Prevalence and Factors Contributing to Non-adherence to Diabetes Treatment among Diabetic Patients Attending Government Hospitals in Addis Ababa
Alemayehu Hailu Jufar *
Department of Physiology, St. Paul Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Zewdu Jima
Department of Physiology, St. Paul Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Debela Gemeda
Department of Pharmacology, St. Paul Hospital Millennium Medical College, Addis Ababa, Ethiopia.
*Author to whom correspondence should be addressed.
Abstract
Background: Non- adherence to diabetes treatment regimen is possibly the most common reason for poor health outcomes among people with diabetes. Non-adherence in chronic disease is claimed as a patient taking less than 80% of the prescribed treatment. The rates of non-adherence to diabetes regimen tasks are highly variable but have significant consequences on the outcome & the effectiveness of treatment.
The objective of this study was to determine the prevalence & factors associated with non-adherence to diabetes treatment among diabetic patients attending diabetic clinics at a governmental hospital in Addis Ababa.
Methods: Institutional based cross-sectional study was conducted on 308 diabetic patients attending diabetic clinics at a governmental hospital in Addis Ababa. Study subjects have been selected by using systematic random sampling technique. A pre-tested structured questionnaire was used to collect the data. Data were entered by using Epidata-3.1 & then exported to SPSS version 20 for analysis. Frequency distribution was used to organise the data. Multivariate logistic regression was used to predict the factors which affect adherence.
Results: The prevalence of non-adherence to diabetes treatment was found to be 68.1%. In multivariate logistic regression age(>= 60,(AOR=1.21)), educational status(illiterate (AOR= 1.62)) , duration of treatment(> 5yeras(AOR= 4.032)) & presence of co-morbidity (AOR= 1.796)) were significantly associated with non adherence to diabetes treatment
Conclusion: The result of this study had shown a high prevalence of non-adherence to diabetes treatment with age of the patient, educational level, duration of treatment & presence of co-morbidity having a significant association with non-adherence.
Keywords: Diabetes mellitus, medication, non-adherence