PMID- 23814461
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20130702
LR  - 20220408
IS  - 1177-889X (Print)
IS  - 1177-889X (Electronic)
IS  - 1177-889X (Linking)
VI  - 7
DP  - 2013
TI  - Medication adherence in patients with type 2 diabetes mellitus treated at primary 
      health clinics in Malaysia.
PG  - 525-30
LID - 10.2147/PPA.S44698 [doi]
AB  - PURPOSE: Diabetes mellitus is a growing global health problem that affects 
      patients of all ages. Even though diabetes mellitus is recognized as a major 
      chronic illness, adherence to antidiabetic medicines has often been found to be 
      unsatisfactory. This study was conducted to assess adherence to medications and 
      to identify factors that are associated with nonadherence in type 2 diabetes 
      mellitus (T2DM) patients at Primary Health Clinics of the Ministry of Health in 
      Malaysia. MATERIALS AND METHODS: The cross-sectional survey was carried out among 
      T2DM patients to assess adherence to medication in primary health clinics. 
      Adherence was measured by using the Medication Compliance Questionnaire that 
      consists of a total of seven questions. Other data, such as patient demographics, 
      treatment, outcome, and comorbidities were also collected from patient medical 
      records. RESULTS: A total of 557 patients were recruited in the study. 
      Approximately 53% of patients in the study population were nonadherent. Logistic 
      regression analysis was performed to predict the factors associated with 
      nonadherence. Variables associated with nonadherence were age, odds ratio 0.967 
      (95% confidence interval [CI]: 0.948-0.986); medication knowledge, odds ratio 
      0.965 (95% CI: 0.946-0.984); and comorbidities, odds ratio 1.781 (95% CI: 
      1.064-2.981). CONCLUSION: Adherence to medication in T2DM patients in the primary 
      health clinics was found to be poor. This is a cause of concern, because 
      nonadherence could lead to a worsening of disease. Improving medication knowledge 
      by paying particular attention to different age groups and patients with 
      comorbidities could help improve adherence.
FAU - Ahmad, Nur Sufiza
AU  - Ahmad NS
AD  - Pharmaceutical Services Division, Ministry of Health, Petaling Jaya, Malaysia.
FAU - Ramli, Azuana
AU  - Ramli A
FAU - Islahudin, Farida
AU  - Islahudin F
FAU - Paraidathathu, Thomas
AU  - Paraidathathu T
LA  - eng
PT  - Journal Article
DEP - 20130617
PL  - New Zealand
TA  - Patient Prefer Adherence
JT  - Patient preference and adherence
JID - 101475748
PMC - PMC3693921
OTO - NOTNLM
OT  - adherence
OT  - glycemic control
OT  - primary care
OT  - type 2 diabetes mellitus
EDAT- 2013/07/03 06:00
MHDA- 2013/07/03 06:01
PMCR- 2013/06/17
CRDT- 2013/07/02 06:00
PHST- 2013/07/02 06:00 [entrez]
PHST- 2013/07/03 06:00 [pubmed]
PHST- 2013/07/03 06:01 [medline]
PHST- 2013/06/17 00:00 [pmc-release]
AID - ppa-7-525 [pii]
AID - 10.2147/PPA.S44698 [doi]
PST - epublish
SO  - Patient Prefer Adherence. 2013 Jun 17;7:525-30. doi: 10.2147/PPA.S44698. Print 
      2013.