Is Participation in Primary Care Actions Leading to Better Behaviors in People With Diabetes? Results From the Amazon Region
Background: Effective management of type 2 diabetes (T2DM) is critical, especially in regions with high social inequalities, such as Amazonas, Brazil. This study aimed to evaluate the impact of T2DM management activities offered by primary care settings on health behaviors. Methods: This is a cross-...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2025-07-01
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| Series: | Journal of Primary Care & Community Health |
| Online Access: | https://doi.org/10.1177/21501319251323780 |
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| author | Lucas Santos Fernandes Johrdy Amilton da Costa Braga Maria Natália Cardoso Camila Fabiana Rossi Squarcini Hércules Lázaro Morais Campos Elisa Brosina de Leon |
| author_facet | Lucas Santos Fernandes Johrdy Amilton da Costa Braga Maria Natália Cardoso Camila Fabiana Rossi Squarcini Hércules Lázaro Morais Campos Elisa Brosina de Leon |
| author_sort | Lucas Santos Fernandes |
| collection | DOAJ |
| description | Background: Effective management of type 2 diabetes (T2DM) is critical, especially in regions with high social inequalities, such as Amazonas, Brazil. This study aimed to evaluate the impact of T2DM management activities offered by primary care settings on health behaviors. Methods: This is a cross-sectional study conducted in 10 cities of the Amazonas state in Brazil (n = 965). The study included individuals with T2DM who participate in activities on disease management offered by primary care settings. The health behaviors assessed included medication adherence, physical activity, and food and vegetable consumption. Results: There was a positive association between activity participation and medication adherence (OR = 0.51; 95% CI = 0.36-0.71). However, there was no association between participation and physical activity level, both for moderate (OR = 0.84; 95% CI = 0.58-1.22) or high levels (OR = 1.60; 95%; CI = 0.99-2.59) or daily fruit and vegetable consumption (OR = 0.61; 95% CI = 0.30-1.22). Conclusion: In conclusion, participation in activities offered in primary care positively impacts medication adherence. However, although participants received guidance on adhering to physical activity and healthy eating practices, no impact was observed in behavior changes in people diagnosed with T2DM. |
| format | Article |
| id | doaj-art-5cbf19d0e04b49289f9643d7c9b7fdbd |
| institution | Kabale University |
| issn | 2150-1327 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Primary Care & Community Health |
| spelling | doaj-art-5cbf19d0e04b49289f9643d7c9b7fdbd2025-08-20T03:24:59ZengSAGE PublishingJournal of Primary Care & Community Health2150-13272025-07-011610.1177/21501319251323780Is Participation in Primary Care Actions Leading to Better Behaviors in People With Diabetes? Results From the Amazon RegionLucas Santos Fernandes0Johrdy Amilton da Costa Braga1Maria Natália Cardoso2Camila Fabiana Rossi Squarcini3Hércules Lázaro Morais Campos4Elisa Brosina de Leon5Programa de Pós-Graduação em Ciências do Movimento Humano da Faculdade de Educação Física e Fisioterapia da Universidade Federal do Amazonas, Manaus, Amazonas, BrazilPrograma de Pós-Graduação em Ciências do Movimento Humano da Faculdade de Educação Física e Fisioterapia da Universidade Federal do Amazonas, Manaus, Amazonas, BrazilPrograma de Pós-Graduação em Ciências do Movimento Humano da Faculdade de Educação Física e Fisioterapia da Universidade Federal do Amazonas, Manaus, Amazonas, BrazilDepartamento de Ciências da Saúde, Universidade Estadual de Santa Cruz, Ilheus, BrazilInstituto de Saúde e Biotecnologia da Universidade Federal do Amazonas, Coari, Amazonas, BrazilPrograma de Pós-Graduação em Ciências do Movimento Humano da Faculdade de Educação Física e Fisioterapia da Universidade Federal do Amazonas, Manaus, Amazonas, BrazilBackground: Effective management of type 2 diabetes (T2DM) is critical, especially in regions with high social inequalities, such as Amazonas, Brazil. This study aimed to evaluate the impact of T2DM management activities offered by primary care settings on health behaviors. Methods: This is a cross-sectional study conducted in 10 cities of the Amazonas state in Brazil (n = 965). The study included individuals with T2DM who participate in activities on disease management offered by primary care settings. The health behaviors assessed included medication adherence, physical activity, and food and vegetable consumption. Results: There was a positive association between activity participation and medication adherence (OR = 0.51; 95% CI = 0.36-0.71). However, there was no association between participation and physical activity level, both for moderate (OR = 0.84; 95% CI = 0.58-1.22) or high levels (OR = 1.60; 95%; CI = 0.99-2.59) or daily fruit and vegetable consumption (OR = 0.61; 95% CI = 0.30-1.22). Conclusion: In conclusion, participation in activities offered in primary care positively impacts medication adherence. However, although participants received guidance on adhering to physical activity and healthy eating practices, no impact was observed in behavior changes in people diagnosed with T2DM.https://doi.org/10.1177/21501319251323780 |
| spellingShingle | Lucas Santos Fernandes Johrdy Amilton da Costa Braga Maria Natália Cardoso Camila Fabiana Rossi Squarcini Hércules Lázaro Morais Campos Elisa Brosina de Leon Is Participation in Primary Care Actions Leading to Better Behaviors in People With Diabetes? Results From the Amazon Region Journal of Primary Care & Community Health |
| title | Is Participation in Primary Care Actions Leading to Better Behaviors in People With Diabetes? Results From the Amazon Region |
| title_full | Is Participation in Primary Care Actions Leading to Better Behaviors in People With Diabetes? Results From the Amazon Region |
| title_fullStr | Is Participation in Primary Care Actions Leading to Better Behaviors in People With Diabetes? Results From the Amazon Region |
| title_full_unstemmed | Is Participation in Primary Care Actions Leading to Better Behaviors in People With Diabetes? Results From the Amazon Region |
| title_short | Is Participation in Primary Care Actions Leading to Better Behaviors in People With Diabetes? Results From the Amazon Region |
| title_sort | is participation in primary care actions leading to better behaviors in people with diabetes results from the amazon region |
| url | https://doi.org/10.1177/21501319251323780 |
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