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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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Autores principales: Venkatesan, Murugan, Dongre, Amol R., Ganapathy, Kalaiselvan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5974838/
https://www.ncbi.nlm.nih.gov/pubmed/29899603
http://dx.doi.org/10.4103/ijcm.IJCM_261_17
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author Venkatesan, Murugan
Dongre, Amol R.
Ganapathy, Kalaiselvan
author_facet Venkatesan, Murugan
Dongre, Amol R.
Ganapathy, Kalaiselvan
author_sort Venkatesan, Murugan
collection PubMed
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.
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spelling pubmed-59748382018-06-13 A Community-Based Study on Diabetes Medication Nonadherence and its Risk Factors in Rural Tamil Nadu Venkatesan, Murugan Dongre, Amol R. Ganapathy, Kalaiselvan Indian J Community Med Original Article 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. Medknow Publications & Media Pvt Ltd 2018 /pmc/articles/PMC5974838/ /pubmed/29899603 http://dx.doi.org/10.4103/ijcm.IJCM_261_17 Text en Copyright: © 2018 Indian Journal of Community Medicine http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Venkatesan, Murugan
Dongre, Amol R.
Ganapathy, Kalaiselvan
A Community-Based Study on Diabetes Medication Nonadherence and its Risk Factors in Rural Tamil Nadu
title 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_short 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
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5974838/
https://www.ncbi.nlm.nih.gov/pubmed/29899603
http://dx.doi.org/10.4103/ijcm.IJCM_261_17
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