TY - JOUR ID - 10534 TI - Stress as a risk factor for noncompliance with treatment regimens in patients with diabetes and hypertension JO - ARYA Atherosclerosis Journal JA - ARYA LA - en SN - 1735-3955 AU - Roohafza, Hamidreza AU - Kabir, Ali AU - Sadeghi, Masoumeh AU - Shokouh, Pedram AU - Ahmadzad-Asl, Masoud AU - Khadem-Maboudi, Ali Akbar AU - Sarrafzadegan, Nizal AD - Assistant Professor, Department of Mental Health, Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran AD - Assistant Professor, Minimally Invasive Surgery Research Center, Iran University of Medical Sciences, Tehran, Iran AD - Professor, Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran AD - PhD Fellow, Department of Endocrinology and Diabetes, Department of Clinical Medicine, Aarhus University, Aarhus, Denmark AD - Assistant Professor, Mental Health Research Center, Tehran Institute of Psychiatry AND School of Behavioral Sciences and Mental Health, Iran University of Medical Sciences, Tehran, Iran AD - Associate Professor, Department of Biostatistics, School of Paramedical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran AD - Professor, Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran Y1 - 2016 PY - 2016 VL - 12 IS - 4 SP - 166 EP - 171 KW - Stress KW - Patient Compliance KW - Risk Factors KW - Exercise KW - Diabetes Mellitus KW - Hypertension DO - N2 - BACKGROUND: We have assessed the role of stress on compliance of patients with diabetes mellitus (DM) and hypertension (HTN) with taking prescribed medications and following dietary and exercise regimens. METHODS: A total of 9544 individuals more than 19 years of age were selected from three counties in central Iran. The presence of DM and HTN were asked from participants. We defined treatment adherence (compliance) based on agreement of individual’s self-report behavior with recommendations from a physician. RESULTS: Awareness about DM and HTN was 82.6% and 49.9%, respectively. Multivariate analysis showed that odds ratio (OR) of high to low stress level was lower than one for both “usage of medication” and “following exercise regimen” in diabetics even after adjustment for either “age and sex” or “age, sex and education”. In hypertensive patients, OR of high to low stress level was lower than one for “usage of medication” even after adjustment for either “age and sex” or “age, sex and education” and also lower than one for “following exercise regimen” only as crude index. CONCLUSION: Cases with higher stress level had lower compliance for accepting either medication or exercise as a treatment option for their DM or HTN.  UR - https://arya.mui.ac.ir/article_10534.html L1 - https://arya.mui.ac.ir/article_10534_a7e2525f06079301840df943d519b3cb.pdf ER -