Correlates of Medication Adherence Among Patients With Type 2 Diabetes Mellitus – A Study From Western Maharashtra
Keywords:
Medication adherence, Diabetes Mellitus, association, comorbiditiesAbstract
Introduction: Non-adherence to medication remains a critical challenge in the management of Type 2 Diabetes Mellitus (T2DM), contributing to poor glycaemic control, increased complications and higher healthcare burdens. In India, where T2DM prevalence is rapidly rising, understanding the factors influencing adherence is essential for improving patient outcomes. Aims and Objectives: This study aimed to evaluate medication adherence and identify socio-demographic and clinical factors associated with adherence among Type 2 Diabetes Mellitus (T2DM) patients. Materials and Methods: An observational cross-sectional study was conducted among 155 T2DM patients visiting a tertiary care hospital in Karad, Maharashtra. Medication adherence was assessed using the 7-item Medication Compliance Questionnaire (MCQ), along with data on socio-demographic and clinical characteristics. Statistical analysis was performed using SPSS version 20. Results: Of the 155 participants, 92 (59.35%) were male and 63 (40.65%) were female. The overall mean MCQ score was 25.17 (SD 3.64), with 58% (n=90) being adherent to anti-diabetic treatment. The most common reason for non-adherence was forgetting to take medications, indicated by the lowest mean score (3.49 ± 0.77). Significant factors associated with adherence included education level, duration of T2DM, BMI, HbA1c levels and the presence of comorbidities. Conclusion: Study showed moderate adherence to T2DM treatment which poses a risk for complications. Improving patient education, addressing forgetfulness with reminders or support systems and managing comorbidities should be prioritized to enhance adherence and diabetes outcomes.
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