Abstract:Background: The rapid increases in prevalence of diabetes mellitus is a great cause for concern and poor adherence to diabetic medication treatment is common problem which causes severe health complications and increased mortality. Measuring the level of adherence and associated factors on treatment is needed to evaluate the overall treatment outcome of chronic illness including diabetes. This study aimed to assess medication adherence among ambulatory patients with type 2 Diabetes mellitus in Zewditu memorial… Show more
“…Ten articles were excluded based on their lack of clarity in terms of the outcome variable. The remaining 26 studies 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 met the inclusion criteria and were included in the final analysis ( Figure 1 ). Figure 1 Flow diagram showing the procedure of selecting studies for meta-analysis in Ethiopia 2013–2019.…”
Section: Resultsmentioning
confidence: 99%
“…Twenty-six studies representing 7756 patients with diabetes were included in the final analysis. From the included studies, eight observational studies (27%) were conducted in Oromia region, 38 , 47 , 48 , 52 , 53 , 55 8 articles (30.8%) were from Addis Ababa, 39 , 41 , 43 , 45 , 46 , 49 , 50 5 articles (19.2%) were from Amhara region, 40 , 44 , 54 , 56 , 60 and 2 articles were from the Southern Nations, Nationalities, and People's Region 51 , 59 and Tigray regions. 37 , 57 The remaining 1 article was from Harari region.…”
Section: Resultsmentioning
confidence: 99%
“… 65 Other common challenges such as cost of medication, accessibility of health care facilities, lack of patient education, and poor patient-provider relationships may be more severe in Ethiopia compared with the other countries. 26 Considering these challenges, it is heartening that Ethiopia is able to maintain a similar medication adherence level as that of higher-income countries.…”
Section: Discussionmentioning
confidence: 99%
“…The geographic location of a patient's residence and the presence of a glucometer in the home were identified as positive factors in medication adherence. 21 , 22 , 23 , 24 , 25 , 26 , 27 …”
Highlights
Seven thousand seven hundred fifty-six participants were included for the final analysis.
Reported good medication adherence among adult diabetic patients in Ethiopia was 68.59%.
Reported good medication adherence among adult diabetic patients in regions was 67.81%.
Reported good medication adherence among adult diabetic patients in Addis Ababa was 70.37%.
Presence of glucometer at home has positive association with reported good medication adherence among adult diabetic patients.
“…Ten articles were excluded based on their lack of clarity in terms of the outcome variable. The remaining 26 studies 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 met the inclusion criteria and were included in the final analysis ( Figure 1 ). Figure 1 Flow diagram showing the procedure of selecting studies for meta-analysis in Ethiopia 2013–2019.…”
Section: Resultsmentioning
confidence: 99%
“…Twenty-six studies representing 7756 patients with diabetes were included in the final analysis. From the included studies, eight observational studies (27%) were conducted in Oromia region, 38 , 47 , 48 , 52 , 53 , 55 8 articles (30.8%) were from Addis Ababa, 39 , 41 , 43 , 45 , 46 , 49 , 50 5 articles (19.2%) were from Amhara region, 40 , 44 , 54 , 56 , 60 and 2 articles were from the Southern Nations, Nationalities, and People's Region 51 , 59 and Tigray regions. 37 , 57 The remaining 1 article was from Harari region.…”
Section: Resultsmentioning
confidence: 99%
“… 65 Other common challenges such as cost of medication, accessibility of health care facilities, lack of patient education, and poor patient-provider relationships may be more severe in Ethiopia compared with the other countries. 26 Considering these challenges, it is heartening that Ethiopia is able to maintain a similar medication adherence level as that of higher-income countries.…”
Section: Discussionmentioning
confidence: 99%
“…The geographic location of a patient's residence and the presence of a glucometer in the home were identified as positive factors in medication adherence. 21 , 22 , 23 , 24 , 25 , 26 , 27 …”
Highlights
Seven thousand seven hundred fifty-six participants were included for the final analysis.
Reported good medication adherence among adult diabetic patients in Ethiopia was 68.59%.
