PREVALENCE AND DETERMINANT OF ANTIDIABETIC MEDICATION ADHERENCE IN JIGAWA STATE, NORTHWESTERN NIGERIA.

Vollständiger Abstract

Worum geht es in dieser Arbeit?

Background Adherence to antidiabetic medication is crucial in the long-term management of diabetes mellitus. It could lead to optimum glycemic control and reduction in diabetes related mortality. However, there is lack of data on the subject in northern Nigeria. Objective: To determine the prevalence and determinants of antidiabetic medication adherence among patients with diabetes mellitus. Methods: A hospital-based cross-sectional study conducted among adults with diabetes visiting the Endocrinology clinic of Rasheed Shekoni Federal University Teaching Hospital (RSFUTH) Dutse, Jigawa state. The Morisky Medication Adherence Scale (MMAR) questionnaire was used to assess antidiabetic medication adherence. Independent factors affecting adherence were ascertained using multivariate logistic regression models. Results: The sample consists of 118 patients diagnosed with diabetes mellitus. There were 65 (55.1%) males and 53 (44.9%) females. The prevalence of antidiabetic medication adherence was 51.7%. Patients who are older (age >60 years), female, urban residents, having long standing disease (diagnosed with diabetes for >10 years) and not using insulin are more likely to be adherent. Furthermore, independent factors found to be related to adherence are having a tertiary level of education (AOR 7.76; CI: 1.80, 33.41), high monthly income (AOR 6.99; CI: 1.13, 43.11), and taking a combination of 2 medications (AOR 7.55; CI 2.29, 24.89). Conclusions: The adherence level to antidiabetic medication is relatively good in this study. Individuals with higher socioeconomic status and long- standing disease are more likely to be adherent. Clinicians should give more emphasis to providing counselling and health education to younger and apparently healthy patients who might have less perception of risk associated with diabetes.