Medications Adherence and Associated Factors among Patients with Type 2 Diabetes Mellitus in the Gaza Strip, Palestine
AimThe aim of this study was to evaluate the adherence to anti-diabetic medications among patients with type 2 diabetes mellitus (DM) seeking medical care in the Gaza Strip, Palestine.MethodsA cross-sectional study was conducted among 369 primary care patients with type 2 DM from October to December...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2017-06-01
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| Series: | Frontiers in Endocrinology |
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| Online Access: | http://journal.frontiersin.org/article/10.3389/fendo.2017.00100/full |
| _version_ | 1818066859873796096 |
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| author | Aymen Elsous Aymen Elsous Mahmoud Radwan Mahmoud Radwan Hasnaa Al-Sharif Ayman Abu Mustafa |
| author_facet | Aymen Elsous Aymen Elsous Mahmoud Radwan Mahmoud Radwan Hasnaa Al-Sharif Ayman Abu Mustafa |
| author_sort | Aymen Elsous |
| collection | DOAJ |
| description | AimThe aim of this study was to evaluate the adherence to anti-diabetic medications among patients with type 2 diabetes mellitus (DM) seeking medical care in the Gaza Strip, Palestine.MethodsA cross-sectional study was conducted among 369 primary care patients with type 2 DM from October to December 2016. Adherence to medications was measured using the Morisky Medication Adherence Scale (MMAS-4). Socio-demographic and clinical variables, provider–patient relationship, health literacy, and health belief were examined for each patient. Univariate, binary logistic regression and multiple linear regression were applied to determine the independent factors influencing adherence to anti-diabetic medications using SPSS version 22.ResultsOf all the respondents, 214 (58%), 146 (39.5%), and nine (2.5%) had high (MMAS score = 0), medium (MMAS score = 1 + 2), and low (MMAS score ≥ 3) adherence to anti-diabetic medications, respectively. Factors that were independently associated with adherence to anti-diabetic medications were as follows: female gender [odds ratio (OR): 1.657, 95% confidence interval (CI): 1.065–2.578] and perception of disease’s severity (OR: 1.510, 95% CI: 0.410–5.560). Elderly (t = 1.345) and longer duration of DM (t = 0.899) were also predictors of adherence but showed no statistical significance (p > 0.05).ConclusionThe level of complete adherence to anti-diabetic medications was sub-optimal. New strategies that aim to improve patients’ adherence to their therapies are necessary taking into consideration the influencing factors and the importance of having diabetes educators in the primary care centers. |
| first_indexed | 2024-12-10T15:14:29Z |
| format | Article |
| id | doaj.art-a57657748acd40fba4e3b3846948aa11 |
| institution | Directory Open Access Journal |
| issn | 1664-2392 |
| language | English |
| last_indexed | 2024-12-10T15:14:29Z |
| publishDate | 2017-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Endocrinology |
| spelling | doaj.art-a57657748acd40fba4e3b3846948aa112022-12-22T01:43:49ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922017-06-01810.3389/fendo.2017.00100272381Medications Adherence and Associated Factors among Patients with Type 2 Diabetes Mellitus in the Gaza Strip, PalestineAymen Elsous0Aymen Elsous1Mahmoud Radwan2Mahmoud Radwan3Hasnaa Al-Sharif4Ayman Abu Mustafa5Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences – International campus, Tehran, IranQuality Improvement and Infection Control Office, Shifa Medical Complex, Gaza Strip, PalestineDepartment of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences – International campus, Tehran, IranDirectorate General of International Cooperation, Ministry of Health, Gaza Strip, PalestineDirector of Chronic Diseases Department, Al Rimal Martyrs Health Center, Ministry of Health, Gaza Strip, PalestineDepartment of Research, Directorate General of Human Resources Development, Ministry of Health, Gaza Strip, PalestineAimThe aim of this study was to evaluate the adherence to anti-diabetic medications among patients with type 2 diabetes mellitus (DM) seeking medical care in the Gaza Strip, Palestine.MethodsA cross-sectional study was conducted among 369 primary care patients with type 2 DM from October to December 2016. Adherence to medications was measured using the Morisky Medication Adherence Scale (MMAS-4). Socio-demographic and clinical variables, provider–patient relationship, health literacy, and health belief were examined for each patient. Univariate, binary logistic regression and multiple linear regression were applied to determine the independent factors influencing adherence to anti-diabetic medications using SPSS version 22.ResultsOf all the respondents, 214 (58%), 146 (39.5%), and nine (2.5%) had high (MMAS score = 0), medium (MMAS score = 1 + 2), and low (MMAS score ≥ 3) adherence to anti-diabetic medications, respectively. Factors that were independently associated with adherence to anti-diabetic medications were as follows: female gender [odds ratio (OR): 1.657, 95% confidence interval (CI): 1.065–2.578] and perception of disease’s severity (OR: 1.510, 95% CI: 0.410–5.560). Elderly (t = 1.345) and longer duration of DM (t = 0.899) were also predictors of adherence but showed no statistical significance (p > 0.05).ConclusionThe level of complete adherence to anti-diabetic medications was sub-optimal. New strategies that aim to improve patients’ adherence to their therapies are necessary taking into consideration the influencing factors and the importance of having diabetes educators in the primary care centers.http://journal.frontiersin.org/article/10.3389/fendo.2017.00100/fullmedication adherencediabetes mellitusfactorsPalestinecross-sectional |
| spellingShingle | Aymen Elsous Aymen Elsous Mahmoud Radwan Mahmoud Radwan Hasnaa Al-Sharif Ayman Abu Mustafa Medications Adherence and Associated Factors among Patients with Type 2 Diabetes Mellitus in the Gaza Strip, Palestine Frontiers in Endocrinology medication adherence diabetes mellitus factors Palestine cross-sectional |
| title | Medications Adherence and Associated Factors among Patients with Type 2 Diabetes Mellitus in the Gaza Strip, Palestine |
| title_full | Medications Adherence and Associated Factors among Patients with Type 2 Diabetes Mellitus in the Gaza Strip, Palestine |
| title_fullStr | Medications Adherence and Associated Factors among Patients with Type 2 Diabetes Mellitus in the Gaza Strip, Palestine |
| title_full_unstemmed | Medications Adherence and Associated Factors among Patients with Type 2 Diabetes Mellitus in the Gaza Strip, Palestine |
| title_short | Medications Adherence and Associated Factors among Patients with Type 2 Diabetes Mellitus in the Gaza Strip, Palestine |
| title_sort | medications adherence and associated factors among patients with type 2 diabetes mellitus in the gaza strip palestine |
| topic | medication adherence diabetes mellitus factors Palestine cross-sectional |
| url | http://journal.frontiersin.org/article/10.3389/fendo.2017.00100/full |
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