| Title |
Determinants of medication adherence among adults with type 2 diabetes mellitus in three Malaysian public health clinics: a cross-sectional study
|
|---|---|
| Published in |
Patient preference and adherence, May 2015
|
| DOI | 10.2147/ppa.s81612 |
| Pubmed ID | |
| Authors |
Boon-How Chew, Noor-Hasliza Hassan, Mohd-Sidik Sherina |
| Abstract |
Medication adherence (MA) in adults with type 2 diabetes mellitus (T2D) is associated with improved disease control (glycated hemoglobin, blood pressure, and lipid profile), lower rates of death and diabetes-related complications, increased quality of life, and decreased health care resource utilization. However, there is a paucity of data on the effect of diabetes-related distress, depression, and health-related quality of life on MA. This study examined factors associated with MA in adults with T2D at the primary care level. This was a cross-sectional study conducted in three Malaysian public health clinics, where adults with T2D were recruited consecutively in 2013. We used the 8-item Morisky Medication Adherence Scale (MMAS-8) to assess MA as the main dependent variable. In addition to sociodemographic data, we included diabetes-related distress, depressive symptoms, and health-related quality of life as independent variables. Independent association between the MMAS-8 score and its determinants was done using generalized linear models with a gamma distribution and log link function. The participant response rate was 93.1% (700/752). The majority were female (52.8%), Malay (52.9%), and married (79.1%). About 43% of patients were classified as showing low MA (MMAS-8 score <6). Higher income (adjusted odds ratio 0.90) and depressive symptoms (adjusted odds ratio 0.99) were significant independent determinants of medication non-adherence in young adults with T2D. Low MA in adults with T2D is a prevalent problem. Thus, primary health care providers in public health clinics should focus on MA counselling for adult T2D patients who are younger, have a higher income, and symptoms of depression. |
X Demographics
The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 1 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Practitioners (doctors, other healthcare professionals) | 1 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 224 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 1 | <1% |
| Portugal | 1 | <1% |
| Unknown | 222 | 99% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 31 | 14% |
| Student > Bachelor | 27 | 12% |
| Student > Ph. D. Student | 19 | 8% |
| Researcher | 16 | 7% |
| Student > Postgraduate | 16 | 7% |
| Other | 54 | 24% |
| Unknown | 61 | 27% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 65 | 29% |
| Pharmacology, Toxicology and Pharmaceutical Science | 25 | 11% |
| Nursing and Health Professions | 18 | 8% |
| Psychology | 11 | 5% |
| Unspecified | 9 | 4% |
| Other | 24 | 11% |
| Unknown | 72 | 32% |
Attention Score in Context
This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 08 May 2015.
All research outputs
#16,416,944
of 25,922,020 outputs
Outputs from Patient preference and adherence
#923
of 1,770 outputs
Outputs of similar age
#151,822
of 280,148 outputs
Outputs of similar age from Patient preference and adherence
#11
of 27 outputs
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So far Altmetric has tracked 1,770 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.7. This one is in the 43rd percentile – i.e., 43% of its peers scored the same or lower than it.
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We're also able to compare this research output to 27 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 55% of its contemporaries.