The associations of insulin injection
omission with other health conditions
were examined.
Surprisingly,
history of depression was not associated with insulin omission; this contradicts findings from studies of general adherence (9,20) and of insulin omission among adolescents (10).
However,
because current depression was not assessed,
any concurrent association was likely to be lost.
Others have shown that depression symptom
scores fluctuate substantially over relatively short periods of time; individuals
with elevated depression symptoms at a
given point in time are likely to not report
elevated symptoms 6 months later(21,22).
In addition,
depression symptoms across the whole range of severity
symptoms have been shown to predict
regimen adherence more powerfully than diagnosed depression (23).
Being disabled was associated with less insulin
omission; this may be due to a variety of reasons,
including their receiving more assistance with care, or making a greater
effort to compensate for poor health.
Two aspects of patients’
treatment regimens were associated with increased
insulin omission—respondents who took
more injections each day and those who
did not follow a healthy diet were more
likely to skip injections.
That dietary nonadherence is associated with insulin nonadherence is not surprising. More
frequent injection omission among individuals taking more injections could re-
flect the frequently reported finding that
more complex regimens are associated
with lower levels of adherence (6).
It might also be that the impact of skipping
a shot is reduced among individuals who
take more shots.
The associations of insulin injection
omission with other health conditions
were examined.
Surprisingly,
history of depression was not associated with insulin omission; this contradicts findings from studies of general adherence (9,20) and of insulin omission among adolescents (10).
However,
because current depression was not assessed,
any concurrent association was likely to be lost.
Others have shown that depression symptom
scores fluctuate substantially over relatively short periods of time; individuals
with elevated depression symptoms at a
given point in time are likely to not report
elevated symptoms 6 months later(21,22).
In addition,
depression symptoms across the whole range of severity
symptoms have been shown to predict
regimen adherence more powerfully than diagnosed depression (23).
Being disabled was associated with less insulin
omission; this may be due to a variety of reasons,
including their receiving more assistance with care, or making a greater
effort to compensate for poor health.
Two aspects of patients’
treatment regimens were associated with increased
insulin omission—respondents who took
more injections each day and those who
did not follow a healthy diet were more
likely to skip injections.
That dietary nonadherence is associated with insulin nonadherence is not surprising. More
frequent injection omission among individuals taking more injections could re-
flect the frequently reported finding that
more complex regimens are associated
with lower levels of adherence (6).
It might also be that the impact of skipping
a shot is reduced among individuals who
take more shots.
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