P-33 Understanding Factors that Influence Adherence to Pharmacological Treatment among Type 2 Diabetes Mellitus Adults and The Role of Social Inequalities: A Systematized Review

Design and Methods: A systematized review was conducted from October, 2021 to December, 2021 using the following databases: Pubmed, LILACS, Cochrane Clinical Answers, Cochrane Methodology Register, Cochrane Central Register of Controlled Trials, Cochrane Database of Systemic Reviews, CINAHL, Medline Complete and Psyc Articles. Full-text English language publications from 2006 to 2021 were chosen. The search aimed to review Caribbean and Latin American literature around the concepts of pharmacological adherence among social inequalities and type 2 diabetes mellitus patients. One researcher extracted the data, and two researchers independently assessed the quality of the articles using pre-established eligibility criteria.

Results: Seven articles were retained based on eligibility and quality criteria. The literature showed that low socioeconomic status among patients with type 2 diabetes mellitus had a significant impact on pharmacological adherence. Several factors contributed to pharmacological adherence including lack of resources, lifestyle modification issues, access to medications, lack of family support, mental health disorders, personal problems and cultural beliefs. A multidisciplinary team approach inclusive of innovative models with community workers, healthcare providers. and health system support has been recommended. However, the nature of innovations (including the use of digital technoloy) has not been clearly illucidated

Conclusion: Pharmacological adherence in patients with type 2 diabetes mellitus who are also of low socioeconomic status is influenced by multiple factors, Effective care requires a multidisciplinary approach which includes innovations. Further research is needed on the potential benefits of digital technology to improve pharmacological adherence among this population in the Caribbean.