ArticleDiabetes, metabolic syndrome and obesity : targets and therapy2025
Factors Influencing Adherence to Refills and Medications in Patients with Type 2 Diabetes Mellitus in Saudi Arabia: A Questionnaire-Based Study.
Article in Diabetes, metabolic syndrome and obesity : targets and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- A cross-sectional survey on exploring adherence to diabetes treatment regimens: Insights from Hail region, Saudi Arabia.Medicine · 2026Article
- Lifestyle Behaviours and Antiplatelet Medication Adherence Among Post-Percutaneous Coronary Intervention Patients in Saudi Arabia: Implications for Holistic Cardiovascular Nursing Care.Healthcare (Basel, Switzerland) · 2026Article
- Oral iron preparations: gastrointestinal adverse events and medication adherence in female patients with iron deficiency anemia.Frontiers in pharmacology · 2026Article
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9 authors.
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Abstract
Background: Diabetes Mellitus is a growing public health concern in Saudi Arabia, with effective management relying on adherence to medications and lifestyle changes. However, non-adherence remains a significant challenge, particularly in regions with varying sociodemographic profiles. Objective: This study aimed to identify factors influencing adherence to medication and refills among patients with Type 2 Diabetes Mellitus in the Al-Ahsa region using the Adherence to Refills and Medications Scale. Methods: A cross-sectional study was conducted from May to July 2024 involving 732 T2DM patients attending governmental primary healthcare centers in Al-Ahsa. A stratified random sampling method was employed to select participants from various geographic strata. Data were collected via structured phone interviews using a validated questionnaire, and clinical data were extracted from medical records. Descriptive statistics, chi-square tests, and multivariable logistic regression were applied to assess factors associated with non-adherence. Results: The overall adherence rate was 52.5%. Significant sociodemographic factors (p < 0.05) associated with adherence included income, marital status, occupation, and area of residence. Clinical factors included age at diabetes onset, diabetic complications, HbA1c level, frequency of glucose monitoring, and comorbidities. Healthcare-related factors such as physician continuity, frequency of visits, and counseling were also significant. Multivariable logistic regression identified major predictors of non-adherence: living in the Southern region (OR = 6.59, p = 0.001), diabetic complications (OR = 1.44, p = 0.047), lack of physician counseling (OR = 2.15, p = 0.005), and poor access to healthcare (OR = 2.34, p = 0.003). Conclusion: Nearly half of T2DM patients in Al-Ahsa were non-adherent to medications and refills. Sociodemographic, clinical, and healthcare system factors significantly influenced adherence. Improving patient education, physician communication, and healthcare access may enhance adherence and outcomes.
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