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Title: | Medication adherence and self-care behaviours among patients with type 2 diabetes mellitus in Ghana |
Authors: | Afaya, Richard Adongo Bam, Victoria Bubunyo Azongo, Thomas Bavo Afaya, Agani Kusi-Amponsah, Abigail Ajusiyine, James Mbangbe Hamid, Tahiru Abdul |
Keywords: | Medication adherence Self-care behaviours Diabetes knowledge Patients Type 2 diabetes mellitus Ghana |
Issue Date: | 8-Jun-2021 |
Abstract: | Background
Diabetes often coexists with other medical conditions and is a contributing cause of death in
88% of people who have it. The study aimed at evaluating medication adherence, self-care
behaviours and diabetes knowledge among patients with type 2 diabetes mellitus in Ghana.
Methods
A total of 330 participants were recruited into the study from three public hospitals in the
Tamale metropolis. A validated medication adherence questionnaire and the Summary of
Diabetes Self-care Activities tool were used to assess medication adherence and self-care
activities respectively. Logistic and linear regressions were used to determine factors positively associated with non-adherence to medication and self-care behaviours respectively.
Results
Of the 330 participants whose data were analysed, the mean (SD) age was 57.5 (11.8)
years. The majority (84.5%) were adherent to anti-diabetes medication. Participant’s age,
educational level, and practice of self-care behaviours influenced adherence to anti-diabetes medication. Participants aged 70 years and above were 79% less likely to be non-adherent to medication as compared to those below 50 years [OR = 0.21 (95%CI: 0.06–0.74), p =
0.016]. Participants with senior high school education were 3.7 times more likely to be nonadherent to medication than those with tertiary education [OR = 3.68 (95%CI: 1.01–13.44),
p = 0.049]. Participants with tertiary education had an increase in the level of practice of selfmanagement by 1.14 (p = 0.041). A unit increase in knowledge score also increased the
level of practice of self-management by 3.02 (p<0.001). |
URI: | http://hdl.handle.net/123456789/13877 |
Appears in Collections: | College of Health Sciences
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