PMID- 35693989 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230106 IS - 2190-1678 (Print) IS - 2190-1686 (Electronic) IS - 2190-1678 (Linking) VI - 13 IP - 3 DP - 2022 Jul TI - Illness perception, medication adherence and glycemic control among primary health-care patients with type 2 diabetes mellitus at Port Said City, Egypt. PG - 522-530 LID - 10.1007/s13340-021-00567-6 [doi] AB - AIMS: Despite the availability of a wide selection of antidiabetic treatments, many patients with type 2 diabetes mellitus (T2DM) still do not have controlled glucose levels. This study aimed to assess illness perception, medication adherence, and glycemic control among primary care attendees with T2DM. METHODS: A cross-sectional study was conducted between July 2019 and November 2020. A random sample of 265 Egyptian T2DM patients were enrolled from primary health-care settings in Port Said, Egypt. Data on socio-demographic characteristics, lifestyle habits, and diabetic medical history were collected using a semi-structured questionnaire. The Brief Illness Perception Questionnaire (B-IPQ) was used to assess diabetes perception, whereas the 8-item Morisky Medication Adherence Scale (MMAS-8) was used to investigate medication adherence. RESULTS: There was a significant difference in B-IPQ scores between different groups of the patients in terms of diabetic medications, complications, and glycemic control (p < 0.05). There was a significant difference in MMAS-8 score found between different groups of the patients in terms of disease duration, family history of T2DM, and glycemic control (p < 0.05). Further, there was a significant difference in HbA1c score found between different groups of patients in terms of disease duration, medications, complications, and family history of T2DM (p < 0.05). Higher BMI, a positive family history of T2DM, patients who take insulin, high illness perception, and poor medication adherence were the factors associated with higher HbA1c level. CONCLUSION: Higher HbA1c levels were linked to a higher BMI, a positive family history of T2DM, insulin users, high illness perception, and poor medication adherence. CI - (c) The Japan Diabetes Society 2022. FAU - Saudi, Rabab Atta AU - Saudi RA AUID- ORCID: 0000-0001-5477-9476 AD - Department of Family Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt. GRID: grid.33003.33. ISNI: 0000 0000 9889 5690 FAU - Abbas, Rokaia Atef AU - Abbas RA AUID- ORCID: 0000-0002-7484-1676 AD - Ministry of Health and Population, Port Said, Egypt. GRID: grid.415762.3 FAU - Nour-Eldein, Hebatallah AU - Nour-Eldein H AD - Department of Family Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt. GRID: grid.33003.33. ISNI: 0000 0000 9889 5690 FAU - Sayed Ahmed, Hazem A AU - Sayed Ahmed HA AUID- ORCID: 0000-0002-4922-8706 AD - Department of Family Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt. GRID: grid.33003.33. ISNI: 0000 0000 9889 5690 LA - eng PT - Journal Article DEP - 20220105 PL - Japan TA - Diabetol Int JT - Diabetology international JID - 101553224 PMC - PMC9174374 OTO - NOTNLM OT - Glycemic control OT - Medication adherence OT - Perception of illness OT - T2DM COIS- Conflict of interestThe authors declare no conflict of interest. EDAT- 2022/06/14 06:00 MHDA- 2022/06/14 06:01 PMCR- 2023/01/05 CRDT- 2022/06/13 03:23 PHST- 2021/10/29 00:00 [received] PHST- 2021/12/22 00:00 [accepted] PHST- 2022/06/14 06:00 [pubmed] PHST- 2022/06/14 06:01 [medline] PHST- 2022/06/13 03:23 [entrez] PHST- 2023/01/05 00:00 [pmc-release] AID - 567 [pii] AID - 10.1007/s13340-021-00567-6 [doi] PST - epublish SO - Diabetol Int. 2022 Jan 5;13(3):522-530. doi: 10.1007/s13340-021-00567-6. eCollection 2022 Jul.