Contributing Factors of Non-Adherence to Anti-Diabetic Therapy: A Cross-Sectional   Study from Islamabad, Pakistan

Hina Azeez; Gohar Khan; Muhammad Awais Tahir

doi:10.51253/pafmj.v74i4.7904

Authors

Hina Azeez Department of Endocrinology, Federal Government Poly Clinic (Post Graduate Medical Institute), Islamabad Pakistan
Gohar Khan Department of Endocrinology, Federal Government Poly Clinic (Post Graduate Medical Institute), Islamabad Pakistan
Muhammad Awais Tahir Department of Internal Medicine, Federal Government Poly Clinic (Post Graduate Medical Institute), Islamabad Pakistan

DOI:

https://doi.org/10.51253/pafmj.v74i4.7904

Keywords:

Diabetes mellitus type 2, Medication adherence, Patient adherence

Abstract

Objective: To assess the non-adherence to anti-diabetic therapy and factors associated with non-adherence.

Study Design: Cross-sectional study.

Place and Duration of Study: Department of Endocrinology and Diabetes, Federal Government Poly Clinic Postgraduate Medical Institute, Islamabad Pakistan, from Aug to Dec 2021.

Methodology: A total of 245 patients of diabetes were enrolled in this cross-sectional study. Patients aged 18 and 90 years and belonging to either gender were included. Patients with diabetes duration of less than 3 months, having cognitive disorder or inability to answer were excluded.

Results: The mean age of patients was 50.93±10.08 years with equal gender distribution. Non-adherence was found in 117(48%) patients. Forgetfulness was found in 111(94%), unaffordability was reported 44(37.3%), careless attitudes by 41(34.7%), poor tolerability by 57(48.3%) and leaving medicine when feeling better in 41(34.7%) patients, which were all associated with non-adherence (p<0.001). Number of medicines per day (four or more) in 60(50.9%) patients was also found to be associated with non-adherence (p=0.003).

Conclusion: A high proportion of patients of diabetes were found non-adherent to anti diabetic therapy. Forgetfulness, unaffordability and careless patient attitude were factors associated with non-adherence along with increasing number of prescribed medications.

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