Submitted: 01 Jan 2016
Accepted: 03 Mar 2016
ePublished: 30 Mar 2016
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J Educ Community Health. 2016;2(4): 3-12.
doi: 10.21859/jech-02042
  Abstract View: 1166
  PDF Download: 690

Self-care of Chronic Diseases

Research Article

Medication Adherence and its Related Factors in Patients with Type II Diabetes

Behzad Gholamaliei 1, Akram Karimi-Shahanjarini 2* ORCID logo, Ghodratollah Roshanaei 3, Frouzan Rezapour-Shahkolaei 2

1 Department of Public Health, School of Health, Hamadan University of Medical Sciences, Hamadan, Iran.
2 Social Determinants of Health Research Center and Department of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.
3 Modeling of Non-communicable Disease Research Center and Department of Biostatistics, Hamadan University of Medical Sciences, Hamadan, Iran.
*Corresponding Author: Email: karimi.a@umsha.ac.ir


Background and Objectives: Low levels of medication adherence in patients with type 2 diabetes is one of the greatest challenges in the treatment and control of diabetes. This study was designed to determine medication adherence and its related factors in patients with type II diabetes.

Materials and Methods: In this cross-sectional study, a total of 300patients with type 2diabetes records in the health centers of Tuyserkan city were randomly selected in 2015. Data collection instrument was a self-made questionnaire, which consisted of factors related to the medication adherence. Questionnaires were completed after confirmation of validity and reliability, by interviews. To analyze the data, descriptive and inferential statistics (T-test, AnOVA, Simple and multiple linear regression) were applied, using SPSS software, version 19.

Results: Overall, %26.3 of patients were male and %73.7 were female. Also, %65 of patients were illiterate, %24 had some degree of symptoms, and %59.4 had poor medication adherence. There was a significant relationship between age, education, patient care and treatment expenditure, health care team and health system, therapy-related factors and condition-related factors, beliefs about illness, efficacy, and concerns about drugs and medication adherence (P < 0.05).

Conclusions: This study showed that medication adherence in patients with diabetes was not suitable and individual, economical and social factors were influential.Therefore, the role of these factors must be considered when designing intervention programs.

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