Godoy Anelize Roveri Arcanjo, Franco Laercio Joel, Martinez Edson Zangiacomi, Consoli Lívia Maria Ferrante Vizzotto, Ueta Julieta, de Oliveira Rinaldo Eduardo Machado
Postgraduate Program in Public Health, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil.
School of Pharmaceutical Sciences of Ribeirao Preto, University of São Paulo, Brazil, Ribeirão Preto, SP, Brazil.
J Relig Health. 2025 Sep 4. doi: 10.1007/s10943-025-02441-0.
The objective was to analyse the association between the dimensions of religiosity and adherence to pharmacotherapy for type 2 diabetes mellitus among elderly people attending in primary health care centres in a Brazilian municipality. This is a cross-sectional study with 338 elderly people, in which medication adherence and religiosity were investigated using the Brief Medication Questionnaire and the Duke Religious Index, respectively. The sample consisted of 66.3% being females, 51.5% belonging to the age group of 60-69 years and 50.3% self-reported complications resulting from diabetes. Most participants used oral anti-diabetic drugs with 64.8% using metformin and 26.3% using insulin. Medication adherence was 52.4%. There was an association between adherence and the dimensions: organizational religiosity activity (p = 0.02), non-organizational religiosity activity (p < 0.01) and intrinsic religiosity (p < 0.01). The associations between the dimensions of religiosity and adherence highlight the importance of the approach in clinical-care practice for integrity care. Therefore, it is suggested that this be addressed when developing a treatment plan in primary care.
目的是分析在巴西某城市初级卫生保健中心就诊的老年人中，宗教信仰维度与2型糖尿病药物治疗依从性之间的关联。这是一项针对338名老年人的横断面研究，分别使用简易药物问卷和杜克宗教指数对药物治疗依从性和宗教信仰进行调查。样本中66.3%为女性，51.5%属于60 - 69岁年龄组，50.3%自述有糖尿病并发症。大多数参与者使用口服降糖药，64.8%使用二甲双胍，26.3%使用胰岛素。药物治疗依从率为52.4%。依从性与以下维度之间存在关联：组织性宗教活动（p = 0.02）、非组织性宗教活动（p < 0.01）和内在宗教信仰（p < 0.01）。宗教信仰维度与依从性之间的关联凸显了在临床护理实践中采取整体性护理方法的重要性。因此，建议在初级保健制定治疗计划时考虑这一点。
