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Journal of Diabetes Research
Volume 2017 (2017), Article ID 7589184, 10 pages
Research Article

Medication Adherence Mediates the Association between Type D Personality and High HbA1c Level in Chinese Patients with Type 2 Diabetes Mellitus: A Six-Month Follow-Up Study

1School of Social Development and Public Policy, China Institute of Health, Beijing Normal University, Beijing 100875, China
2Clinics of Cadre, Department of Outpatient, General Hospital of the People’s Liberation Army (301 Hospital), Beijing 100853, China
3Department of Public Health Sciences, University of Rochester School of Medicine & Dentistry, Rochester, NY 14642, USA
4Department of Sociology, Huazhong University of Science and Technology, Wuhan, Hubei 430074, China

Correspondence should be addressed to Weijun Zhang and Donghua Tian

Received 16 September 2016; Revised 23 November 2016; Accepted 7 December 2016; Published 9 February 2017

Academic Editor: Suat Simsek

Copyright © 2017 Xuemei Li et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Aims. To examine the association between Type D personality and HbA1c level and to explore the mediating role of medication adherence between them in patients with type 2 diabetes mellitus (T2DM). Methods. 330 patients went on to complete a self-report measure of medication adherence and the HbA1c tests. Chi-square test, test, Ordinary Least Square Regression (OLS), and Recentered Influence Function Regression (RIF) were employed. Results. Patients with Type D personality had significantly higher HbA1c value (). When Type D personality was operationalized as a categorical variable, SI was associated with HbA1c (). When NA, SI, and their interaction term were entered into regression, all of them were no longer associated with HbA1c level (). On the other hand, when Type D personality was operationalized as a continuous variable, only SI trait was associated with HbA1c level (). When NA, SI, and term together were entered into regression, only SI was not related to HbA1c level. Furthermore, medication adherence had a significant mediation effect between Type D personality and HbA1c, accounting for 54.43% of the total effect. Conclusion. Type D personality was associated with HbA1c in direct and indirect ways, and medication adherence acted as a mediator role.