Influence of Family Dynamics on Medication Adherence among Hypertensive Patients in a Tertiary Hospital in South-West Nigeria

Gabriel, Olusegun Emmanuel

doi:10.18535/jmscr/v5i7.138

Cited by 4 publications

(2 citation statements)

References 20 publications

(27 reference statements)

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“…This is similar to the mean 60.67 ± 13.85 years in the study by Gabriel et al. 19 and 59.8 ± 12.8 years in research by Odusola et al. 20 This similarity may be because most chronic medical conditions like T2DM develop during the middle-age period.…”

Section: Discussionsupporting

confidence: 86%

Glycemic control and its association with sociodemographics, comorbid conditions, and medication adherence among patients with type 2 diabetes in southwestern Nigeria

Ibrahim¹,

Agboola

Elegbede

et al. 2021

J Int Med Res

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Objective We determined the prevalence of poor glycemic control and associations with sociodemographics, comorbid conditions, and medication adherence among patients with type 2 diabetes mellitus (T2DM) at a tertiary hospital in southwestern Nigeria. Methods We conducted a retrospective observational study among 300 patients with T2DM using systematic random sampling. We used a semi-structured questionnaire to collect information on respondents’ sociodemographic profile, lifestyle, comorbid conditions, and antidiabetic medications. Adherence was determined using the Morisky Medication Adherence Scale. Fasting blood samples were tested using a glycated hemoglobin marker. Multivariate logistic regression was used to identify factors associated with poor glycemic control. Results Respondents’ mean age was 61.9 ± 11.8 years. The prevalence of poor glycemic control was 40.0% (95% confidence interval [CI]: 34.4%–45.8%). The adjusted odds ratio (95% CI) for factors associated with poor glycemic control was 2.522 (1.402–4.647) for older age, 1.882 (1.021–3.467) for low income, 1.734 (1.013–3.401) for obesity, 2.014 (1.269–5.336) for non-initiation of insulin therapy, and 1.830 (1.045–3.206) for poor medication adherence. Conclusion Older age, lower income, obesity, non-initiation of insulin, and poor medication adherence were associated with poor glycemic control. These variables may help clinicians identify patients at high risk of poor glycemic control.

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Section: Discussionsupporting

confidence: 86%

Glycemic control and its association with sociodemographics, comorbid conditions, and medication adherence among patients with type 2 diabetes in southwestern Nigeria

Ibrahim¹,

Agboola

Elegbede

et al. 2021

J Int Med Res

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show abstract

“…). There was also a statistically signi cant association between glycemic control and ASM parasitaemia (p<0.001) and parasite density (p<0.001), ( The mean age of 64.8 ± 11.1 years found in this study was closed to 60.67 ± 13.85 obtained from a study by Gabriel et al, [19] in the same study area and 60.96 ± 10 years recorded in another study in Abeokuta, Nigeria. [20] This nding was not surprising because most of the chronic medical conditions develop during the middle age period.…”

Section: Glycosylated Hemoglobin ( Hbaic)supporting

confidence: 63%

Asymptomatic Malaria And Glycemic Control Among Type 2 Diabetes Mellitus Patients In A Rural Tertiary Health Facility In Ido- Ekiti, Southwestern Nigeria- A Cross Sectional Study.

Ibrahim

Agbesanwa

Agboola

et al. 2021

Preprint

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Background: : Despite the high burden of Asymptomatic Malaria and Type 2 diabetes mellitus in sub-Saharan African, limited data exist regarding their co-occurrence and its associated clinical impacts of asymptomatic malaria parasitaemia on Type 2 diabetes mellitus in rural setting. The purpose of this study is to determine the prevalence of glycemic control and asymptomatic malaria parasitaemia; and to investigate the influence of socio-demographic characteristics and asymptomatic malaria parasitaemia on glycemic control among patients with Type 2 diabetes mellitus.Methods: Hospital-based cross-sectional study was conducted on 150 T2DM patients at Federal Teaching Hospital, Ido-Ekiti, SouthWestern Nigeria, between April and September 2019. Systematic random sampling technique was adopted to recruit the respondents. Socio-demographic data were obtained using a semi- structured interviewer administered questionnaire and clinical files. Venous blood samples were collected and processed for glycosylated haemoglobin sugar estimation and malaria parasite detection by microscopy. Data were analyzed using SPSS version 20.0. Multivariate logistic regression analysis was used to identify the influence of asymptomatic malaria parasitaemia and the socio-demographic profile on glycemic control.Results: The mean age, mean glycemic control and mean parasite density of the respondents were 64.8±11.1 years, 6.9±2.1% and 1123.4±433.8 respectively. The prevalence of poor glycemic control and asymptomatic malaria parasitaemia were 30.0% and 14.0% respectively. Old age, female gender, lack of formal education and asymptomatic malaria parasitaemia were associated with poor glycemic control.Conclusion: The study revealed that Type 2 diabetes mellitus patients in Ido-Ekiti, Nigeria, harbor asymptomatic malaria parasitaemia and that Asymptomatic malaria parasitaemia, old age, female gender and illiteracy were negative predictors of glycemic control. Therefore, type 2 diabetes mellitus patient with poor glycemic control should be screened for asymptomatic malaria parasitaemia. Also, respondents with these identified predictors should be targeted with focus care and qualitative health education to improve their glycemic control level.

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Community‐acquired pneumonia and its predictors of mortality in rural southwestern Nigeria: A‐five year retrospective observational study

Ibrahim

Shabi

Aremu

et al. 2022

African Journal of Emergency Medicine

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Influence of Family Dynamics on Medication Adherence among Hypertensive Patients in a Tertiary Hospital in South-West Nigeria

Cited by 4 publications

References 20 publications

Glycemic control and its association with sociodemographics, comorbid conditions, and medication adherence among patients with type 2 diabetes in southwestern Nigeria

Glycemic control and its association with sociodemographics, comorbid conditions, and medication adherence among patients with type 2 diabetes in southwestern Nigeria

Asymptomatic Malaria And Glycemic Control Among Type 2 Diabetes Mellitus Patients In A Rural Tertiary Health Facility In Ido- Ekiti, Southwestern Nigeria- A Cross Sectional Study.

Community‐acquired pneumonia and its predictors of mortality in rural southwestern Nigeria: A‐five year retrospective observational study

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