ArticlePatient preference and adherence2026
Factors Associated with Non-Adherence to Blood Glucose Testing Among Non-Hispanic Black and Hispanic Men with a History of Prediabetes in the United States.
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. Not yet cited in PubMed.
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Abstract
Introduction: Rates of prediabetes are rising in the United States, especially within communities of color. Without adopting self-care behaviors and adhering to routine screenings, prediabetes is likely to progress to type 2 diabetes. This study examines factors associated with non-adherence to recommended blood glucose testing among non-Hispanic Black and Hispanic men ages ≥40 years with a history of prediabetes. Methods: Using an internet-delivered survey, data were collected from 769 Black (56.7%) and Hispanic (43.3%) men with a history of prediabetes. Chi-square tests and independent sample-tests were to identify differences across study variables by race/ethnicity and blood glucose testing adherence. A logistic regression model with backward stepwise entry was fitted to assess factors associated with blood glucose testing non-adherence, adjusted for sociodemographic factors, co-morbidities, healthcare interactions, social support, and lifestyle behaviors. Results: Approximately 11% of participants did not receive a blood glucose test in the past 12 months, and 60.9% self-reported progression from prediabetes to diabetes. Men who self-reported progressing from prediabetes to diabetes were less likely to be non-adherent to blood glucose testing recommendations (Odds Ratio [OR]=0.51, P=0.006). Each additional year of age was associated with lower odds of being non-adherent to blood glucose testing (OR=0.97, P=0.018). On average, men who engaged more with healthcare providers during visits had lower odds of being non-adherent to blood glucose testing (OR=0.87, P<0.001). Men who reported reasons for medication non-adherence (OR=1.68, P=0.043) and used tobacco products (OR=2.39, P<0.001) were more likely to report blood glucose testing non-adherence. Conclusion: Findings suggest that disease progression, greater engagement with healthcare providers, and improved healthy behaviors may be associated with adherence to blood glucose testing among Black and Hispanic men with a history of prediabetes. Culturally tailored interventions and strategies are needed to improve adherence among male these sub-groups.
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