Factors associated with medication adherence among people with diabetes mellitus in poor urban areas of Cambodia: A cross-sectional study

Autor: Siyan Yi, Chie Taniguchi, Hen Heang, Hiroko Yamashina, Tomoko Nishida, Hisataka Sakakibara, Maurits van Pelt, Akiyo Nonogaki
Rok vydání: 2019
Předmět:
Male
Health Knowledge
Attitudes
Practice
Urban Population
Cross-sectional study
Physiology
Social Sciences
Blood Pressure
Vascular Medicine
0302 clinical medicine
Endocrinology
Sociology
Medicine and Health Sciences
Public and Occupational Health
030212 general & internal medicine
Multidisciplinary
Alcohol Consumption
Middle Aged
Socioeconomic Aspects of Health
Blood Sugar
Body Fluids
Blood
Health Education and Awareness
Medicine
Marital status
Health education
Female
Anatomy
Cambodia
Research Article
Adult
medicine.medical_specialty
Endocrine Disorders
Science
Blood sugar
030209 endocrinology & metabolism
Family income
Medication Adherence
Education
03 medical and health sciences
Diabetes mellitus
medicine
Diabetes Mellitus
Humans
Medical history
Poverty
Aged
Nutrition
business.industry
Biology and Life Sciences
Odds ratio
medicine.disease
Diet
Health Care
Cross-Sectional Studies
Medical Education
Family medicine
Metabolic Disorders
business
Medical Humanities
Zdroj: PLoS ONE
PLoS ONE, Vol 14, Iss 11, p e0225000 (2019)
ISSN: 1932-6203
Popis: Background In Cambodia, the age-standardized prevalence of diabetes mellitus has increased in both men and women. The main objective of this study was to identify factors associated with diabetes medication adherence among people with diabetes mellitus in poor urban areas of Phnom Penh, Cambodia. Methods A cross-sectional study was conducted in 2017 using a structured questionnaire for face-to-face interviews by trained interviewers. The participants were people with diabetes mellitus who were the active members of a peer educator network, lived in poor urban areas of Phnom Penh, and attended weekly educational sessions during the survey period. Diabetes medication adherence was measured using four items of modified Morisky Medication Adherence Scale. Participants were classified into two groups based on their adherence score: 0 (high adherence) and from 1 to 4 (medium or low adherence). Sociodemographic characteristics; medical history; accessibility to health services; and knowledge, attitude, and practices related to diabetes mellitus were examined. A multiple logistic regression analysis was conducted adjusting for sex, age, marital status, and education levels. Results Data from 773 people with diabetes were included in the analyses. Of the total, 49.3% had a high level of diabetes medication adherence. A high level of adherence was associated with higher family income (≥50 USD per month) (adjusted odds ratio [AOR] = 5.00, 95% confidence interval [CI] = 2.25–11.08), absence of diabetes mellitus-related complications (AOR = 1.66, 95% CI = 1.19–2.32), use of health services more than once per month (AOR = 2.87, 95% CI = 1.64–5.04), following special diet for diabetes mellitus (AOR = 1.81, 95% CI = 1.17–2.81), and absence of alcohol consumption (AOR = 13.67, 95% CI = 2.86–65.34). Conclusions High diabetes medication adherence was associated with better family economic conditions, absence of diabetes mellitus-related complications, and healthy behaviors. It would be crucial to improve affordable access to regular follow-ups including promotion of healthy behaviors through health education and control of diabetes mellitus-related complications.
Databáze: OpenAIRE
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