Medication adherence and glycemic control status among people with diabetes seeking care from a tertiary care teaching hospital, south India

Olickal, Jeby Jose; Chinnakali, Palanivel; Suryanarayana, BS; Saya, Ganesh Kumar; Ganapathy, Kalaiselvan; Subrahmanyam, D. K. S.

doi:10.1016/j.cegh.2021.100742

Cited by 10 publications

(10 citation statements)

References 36 publications

(40 reference statements)

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“…Indeed, alcoholism is associated with detrimental health behaviours, and previous studies have shown that alcohol use has an inverse relationship with the frequency of patient hospital visits, including poor medication adherence. 13 , 33 …”

Section: Discussionmentioning

confidence: 99%

Low medication adherence and its associated factors among patients with type 2 diabetes mellitus attending Amana Hospital in Dar es Salaam, Tanzania: a cross-sectional study

Doya,

Yahaya,

Ngaiza

et al. 2023

International Health

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Background Low medication adherence among patients with type 2 diabetes mellitus (T2DM) is associated with significant morbidity and mortality globally. We investigated the prevalence of low medication adherence and its associated factors among patients with T2DM. Methods We used the Bengali version of the 8-item Morisky Medication Adherence Scale (MMAS-8) in measuring medication adherence among patients with T2DM who were attending the diabetes clinic at Amana Regional Referral Hospital in Dar es Salaam, Tanzania, from December 2021 to May 2022. Binary logistic regression analysis under multivariate analysis was used to determine the predictors of low medication adherence after controlling for confounders. A two-tailed p-value <0.05 was considered significant. Results The prevalence of low medication adherence was 36.7% (91/248) of the subjects included in the study. Lack of formal education (adjusted odds ratio [AOR] 5.3 [95% confidence interval {CI} 1.717 to 16.312], p=0.004), having comorbidities (AOR 2.1 [95% CI 1.134 to 3.949], p=0.019) and drinking alcohol (AOR 3.5 [95% CI 1.603 to 7.650], p=0.031) were the independent predictors of low medication adherence. Conclusion More than one-third of the patients with T2DM in this study had low medication adherence. Our study also showed that a lack of formal education, having comorbidities and drinking alcohol were significantly associated with low medication adherence.

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Section: Discussionmentioning

confidence: 99%

Low medication adherence and its associated factors among patients with type 2 diabetes mellitus attending Amana Hospital in Dar es Salaam, Tanzania: a cross-sectional study

Doya,

Yahaya,

Ngaiza

et al. 2023

International Health

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“…Medication adherence has been reported to vary from 16.6% to 44% in different parts of the country in the past decade. 15 , 16 , 17 , 18 , 19 In the present study, we estimated moderate to high adherence in nearly two-fifths of the population. The burden was similar to that indicated by other hospital-based evidence.…”

Section: Discussionmentioning

confidence: 52%

Medication adherence and environmental barriers to self-care practice among people with diabetes: A cross-sectional study in a lifestyle clinic in eastern India

Ghosh

Banerjee

Dalai

et al. 2023

Journal of Taibah University Medical Sciences

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“…hypertension or hyperlipidemia comorbidities), especially among patients with a new diagnosis of diabetes. 21,22,26 Many of our participants reported using their medication as prescribed (93.1%), yet nearly 31% of them still perceived their diabetes self-care behavior as poor. There could be many factors which may play a role in this apparent paradox.…”

Section: Discussionmentioning

confidence: 96%

“…15,19 Several reports in the literature have indicated an association between glycemic control and improved diabetes-related health outcomes through adherence to treatment. [20][21][22] However, cultural and socioeconomic factors may also influence long-term diabetes management and complications, thus should be taken into account. 4 To our knowledge, no prior researchers have assessed the association between diabetes self-care perception and glycemic control in adults with T2D in Puerto Rico, so we therefore assessed this association using a convenience sample as a first step.…”

Section: Introductionmentioning

confidence: 99%

Diabetes self-care activities and perception and glycemic control in adult Puerto Rican residents with Type 2 Diabetes: The LLIPDS Study

Llera-Fábregas

Pérez-Ríos

Ramírez-Vick

et al. 2022

Journal of Public Health Research

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Background: Individuals with diabetes frequently have comorbid health conditions and suffer longer term complications. The control of blood glucose relies on diabetes management/self-care behaviors. Poor glycemic control, commonly encountered in underserved populations with type 2 diabetes (T2D) often results from inadequate diabetes self-care activities and/or perception. We aimed to assess the association between diabetes self-care activities/perception and glycemic control in adult Puerto Rican residents with T2D. Design and methods: We used a cross-sectional study design; our sample population was 260 individuals aged 40–65 years with T2D. We asked participants about their diabetes self-care over 8 weeks. High fasting blood glucose (≥130 mg/dL) and glycated hemoglobin (HbA1c; ≥7%) measures were defined. We estimated the strength of the following associations using logistic regression: each of three self-care activities and fasting glucose or HbA1c, adjusting for confounders. Results: Nearly 27% of the participants reported not checking their glucose levels, 7% did not take their medications as prescribed and 31% perceived their diabetes self-care as poor. Participants with less education perceived their diabetes self-care as poor more often than their counterparts (44% vs 25%; p = 0.003). Most participants had high glycemic levels (60%) or hbA1c levels (65%). Participants who perceived their diabetes self-care as poor had higher HbA1c levels than their counterparts (adj. odds ratio: 2.14, 95% CI (1.13, 4.08)). Conclusion: Poor diabetes self-care perception, possibly related to less education, likely explains poor glycemic control among adult Puerto Rican residents with T2D.

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Medication adherence and glycemic control status among people with diabetes seeking care from a tertiary care teaching hospital, south India

Cited by 10 publications

References 36 publications

Low medication adherence and its associated factors among patients with type 2 diabetes mellitus attending Amana Hospital in Dar es Salaam, Tanzania: a cross-sectional study

Low medication adherence and its associated factors among patients with type 2 diabetes mellitus attending Amana Hospital in Dar es Salaam, Tanzania: a cross-sectional study

Medication adherence and environmental barriers to self-care practice among people with diabetes: A cross-sectional study in a lifestyle clinic in eastern India

Diabetes self-care activities and perception and glycemic control in adult Puerto Rican residents with Type 2 Diabetes: The LLIPDS Study

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