PMID- 37310004
OWN - NLM
STAT- MEDLINE
DCOM- 20240306
LR  - 20240306
IS  - 1876-3405 (Electronic)
IS  - 1876-3413 (Print)
IS  - 1876-3405 (Linking)
VI  - 16
IP  - 2
DP  - 2024 Mar 4
TI  - Low medication adherence and its associated factors among patients with type 2 
      diabetes mellitus attending Amana Hospital in Dar es Salaam, Tanzania: a 
      cross-sectional study.
PG  - 200-207
LID - 10.1093/inthealth/ihad042 [doi]
AB  - BACKGROUND: Low medication adherence among patients with type 2 diabetes mellitus 
      (T2DM) is associated with significant morbidity and mortality globally. We 
      investigated the prevalence of low medication adherence and its associated 
      factors among patients with T2DM. METHODS: We used the Bengali version of the 
      8-item Morisky Medication Adherence Scale (MMAS-8) in measuring medication 
      adherence among patients with T2DM who were attending the diabetes clinic at 
      Amana Regional Referral Hospital in Dar es Salaam, Tanzania, from December 2021 
      to May 2022. Binary logistic regression analysis under multivariate analysis was 
      used to determine the predictors of low medication adherence after controlling 
      for confounders. A two-tailed p-value <0.05 was considered significant. RESULTS: 
      The prevalence of low medication adherence was 36.7% (91/248) of the subjects 
      included in the study. Lack of formal education (adjusted odds ratio [AOR] 5.3 
      [95% confidence interval CI 1.717 to 16.312], p=0.004), having comorbidities 
      (AOR 2.1 [95% CI 1.134 to 3.949], p=0.019) and drinking alcohol (AOR 3.5 [95% CI 
      1.603 to 7.650], p=0.031) were the independent predictors of low medication 
      adherence. CONCLUSION: More than one-third of the patients with T2DM in this 
      study had low medication adherence. Our study also showed that a lack of formal 
      education, having comorbidities and drinking alcohol were significantly 
      associated with low medication adherence.
CI  - (c) The Author(s) 2023. Published by Oxford University Press on behalf of Royal 
      Society of Tropical Medicine and Hygiene.
FAU - Doya, Irene F
AU  - Doya IF
AD  - Department of Community Medicine, School of Medicine and Dentistry, University of 
      Dodoma, Dodoma, Tanzania.
FAU - Yahaya, James J
AU  - Yahaya JJ
AD  - Department of Pathology, School of Health Sciences, Soroti University, P. O. Box 
      211, Soroti, Uganda.
FAU - Ngaiza, Advera I
AU  - Ngaiza AI
AD  - Department of Pathology, Muhimbili University of Health and Allied Sciences, Dar 
      es Salaam, Tanzania.
AD  - Department of Pathology, Muhimbili National Hospital, Dar es Salaam, Tanzania.
FAU - Bintabara, Deogratius
AU  - Bintabara D
AD  - Department of Community Medicine, School of Medicine and Dentistry, University of 
      Dodoma, Dodoma, Tanzania.
LA  - eng
PT  - Journal Article
PL  - England
TA  - Int Health
JT  - International health
JID - 101517095
SB  - IM
MH  - Humans
MH  - *Diabetes Mellitus, Type 2/drug therapy
MH  - Cross-Sectional Studies
MH  - Tanzania/epidemiology
MH  - Medication Adherence
MH  - Hospitals
PMC - PMC10911532
OTO - NOTNLM
OT  - low medication adherence
OT  - risk factors
OT  - type 2 diabetes mellitus
COIS- None declared.
EDAT- 2023/06/13 13:12
MHDA- 2024/03/06 06:44
PMCR- 2023/06/13
CRDT- 2023/06/13 07:53
PHST- 2023/01/26 00:00 [received]
PHST- 2023/04/22 00:00 [revised]
PHST- 2023/05/19 00:00 [accepted]
PHST- 2024/03/06 06:44 [medline]
PHST- 2023/06/13 13:12 [pubmed]
PHST- 2023/06/13 07:53 [entrez]
PHST- 2023/06/13 00:00 [pmc-release]
AID - 7195075 [pii]
AID - ihad042 [pii]
AID - 10.1093/inthealth/ihad042 [doi]
PST - ppublish
SO  - Int Health. 2024 Mar 4;16(2):200-207. doi: 10.1093/inthealth/ihad042.