{"id":"https://openalex.org/W3083311517","doi":"https://doi.org/10.1353/hpu.2020.0098","title":"Explaining Poor Medication Adherence among Adults with Type 2 Diabetes in an Urban Community Health Center","display_name":"Explaining Poor Medication Adherence among Adults with Type 2 Diabetes in an Urban Community Health Center","publication_year":2020,"publication_date":"2020-01-01","ids":{"openalex":"https://openalex.org/W3083311517","doi":"https://doi.org/10.1353/hpu.2020.0098","mag":"3083311517","pmid":"https://pubmed.ncbi.nlm.nih.gov/33416698"},"language":"en","primary_location":{"id":"doi:10.1353/hpu.2020.0098","doi":"https://doi.org/10.1353/hpu.2020.0098","is_oa":false,"landing_page_url":"https://doi.org/10.1353/hpu.2020.0098","pdf_url":null,"source":{"id":"https://openalex.org/S99400149","display_name":"Journal of Health Care for the Poor and Underserved","issn_l":"1049-2089","issn":["1049-2089","1548-6869"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","jufo-1","medline","norway-1","poland-70","russia-white-list-3"],"host_organization":"https://openalex.org/P4310315678","host_organization_name":"Johns Hopkins University Press","host_organization_lineage":["https://openalex.org/P4310315678","https://openalex.org/P4310316510"],"host_organization_lineage_names":["Johns Hopkins University Press","Johns Hopkins University"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Health Care for the Poor and Underserved","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5038750716","display_name":"Robert Mayberry","orcid":"https://orcid.org/0000-0003-1933-8688","observed_orcids":["https://orcid.org/0000-0003-1933-8688"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Robert M. Mayberry","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5019350007","display_name":"Pamela V. Daniels","orcid":"https://orcid.org/0009-0005-9689-4647","observed_orcids":["https://orcid.org/0009-0005-9689-4647"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Pamela V. Daniels","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5081051656","display_name":"Robina Josiah Willock","orcid":"https://orcid.org/0009-0009-0008-5247","observed_orcids":["https://orcid.org/0009-0009-0008-5247"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Robina Josiah Willock","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5058199572","display_name":"Fengxia yan","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Fengxia Yan","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.5571,"has_fulltext":false,"cited_by_count":3,"citation_normalized_percentile":{"value":0.65038714,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":94},"biblio":{"volume":"31","issue":"3","first_page":"1331","last_page":"1346"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11620","display_name":"Medication Adherence and Compliance","score":0.9961000084877014,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11620","display_name":"Medication Adherence and Compliance","score":0.9961000084877014,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10793","display_name":"Diabetes Management and Education","score":0.003700000001117587,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10508","display_name":"Patient Safety and Medication Errors","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/treatment-adherence","display_name":"medication adherence","score":0.9829999804496765},{"id":"https://openalex.org/keywords/type-2-diabetes","display_name":"type 2 diabetes","score":1.0},{"id":"https://openalex.org/keywords/african-americans","display_name":"African Americans","score":0.9649999737739563},{"id":"https://openalex.org/keywords/community-health-centers","display_name":"community health centers","score":0.8389999866485596},{"id":"https://openalex.org/keywords/primary-care","display_name":"primary care","score":0.6320000290870667},{"id":"https://openalex.org/keywords/predictors-of-adherence","display_name":"predictors of adherence","score":0.6899999976158142},{"id":"https://openalex.org/keywords/self-perceived-health","display_name":"health perception","score":0.9020000100135803},{"id":"https://openalex.org/keywords/comorbidity","display_name":"comorbidities","score":0.9150000214576721},{"id":"https://openalex.org/keywords/myocardial-infarction","display_name":"myocardial infarction","score":0.843999981880188},{"id":"https://openalex.org/keywords/glycemic-control","display_name":"glycemic control","score":1.0},{"id":"https://openalex.org/keywords/self-care-motivation","display_name":"self-care motivation","score":0.8029999732971191},{"id":"https://openalex.org/keywords/sociodemographic-factors","display_name":"sociodemographic factors","score":0.7630000114440918}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.864877462387085},{"id":"https://openalex.org/C2780473172","wikidata":"https://www.wikidata.org/wiki/Q5572518","display_name":"Glycemic","level":3,"score":0.7899484634399414},{"id":"https://openalex.org/C2777180221","wikidata":"https://www.wikidata.org/wiki/Q3025883","display_name":"Type 2 diabetes","level":3,"score":0.7649526596069336},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.6784278750419617},{"id":"https://openalex.org/C3018553135","wikidata":"https://www.wikidata.org/wiki/Q67004728","display_name":"Medication adherence","level":2,"score":0.619685709476471},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.5594496726989746},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.5157259106636047},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.4556562900543213},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.41186216473579407},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.41158080101013184},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.36267024278640747},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.27943509817123413},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.1951727569103241},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.1803375780582428},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C134018914","wikidata":"https://www.wikidata.org/wiki/Q162606","display_name":"Endocrinology","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001741","descriptor_name":"Black or African American","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001741","descriptor_name":"Black or African American","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001741","descriptor_name":"Black or African American","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003151","descriptor_name":"Community Health Centers","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003151","descriptor_name":"Community Health