Evidence map›Paper›PMID 34932417›Full record

ArticleInquiry : a journal of medical care organization, provision and financing

Patients' Adherence to Anti-diabetic Medications and Associated Factors in Mizan-Tepi University Teaching Hospital: A Cross-Sectional Study.

Jafer Siraj, Turi Abateka, Oliyad Kebede

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Article in Inquiry : a journal of medical care organization, provision and financing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

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10citing papers in PubMed, 2 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Jafer SirajDepartment of Pharmacology and Pharmaceutical chemistry, School of Pharmacy, College of Medicine and Health Sciences, 145052Mizan-Tepi University, Mizan-Aman, Ethiopia.ORCID 0000-0002-1928-984X
Turi AbatekaMizan-Tepi University students' clinic, College of Medicine and Health Sciences, 145052Mizan-Tepi University, Mizan-Aman, Ethiopia.
Oliyad KebedeDepartment of Social Pharmacy and Pharmaceutics, School of Pharmacy, College of Medicine and Health Sciences, 145052Mizan-Tepi University, Mizan-Aman, Ethiopia.ORCID 0000-0001-6806-4623

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionA number of medications have been demonstrated to lower blood glucose. However, current-day management has failed to achieve and maintain the optimal glycemic level for diabetic patients. Patients' non-adherence is among the most contributing factors. Therefore, the aim of this study was to explore the prevalence of non-adherence to anti-diabetic medications and associated factors.

methodsA hospital based cross-sectional study was conducted from November 2020 to January 2021. A systematic random sampling technique was used. Data were collected by structured questionnaire adapted from different literatures. Then, data were entered into SPSS version 25 and analyzed. To determine the association of dependent and independent variables, multiple logistic regression was done. P-value <.05 was considered statistically significant.

resultsA total of 275 study participants were interviewed with a response rate of 100%. From this 53.8% were females, 59.3% were in the age group of 41-60 years, 35.3% were college/university graduates and 79.3% were not using social drugs. One hundred eighty-seven (68%) of them were adherent to their anti-diabetic medication. Factors found to be significantly associated with anti-diabetic medication adherence were age >60 years (AOR = .276, 95% CI = .124-.611) attending higher education (AOR = 6.203, 95% CI = 1.775-21.93), retired (AOR = 7.771, 95% CI = 1.458-41.427), housewife (AOR = 7.023, 95% CI = 1.485-33.215), average monthly income 1001birr-2000 birr (AOR = .246, 95% CI = .067-.911) and social drug use (AOR = 3.695, 95% CI = 1.599-8.542). Forgetfulness, not affording, side effects, misunderstanding of instructions, and poly-pharmacy were identified reasons for non-adherence. CONCLUSIONS AND RECOMMENDATIONS: Patients' adherence to anti-diabetic medications in the current study is sub-optimal. Age, monthly income, level of education, occupational status, and social drug use were associated with adherence. Forgetfulness, not affording, and side effects were reasons identified to contribute to non-adherence. Therefore, adherence counseling, use of alarms, and the way to mitigate non-affordability, including anti-diabetic medications into a program drug should be considered.

Indexed as

Diabetes MellitusPharmaceutical PreparationsAdultCross-Sectional StudiesFemaleHospitals, UniversityHumansMedication AdherenceMiddle AgedUniversitiesPharmaceutical Preparationsadherencediabetes mellitusmedicinesprevalence

Identifiers

PMID34932417
PMCPMC8721716

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.