The role of gender in compliance and attendance at an outpatient clinic for type 2 diabetes mellitus in Trinidad
Open accessAbstract
OBJECTIVES: To explore the association between gender and (1) attendance and (2) compliance with treatment in a population of patients with diabetes who attended outpatient clinics in the island of Trinidad (Trinidad and Tobago). METHODS: A cross-sectional study was conducted with a sample of 360 patients who met the selection criteria. Simple consecutive sampling and a questionnaire were used to interview clinic attendees at two urban clinics in east and south Trinidad. RESULTS: 74.2% (267) of the participants were women. A higher percentage of women than men were unemployed (79.4% vs. 59.1%, P < 0.001). Men were more likely to consume alcohol (26.9% vs. 11.6%, P < 0.001) and smoke cigarettes (20.4% vs. 5.6%, P < 0.001). Women were more compliant than men regarding diet (39.3% vs. 22.6%, P < 0.005) and prescribed medication (71.9% vs. 65.6%, P < 0.04). Women were more satisfied than men with dispensary (81.3% vs. 71.0%, P < 0.04) and clinic conditions (92.1% vs. 84.9%, P < 0.05). CONCLUSIONS: More women attended the clinic, and their compliance with the treatment regimen was better than in men. The latter were more likely to engage in health risk behaviors such as drinking and smoking. Efforts focused on men with diabetes mellitus in Trinidad and Tobago are needed to encourage greater compliance.
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There is evidence that women are more aware of health problems than men.
“Moreover, there is also evidence supporting the idea that women are more aware of health problems than men (78, 79).”
From Exploring the relationship between the acceptability of an internet-based intervention for depression in primary care and clinical outcomes: Secondary analysis of a randomized controlled trial (2019) · cites this paper as [79]
The Discussion says men are less inclined to seek care and may remain unaware of type 2 diabetes until complications occur; it also reports that women with diabetes attended clinics more often. This supports a difference in awareness of diabetes in this setting, but not the broader claim about awareness of health problems generally. (LLM, conf=0.84)
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“Moreover, there is also evidence supporting the idea that women are more aware of health problems than men (78, 79).”
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- Authors
- Babwah, F., Baksh, S., Blake, L., Cupid-Thuesday, J., Hosein, I., Sookhai, A., Poon-King, C., & Hutchinson, G.
- Affiliations
- University of the West Indies (TT)
- ORCID
- Babwah, Feaz
- Venue
- Revista Panamericana de Salud Pública
- Publisher
- FapUNIFESP (SciELO)
- Published
- 2006-02
- Volume
- 19
- Issue
- 2
- Pages
- 79-84
- ISSN
- 1020-4989 (ISSN-L)
- OpenAlex
- W2097152623
- Cited by
- 63
- References
- 8
- Citations by year
- 2025: 5 · 2024: 4 · 2023: 6 · 2022: 4 · 2021: 7 · 2020: 4 · 2019: 5 · 2018: 2 · 2017: 2 · 2016: 4 · 2015: 6 · 2014: 3 · 2013: 3
- FWCI
- 1.36
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- Revista Panamericana de Salud Pública (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Fakultet Medicinskih Nauka, Univerziteta U Kragujevcu
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Sex and Gender in Healthcare
- Keywords
- type 2 diabetes, gender differences, medication adherence, outpatient visits, health risk behaviors, alcohol consumption, smoking, dietary adherence, patient satisfaction, Trinidad and Tobago
- MeSH terms
- Adult, Aged, Alcohol Drinking, Ambulatory Care Facilities, Cross-Sectional Studies, Data Interpretation, Statistical, Diabetes Mellitus, Type 2, Education, Employment, Female, Humans, Male, Middle Aged, Patient Compliance, Sex Factors, Smoking, Trinidad and Tobago, Patient Satisfaction
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