Reported good medication adherence among adult diabetic patients in regions was 67.81%.
Reported good medication adherence among adult diabetic patients in Addis Ababa was 70.37%.
Presence of glucometer at home has positive association with reported good medication adherence among adult diabetic patients.
“…(24) Mesfin Y et al reported that reasons for non-adherence were identified as forgetfulness, lack of patient education, financial problem or cost of medication, lack of patient provider relationship, shortage or availability problem, health facility being far or accessibility problem, problem in dosage form, feeling healthy without medication, afraid of addiction and being afraid of side effect. (25) Illiterate patients could not read or distinguish their medications, which increase the risk of errors and non-adherence. Illiteracy might negatively affect patient's medical knowledge.…”
BACKGROUND Poor adherence or non-adherence is a great problem in the control of diabetes mellitus type 2. Despite the advances in the treatment of diabetes mellitus type 2 over the years, diabetes remains as a burden on the individuals living with the condition, their families, societies and overall health care delivery system. The objective of this study is to assess the proportion of diabetic patients' adherence to treatment and identify important sociodemographic factors for non-adherence. MATERIALS AND METHODS A cross-sectional study was conducted among 100 type 2 diabetic patients attending Outpatient Department (OPD) of a tertiary care hospital of Agartala city located in the North Eastern part of India. The systematic random sampling technique was used for selection of the study subjects. Adherence was measured using the standardised and widely used four-item Morisky Medication Adherence Scale (MMAS-4). RESULTS The overall mean (SD) age was 53.17 (±11.543) years. The proportion of females/ males with type 2 DM was found to be 58% and 42% respectively. The adherence to treatment among the DM2 patients was 44.0% compared to non-adherence 56.0%. The sex, age, literacy, occupation, income and caste did not show any significant association with treatment adherence. Among Hindu, almost 40.4% adherence was observed (p= 0.017). CONCLUSION The overall adherence was 44.0%, suggesting poor adherence to treatment among the diabetes patients. Females were more adherent compared to males (p > 0.05). The level of education was directly proportional to the treatment adherence (p > 0.05). No significant relationships were observed between sex, literacy, income, occupation and caste with treatment adherence.
Introduction Good glycemic control and preventing early complications are the ultimate targets of diabetes management, which depends on patients’ adherence to regimens. Even though highly potent and effective medications have been developed and manufactured with astonishing advancement over the past few decades, excellent glycemic control has remained elusive. Objective This study aimed to assess the magnitude and factors associated with medication adherence among type 2 diabetes (T2D) patients on follow-up at Adama Hospital Medical College (AHMC) in East Ethiopia. Methods A hospital-based cross-sectional study was conducted among 245 T2D patients on follow-up at AHMC from March 1 to March 30, 2020. Medication adherence reporting scale-5 (MARS-5) was utilized to collect information regarding patients’ medication adherence. The data were entered and analyzed using SPSS (Statistical Package for Social Sciences) version 21. The level of significance was declared at a p-value of < .05. Results Of the 245 respondents, the proportion of respondents who adhere to diabetes medication was 29.4%, 95% CI [confidence interval] (23.7%–35.1%). After adjusting for khat chewing and adherence to blood glucose testing as confounding factors, being married (AOR [adjusted odds ratio] = 3.43, 95%CI [1.27–4.86]), government employee (AOR = 3.75, 95%CI [2.12–7.37]), no alcohol drinking (AOR = 2.25, 95%CI [1.32–3.45]), absence of comorbidity (AOR = 1.49, 95%CI [1.16–4.32]), and having diabetes health education at health institution (AOR = 3.43, 95%CI [1.27–4.86]) were the factors associated with good medication adherence. Conclusion The proportion of T2D patients who adhere to medication in the study area was remarkably low. The study also found that being married, government employee, no alcohol drinking, absence of comorbidity, and having diabetes health education at a health institution were the factors associated with good medication adherence. Therefore, imparting health education on the importance of diabetes medication adherence by health professionals at each follow-up visit should be considered. Besides, awareness creation programs regarding diabetes medication adherence should be considered using mass media (radio and television).
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