A community-based study on diabetes medication nonadherence and its risk factors in rural Tamil Nadu

Context: Medication nonadherence is common among diabetics and it is one of the leading public health challenges. Aims: The aims of this study were to find the prevalence of nonadherence to diabetic medication and to identify various factors associated with it. Settings and Design: This study was co...

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Main Authors: Murugan Venkatesan, Amol R Dongre, Kalaiselvan Ganapathy
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Indian Journal of Community Medicine
Subjects:
Online Access:http://www.ijcm.org.in/article.asp?issn=0970-0218;year=2018;volume=43;issue=2;spage=72;epage=76;aulast=Venkatesan
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spelling doaj-ddcca526e19d41058e63cc1d1f9da18c2020-11-24T21:00:44ZengWolters Kluwer Medknow PublicationsIndian Journal of Community Medicine0970-02181998-35812018-01-01432727610.4103/ijcm.IJCM_261_17A community-based study on diabetes medication nonadherence and its risk factors in rural Tamil NaduMurugan VenkatesanAmol R DongreKalaiselvan GanapathyContext: Medication nonadherence is common among diabetics and it is one of the leading public health challenges. Aims: The aims of this study were to find the prevalence of nonadherence to diabetic medication and to identify various factors associated with it. Settings and Design: This study was conducted in 34 villages of the field practicing areas of rural health training center. This was a mixed method study design. Subjects and Methods: It was conducted among 328 type 2 diabetic patients. The quantitative data were collected from diabetic patients and qualitative data from health-care providers to identify their perceived barriers for patient's nonadherence. Statistical Analysis Used: Collected data were entered in Epi Info (3.5.3) and analyzed using SPSS version 24 software. Results: The prevalence of low adherence to diabetic medication was 45.4% among the study population. Bivariate analysis shows significant association with the patients who are literate (odds ratio [OR] = 0.6, confidence interval [CI] = 0.38–0.95), hypertensive (OR = 1.6, CI = 1.04–2.5), taking treatment from private facility (OR = 0.54, CI = 0.34–0.87), perceived lack of satisfaction with doctor–patient relationship (OR = 3.3, CI = 1.3–8.3), and perceived lack of knowledge about diabetes (OR = 2.03, CI = 1.29–3.1) with low adherence to medication. Conclusions: The prevalence of nonadherence to medications is common among diabetics in rural areas, and there is a need to strengthen the primary health-care system in addressing barriers to achieve better health outcomes.http://www.ijcm.org.in/article.asp?issn=0970-0218;year=2018;volume=43;issue=2;spage=72;epage=76;aulast=VenkatesanAdherencedrug therapyIndiaruraltype 2 diabetes mellitus
collection DOAJ
language English
format Article
sources DOAJ
author Murugan Venkatesan
Amol R Dongre
Kalaiselvan Ganapathy
spellingShingle Murugan Venkatesan
Amol R Dongre
Kalaiselvan Ganapathy
A community-based study on diabetes medication nonadherence and its risk factors in rural Tamil Nadu
Indian Journal of Community Medicine
Adherence
drug therapy
India
rural
type 2 diabetes mellitus
author_facet Murugan Venkatesan
Amol R Dongre
Kalaiselvan Ganapathy
author_sort Murugan Venkatesan
title A community-based study on diabetes medication nonadherence and its risk factors in rural Tamil Nadu
title_short A community-based study on diabetes medication nonadherence and its risk factors in rural Tamil Nadu
title_full A community-based study on diabetes medication nonadherence and its risk factors in rural Tamil Nadu
title_fullStr A community-based study on diabetes medication nonadherence and its risk factors in rural Tamil Nadu
title_full_unstemmed A community-based study on diabetes medication nonadherence and its risk factors in rural Tamil Nadu
title_sort community-based study on diabetes medication nonadherence and its risk factors in rural tamil nadu
publisher Wolters Kluwer Medknow Publications
series Indian Journal of Community Medicine
issn 0970-0218
1998-3581
publishDate 2018-01-01
description Context: Medication nonadherence is common among diabetics and it is one of the leading public health challenges. Aims: The aims of this study were to find the prevalence of nonadherence to diabetic medication and to identify various factors associated with it. Settings and Design: This study was conducted in 34 villages of the field practicing areas of rural health training center. This was a mixed method study design. Subjects and Methods: It was conducted among 328 type 2 diabetic patients. The quantitative data were collected from diabetic patients and qualitative data from health-care providers to identify their perceived barriers for patient's nonadherence. Statistical Analysis Used: Collected data were entered in Epi Info (3.5.3) and analyzed using SPSS version 24 software. Results: The prevalence of low adherence to diabetic medication was 45.4% among the study population. Bivariate analysis shows significant association with the patients who are literate (odds ratio [OR] = 0.6, confidence interval [CI] = 0.38–0.95), hypertensive (OR = 1.6, CI = 1.04–2.5), taking treatment from private facility (OR = 0.54, CI = 0.34–0.87), perceived lack of satisfaction with doctor–patient relationship (OR = 3.3, CI = 1.3–8.3), and perceived lack of knowledge about diabetes (OR = 2.03, CI = 1.29–3.1) with low adherence to medication. Conclusions: The prevalence of nonadherence to medications is common among diabetics in rural areas, and there is a need to strengthen the primary health-care system in addressing barriers to achieve better health outcomes.
topic Adherence
drug therapy
India
rural
type 2 diabetes mellitus
url http://www.ijcm.org.in/article.asp?issn=0970-0218;year=2018;volume=43;issue=2;spage=72;epage=76;aulast=Venkatesan
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