Factors associated with medication adherence among type 2 Diabetes patients in a private clinic in Yangon, Myanmar

Abstract

This cross-sectional quantitative research was designed to determine the proportion of adherence to oral hypoglycemic agents (OHAs) and to explore factors associated with medication adherence among type 2 diabetes patients  in  a  private  clinic  in  Yangon,  Myanmar.  A  total  of  396  type  2  diabetes  patients  were  face  to  face interviewed  between  April  and  May  2016.  Chi-square  test  and  multiple  logistic  regression  were  used  to analyze  the  data.

More than half (65.9%) of the patients were reported as good adherence to oral-hypoglycemic agents. The result showed that significant predictors associated with medication adherence included household income, number of under 12 children, knowledge on diabetes, perceived susceptibility, perceived severity, perceived benefits, perceived barriers, self-efficacy, family support and cues to action. In multiple logistic regression, significant predictors  associated  with  adherence  to  oral  hypoglycemic  agents  (OHAs)  include  high  level  of  diabetes knowledge (Adj OR = 3.55, 95% CI = 1.89 – 6.66), positive perceived susceptibility to diabetes complications (Adj  OR  =  2.08,  95%  CI  =  1.08  –  4.00),  positive  perceived  severity  of  diabetes  mellitus  (Adj  OR  =  2.54, 95%  CI  =  1.30  –  4.93),  positive  perception  on  barriers  (Adj  OR  =  2.73,  95%  CI  =  1.50  –  4.97)  and  high level  of self-efficacy (Adj OR =  4.14,  95% CI =  1.99  –  8.61).

The  result  of  this  study  indicated  that  health  education  and  health  promotion  programs  should  be promoted  in  order to  expand  the  knowledge  of diabetes  and  life-style  modifications.