Main Organiser

Julius Centre University of Malaya

Co-organiser

Department of Social and Preventive Medicine, Faculty of Medicine, University of Malay

Supported by

University of Malaya

FACTORS ASSOCIATED WITH MEDICATION COMPLIANCE AMONG DIABETES MELLITUS PATIENTS ATTENDING A PRIMARY HEALTH CLINIC

Author

Robson N, Mohamed Zainuddin Nadiah

Institution

University Malaya, Kuala Lumpur

Abstract

Objectives: Diabetes Mellitus is a growing major public health problem in Malaysia. This study aimed to determine factors which influence compliance to medication in type 2 diabetes mellitus patients.

Methods: This was a cross-sectional study involving 200 type 2 diabetic patients attending a primary care clinic. The respondents filled a self- report questionnaire on sociodemographic and health status and completed a 19-item questionnaire using a 5-point likert scale. Specific characteristics associated with poor medication compliance were identified using multivariate regression analysis.

Results: The respondents were mostly female (81%), mean age 60.5 years old and educated up to secondary school (54%). Majority were Indians (48%) followed by Malays (37%) and Chinese (15%) and had diabetic retinopathy (17%), ischaemic heart disease (10%), renal disease (9%) and stroke (6%). Most were on oral hypoglaemics (89%) and more than a third (35%) were on insulin. Over the past one month, most (66%) were compliant to medication, 26% missed between 1-7 doses of medication and 8% had missed > 7 doses of medication. Ethnicity and duration of disease were significantly associated with compliance to medication where the Chinese and those with longer duration of diabetes were more compliant. However, type of medication, educational level, complication of disease or side effects of medication were not significantly associated with medication compliance.

Conclusion: In this study, 2 factors were associated with poor medication compliance in diabetic patients. It is hoped that these findings may contribute to future plans or strategies to improve diabetic care in Malaysia.