2 research outputs found
Non-adherence to diabetes treatment at Mulago Hospital in Uganda: prevalence and associated factors
Background: Non-adherence to diabetes treatment leads to poor glucose
control and increases the risk of disease complications. The prevalence
and factors associated with non-adherence in resource limited settings
should be determined so as to lower the impact of a disease that is on
the increase, on the health systems which are already overburdened with
communicable diseases. Objectives: To determine the prevalence and
factors associated with non-adherence to diabetes treatment. Methods:
A cross sectional study was carried out from February to April 2004 in
Mulago Hospital, Uganda. The participants were 402 type 1 and 2
diabetic patients selected from the outpatients' diabetic clinic using
systematic sampling. They were aged 18 years and above, had been taking
diabetes treatment for at least one month and gave informed consent to
participate. Non-adherence was assessed using patients' self reports.
Results: The prevalence of non-adherence was 28.9% (n = 116, 95%CI =
24.5 33.3%). Factors that were independently associated with
non-adherence were: female gender (OR = 2.9, 95%CI = 1.4 6.3), not
understanding the drug regimen well (OR = 4.0, 95%CI = 1.0 16.3),
affording only some or none of prescribed drugs (OR = 3.7, 95%CI = 1.8
7.6) and longer time since last since last visit to a health worker (OR
= 7.3, 95%CI = 2.7 19.9). Conclusions: Adherence to diabetic
treatment was suboptimal. There is need to improve it through
strategies helping patients understand their drug regimens, always
availing drugs in the hospital so that they do not have to buy them and
giving shorter time between visits to health worker. Further studies
should be done to find out why females were not adhering to treatment
so as to improve their adherence