Introduction: The non-adherence to therapy of diabetics is grafted with heavy morbidity and mortality. Our study aims to determine the factors of non-adherence with antidiabetic drugs in type 2 diabetics. Methods: This was a descriptive and analytical cross-sectional study, carried out in the Endocrinology Unit of the Joseph Raseta University Hospital Center. Befelatanana, Antananarivo, over a period of 7 months. Adherence to treatment was assessed by the Morisky scale. Results: We retained 104 patients with an average age of 58.36 years, consisting of 52.88% of women. Adherence was high, medium, and low in 6.73%, 31.73% and 61.54% of cases, respectively. From their attending physician, explanations of the diabetic disease and their treatment were received by 90.38% and 66.35% of patients, respectively. However, these patients were aware of their disease and treatment in 18.27% and 41.35% of cases, respectively. The most observed non-adherence factors were the absence of an appointment given by the physician (30.77%), the feeling of well-being (24.04%), the lack of money (21.15%), forgetting (20.19%) and advice from a traditional practitioner (16.35%). Only the doctor's explanation for diabetes treatment was significantly associated with medication nonadherence (p=0.0310). Conclusion: Continuing medical education for physician is essential so that they can strengthen therapeutic education and follow-up for their diabetics.
Published in | International Journal of Diabetes and Endocrinology (Volume 6, Issue 4) |
DOI | 10.11648/j.ijde.20210604.11 |
Page(s) | 125-130 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2021. Published by Science Publishing Group |
Antidiabetic Drugs, Diabetes Mellitus, Madagascar, Morisky Score, Non-adherence
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APA Style
Sitraka Angelo Raharinavalona, Rija Eric Raherison, Thierry Razanamparany, Solofo Andrianarivelo Ralamboson, Andrinirina Dave Patrick Rakotomalala, et al. (2021). Factors of Non-adherence to Antidiabetic Drugs in Type 2 Diabetics, Antananarivo Madagascar. International Journal of Diabetes and Endocrinology, 6(4), 125-130. https://doi.org/10.11648/j.ijde.20210604.11
ACS Style
Sitraka Angelo Raharinavalona; Rija Eric Raherison; Thierry Razanamparany; Solofo Andrianarivelo Ralamboson; Andrinirina Dave Patrick Rakotomalala, et al. Factors of Non-adherence to Antidiabetic Drugs in Type 2 Diabetics, Antananarivo Madagascar. Int. J. Diabetes Endocrinol. 2021, 6(4), 125-130. doi: 10.11648/j.ijde.20210604.11
AMA Style
Sitraka Angelo Raharinavalona, Rija Eric Raherison, Thierry Razanamparany, Solofo Andrianarivelo Ralamboson, Andrinirina Dave Patrick Rakotomalala, et al. Factors of Non-adherence to Antidiabetic Drugs in Type 2 Diabetics, Antananarivo Madagascar. Int J Diabetes Endocrinol. 2021;6(4):125-130. doi: 10.11648/j.ijde.20210604.11
@article{10.11648/j.ijde.20210604.11, author = {Sitraka Angelo Raharinavalona and Rija Eric Raherison and Thierry Razanamparany and Solofo Andrianarivelo Ralamboson and Andrinirina Dave Patrick Rakotomalala and Hanta Marie Danielle Vololontiana and Radonirina Lazasoa Andrianasolo}, title = {Factors of Non-adherence to Antidiabetic Drugs in Type 2 Diabetics, Antananarivo Madagascar}, journal = {International Journal of Diabetes and Endocrinology}, volume = {6}, number = {4}, pages = {125-130}, doi = {10.11648/j.ijde.20210604.11}, url = {https://doi.org/10.11648/j.ijde.20210604.11}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijde.20210604.11}, abstract = {Introduction: The non-adherence to therapy of diabetics is grafted with heavy morbidity and mortality. Our study aims to determine the factors of non-adherence with antidiabetic drugs in type 2 diabetics. Methods: This was a descriptive and analytical cross-sectional study, carried out in the Endocrinology Unit of the Joseph Raseta University Hospital Center. Befelatanana, Antananarivo, over a period of 7 months. Adherence to treatment was assessed by the Morisky scale. Results: We retained 104 patients with an average age of 58.36 years, consisting of 52.88% of women. Adherence was high, medium, and low in 6.73%, 31.73% and 61.54% of cases, respectively. From their attending physician, explanations of the diabetic disease and their treatment were received by 90.38% and 66.35% of patients, respectively. However, these patients were aware of their disease and treatment in 18.27% and 41.35% of cases, respectively. The most observed non-adherence factors were the absence of an appointment given by the physician (30.77%), the feeling of well-being (24.04%), the lack of money (21.15%), forgetting (20.19%) and advice from a traditional practitioner (16.35%). Only the doctor's explanation for diabetes treatment was significantly associated with medication nonadherence (p=0.0310). Conclusion: Continuing medical education for physician is essential so that they can strengthen therapeutic education and follow-up for their diabetics.}, year = {2021} }
TY - JOUR T1 - Factors of Non-adherence to Antidiabetic Drugs in Type 2 Diabetics, Antananarivo Madagascar AU - Sitraka Angelo Raharinavalona AU - Rija Eric Raherison AU - Thierry Razanamparany AU - Solofo Andrianarivelo Ralamboson AU - Andrinirina Dave Patrick Rakotomalala AU - Hanta Marie Danielle Vololontiana AU - Radonirina Lazasoa Andrianasolo Y1 - 2021/10/12 PY - 2021 N1 - https://doi.org/10.11648/j.ijde.20210604.11 DO - 10.11648/j.ijde.20210604.11 T2 - International Journal of Diabetes and Endocrinology JF - International Journal of Diabetes and Endocrinology JO - International Journal of Diabetes and Endocrinology SP - 125 EP - 130 PB - Science Publishing Group SN - 2640-1371 UR - https://doi.org/10.11648/j.ijde.20210604.11 AB - Introduction: The non-adherence to therapy of diabetics is grafted with heavy morbidity and mortality. Our study aims to determine the factors of non-adherence with antidiabetic drugs in type 2 diabetics. Methods: This was a descriptive and analytical cross-sectional study, carried out in the Endocrinology Unit of the Joseph Raseta University Hospital Center. Befelatanana, Antananarivo, over a period of 7 months. Adherence to treatment was assessed by the Morisky scale. Results: We retained 104 patients with an average age of 58.36 years, consisting of 52.88% of women. Adherence was high, medium, and low in 6.73%, 31.73% and 61.54% of cases, respectively. From their attending physician, explanations of the diabetic disease and their treatment were received by 90.38% and 66.35% of patients, respectively. However, these patients were aware of their disease and treatment in 18.27% and 41.35% of cases, respectively. The most observed non-adherence factors were the absence of an appointment given by the physician (30.77%), the feeling of well-being (24.04%), the lack of money (21.15%), forgetting (20.19%) and advice from a traditional practitioner (16.35%). Only the doctor's explanation for diabetes treatment was significantly associated with medication nonadherence (p=0.0310). Conclusion: Continuing medical education for physician is essential so that they can strengthen therapeutic education and follow-up for their diabetics. VL - 6 IS - 4 ER -