TY - JOUR
T1 - Factors influencing adherence to anti-diabetes medications among type 2 diabetes patients attending tertiary care hospitals in Mangaluru
AU - Thapar, Rekha
AU - Holla, Ramesh
AU - Kumar, Nithin
AU - Aithal, Shodhan
AU - Karkera, Sahana
AU - Rao, Chaitra
AU - Pujari, Nikhita
AU - Zahida, Ayshath
AU - Unnikrishnan, Bhaskaran
AU - Mithra, Prasanna
AU - Swamy, Darshan K.
AU - Kulkarni, Vaman
AU - Bhagawan, Darshan
AU - Kumar, Avinash
PY - 2020/12/1
Y1 - 2020/12/1
N2 - Background: Poor adherence is generally associated with bad outcomes of the disease especially in Non-communicable disease like diabetes. Objectives: To study the level of adherence and factors associated with adherence to anti-diabetes medication among patients with diabetes. Method: ology: In this cross-sectional study, 124 diabetes patients attending medicine OPDs at hospitals affiliated to Kasturba medical college, Mangaluru were assessed regarding their adherence to anti-diabetes medications using the Morisky 8-Item Medication Adherence scale. Univariate and multivariate analysis was done to determine the factors associated with good adherence. Results: The mean age of the patient was 59.8 ± 11.2 years. The median duration of diabetes was 7 (3–12) years. In our study 43.5% (n = 54) of the participants had low adherence to anti diabetes medications. On Univariate analysis, absence of side effects, and regular blood glucose monitoring were found to be significantly associated with good adherence (P < 0.05). However, on multivariate analysis, absence of side effects was found to be significantly associated with good adherence (P < 0.05). Conclusion: Absence of side effects is the factor independently associated with good adherence. The interventions planned to combat the problem of non-adherence to medications should be targeted towards reducing the side effects of medication.
AB - Background: Poor adherence is generally associated with bad outcomes of the disease especially in Non-communicable disease like diabetes. Objectives: To study the level of adherence and factors associated with adherence to anti-diabetes medication among patients with diabetes. Method: ology: In this cross-sectional study, 124 diabetes patients attending medicine OPDs at hospitals affiliated to Kasturba medical college, Mangaluru were assessed regarding their adherence to anti-diabetes medications using the Morisky 8-Item Medication Adherence scale. Univariate and multivariate analysis was done to determine the factors associated with good adherence. Results: The mean age of the patient was 59.8 ± 11.2 years. The median duration of diabetes was 7 (3–12) years. In our study 43.5% (n = 54) of the participants had low adherence to anti diabetes medications. On Univariate analysis, absence of side effects, and regular blood glucose monitoring were found to be significantly associated with good adherence (P < 0.05). However, on multivariate analysis, absence of side effects was found to be significantly associated with good adherence (P < 0.05). Conclusion: Absence of side effects is the factor independently associated with good adherence. The interventions planned to combat the problem of non-adherence to medications should be targeted towards reducing the side effects of medication.
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U2 - 10.1016/j.cegh.2020.03.025
DO - 10.1016/j.cegh.2020.03.025
M3 - Article
AN - SCOPUS:85082419311
SN - 2213-3984
JO - Clinical Epidemiology and Global Health
JF - Clinical Epidemiology and Global Health
ER -