Literacy and Adherence in Type 2 Diabetes During Hospital-Home Transition.Patient preference and adherence · 2025Article
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6 authors.
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Abstract
Background: Social support may be important in the management of type 2 diabetes. This study aimed to investigate the relationships between social support, medication adherence, and glycemic control in Northwestern China. Methods: A cross-sectional questionnaire-based survey was carried out in the department of endocrinology in three teaching hospitals between February 2023 and April 2025. The Social Support Rating Scale (SSRS) was used to assess social support. The Adherence to Refills and Medications Scale (ARMS) was used to assess adherence to antidiabetic medications. Logistic regression analyses were performed to identify the factors associated with medication nonadherence and poor glycemic control. Receiver operating characteristic (ROC) was used to assess the performance of the logistic regression model in predicting medication nonadherence. Results: A total of 522 inpatients finished the questionnaires, 323 (61.9%) inpatients were nonadherent to antidiabetic medications and the prevalence rate of poor glycemic control was estimated to be 82.6%. According to the multivariable logistic regression analysis, inpatients who had received low levels of social support had 2.48 times (95% CI = 1.419-4.322) greater odds of nonadherence to antidiabetic medications than those received high levels of social support, while inpatients who were underweight had 2.78 times (95% CI = 1.054-7.330) greater odds of nonadherence to antidiabetic medications than those with normal BMI. We found that comorbid with hyperlipidemia and combination of oral and injectable antidiabetic medications use were negatively associated with nonadherence to antidiabetic medications. Inpatients prescribed injectable antidiabetic medications were positive associated with poor glycemic control, while older inpatients and the presence of drug-related side effects were negative associated with poor glycemic control. Conclusion: The relatively low adherence and poor glycemic control among inpatients with T2DM in northwestern China highlighted the urgent need for effective strategies to improve adult diabetes management. Pharmacists should play an important role in strengthening social support to improve adult diabetes self-management.
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