Centers","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003151","descriptor_name":"Community Health Centers","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003924","descriptor_name":"Diabetes Mellitus, Type 2","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":true},{"descriptor_ui":"D003924","descriptor_name":"Diabetes Mellitus, Type 2","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":true},{"descriptor_ui":"D003924","descriptor_name":"Diabetes Mellitus, Type 2","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007004","descriptor_name":"Hypoglycemic Agents","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D007004","descriptor_name":"Hypoglycemic Agents","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D007004","descriptor_name":"Hypoglycemic Agents","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D012648","descriptor_name":"Self Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012648","descriptor_name":"Self Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012648","descriptor_name":"Self Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D055118","descriptor_name":"Medication Adherence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D055118","descriptor_name":"Medication Adherence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D055118","descriptor_name":"Medication Adherence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1353/hpu.2020.0098","doi":"https://doi.org/10.1353/hpu.2020.0098","is_oa":false,"landing_page_url":"https://doi.org/10.1353/hpu.2020.0098","pdf_url":null,"source":{"id":"https://openalex.org/S99400149","display_name":"Journal of Health Care for the Poor and Underserved","issn_l":"1049-2089","issn":["1049-2089","1548-6869"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","jufo-1","medline","norway-1","poland-70","russia-white-list-3"],"host_organization":"https://openalex.org/P4310315678","host_organization_name":"Johns Hopkins University Press","host_organization_lineage":["https://openalex.org/P4310315678","https://openalex.org/P4310316510"],"host_organization_lineage_names":["Johns Hopkins University Press","Johns Hopkins University"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Health Care for the Poor and Underserved","raw_type":"journal-article"},{"id":"pmid:33416698","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/33416698","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of health care for the poor and underserved","raw_type":"Journal Article"},{"id":"pmh:oai:muse.jhu.edu:/article/763699","doi":null,"is_oa":false,"landing_page_url":"https://muse.jhu.edu/article/763699","pdf_url":null,"source":{"id":"https://openalex.org/S4377196299","display_name":"Project Muse (Johns Hopkins University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I145311948","host_organization_name":"Johns Hopkins University","host_organization_lineage":["https://openalex.org/I145311948"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"text"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[{"id":"https://metadata.un.org/sdg/1","score":0.7099999785423279,"display_name":"No poverty"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[{"id":"https://openalex.org/G5181344446","display_name":"Reducing Health Disparities in Vulnerable African American Families and Communiti","funder_award_id":"P20MD006881","funder_id":"https://openalex.org/F4320337534","funder_display_name":"National Institute on Minority Health and Health Disparities"},{"id":"https://openalex.org/G7549037155","display_name":"RCMI Infrastructure for Clinical and Translational Research (RCTR) (U54)","funder_award_id":"U54MD007588","funder_id":"https://openalex.org/F4320337534","funder_display_name":"National Institute on Minority Health and Health Disparities"},{"id":"https://openalex.org/G8578456842","display_name":"ADAPTATION  EDUCATION AND MOTIVATION:  IMPROVING EVIDENCE-BASED MEDICATION ADHERE","funder_award_id":"R18HS019259","funder_id":"https://openalex.org/F4320332177","funder_display_name":"Agency for Healthcare Research and Quality"}],"funders":[{"id":"https://openalex.org/F4320332177","display_name":"Agency for Healthcare Research and Quality","ror":"https://ror.org/03jmfdf59"},{"id":"https://openalex.org/F4320337534","display_name":"National Institute on Minority Health and Health Disparities","ror":"https://ror.org/0493hgw16"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W1990007114","https://openalex.org/W2792348444","https://openalex.org/W3205924535","https://openalex.org/W2946159071","https://openalex.org/W7126212262","https://openalex.org/W2302296710","https://openalex.org/W4395693308","https://openalex.org/W2884696848","https://openalex.org/W2921794665","https://openalex.org/W2033045842"],"abstract_inverted_index":{"Nonadherence":[0,18],"to":[1,75,150],"diabetes":[2,16,33,50,62,70,118],"medication":[3,51,71,92,119],"is":[4,19],"a":[5,21,54,64,125,131],"common":[6],"and":[7,87,106,128,143],"costly":[8],"problem,":[9],"significantly":[10],"precluding":[11],"the":[12,138],"evidence-based":[13],"benefits":[14],"of":[15,59,101,108,117,134,140],"care.":[17],"also":[20],"poorly":[22],"understood":[23],"multifactorial":[24],"behavior,":[25],"particularly":[26],"among":[27,53],"African":[28,56],"Americans":[29],"with":[30,61],"type":[31,93],"2":[32],"receiving":[34],"care":[35,39],"in":[36,121,147],"under-resourced":[37],"primary":[38],"settings.":[40],"We":[41],"investigated":[42],"several":[43],"known":[44],"or":[45],"suspected":[46],"individual-level":[47],"factors":[48,97],"influencing":[49],"adherence":[52,72,120],"predominantly":[55],"American":[57],"group":[58],"adults":[60],"at":[63,79],"local":[65],"community":[66],"health":[67,105],"center.":[68],"Overall":[69],"was":[73],"observed":[74],"be":[76],"surprisingly":[77],"low":[78],"23%":[80],"(95%":[81],"confidence":[82],"interval":[83],"(CI)":[84],"=":[85],"19%-26%)":[86],"did":[88],"not":[89],"differ":[90],"by":[91],"(p=.435).":[94],"Common":[95],"sociodemographic":[96],"were":[98,111,124],"poor":[99],"predictors":[100,116],"adherence.":[102,152],"However,":[103],"self-perceived":[104],"presence":[107],"comorbid":[109],"conditions":[110],"significant.":[112],"The":[113],"strongest":[114],"independent":[115],"this":[122],"population":[123],"heart":[126],"attack":[127],"having":[129],"maintained":[130],"desired":[132],"level":[133],"glycemic":[135],"control,":[136],"indicating":[137],"importance":[139],"specific":[141],"comorbidities":[142],"motivation":[144],"for":[145],"self-care":[146],"tailoring":[148],"interventions":[149],"improve":[151]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":1}],"updated_date":"2026-10-28T10:33:24.094632","created_date":"2020-09-11T00:00:00"}
