Rural and Remote Health

www.rrh.org.au
James Cook University ISSN 1445-6354

Original Research

Measuring the specific care management experience of patients with type 2 diabetes mellitus in the Amazon region of Brazil

AUTHORS

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Johrdy Amilton da Costa Braga1,2 MHM

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Lucas Santos Fernandes1,3,4 MHM

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Maria Natália Cardoso1

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Elizabete Regina Araújo de Oliveira5 PhD, Associate Professor

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James Dean Oliveira dos Santos Júnior6 PhD

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Hércules Lázaro LM Morais Campos2,1,7 PhD, Teacher and Researcher ORCID logo

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Elisa Brosina De Leon1 PhD, Adjunct Professor *

AFFILIATIONS

1 Programa de Pós-graduação em Ciências do Movimento Humano, Faculdade de Educação Física e Fisioterapia, Universidade Federal do Amazonas, Manaus, Brazil

2 Instituto de Saúde e Biotecnologia, Universidade Federal do Amazonas, Coari, Brazil

3 Secretaria Municipal de Educação de Manaus, Manaus, Brazil

4 Secretaria de Estado de Educação e Desporto do Amazonas, Amazonas, Brazil

5 Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal do Espírito Santo, Vitória, Brazil

6 Departamento de Estatística, Universidade Federal do Amazonas, Manaus, Brazil

7 Programa de Pós-Graduação Interdisciplinar em Estudos Rurais, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Minas Gerais, Brazil

ACCEPTED: 16 September 2025


Early Abstract:

Aims: The present study aimed to verify whether there is an association between individual characteristics as sociodemographic, clinical, behavioral, and functional performance variables with Patient Assessment of Chronic Illness Care (PACIC) score in primary care setting in remote municipalities rural cities of the Amazonas State.
Methods: The study was carried out between October 2020 and December 2022 in ten municipalities in the interior of Amazonas and involved 965 participants.
Results: A generalized linear model was used to verify the association between the investigated variables. Sociodemographic, clinical, and behavioral variables were associated with PACIC scores. The evaluation of the instrument's domains demonstrated that, in addition to these variables, there was also an association between the participants' functional performance variables and perceived level of T2DM management.
Conclusions: The study found that sociodemographic, clinical, and behavioral variables were linked to the total PACIC score.
Keywords: chronic disease, diagnosis of health situation, primary health care, quality of health care, self care, type 2 diabetes mellitus.