ECE2024 Eposter Presentations Diabetes, Obesity, Metabolism and Nutrition (383 abstracts)
Frequency and risk factors of medication non-adherence in elderly diabetics
Dhoha Ben Salah 1 , Abir Larayedh 2 , Mouna Elleuch 1 , Khouloud Boujelben 1 , Faten Hadj Kacem 1 , Fatma Mnif 1 , Mouna Mnif 1 , Nadia Charfi 1 , Mohamed Abid 1 & Nabila Rekik Majdoub 1
1Endocrinology Department, Hedi Chaker University Hospital, Sfax, Tunisia; 2Department of Family Medicine, Faculty of Medicine, Sfax, Tunisia
Background: Low medication adherence is a frequent problem in elderly individuals with chronic diseases such as diabetes. The objective is to assess the level of medication adherence and identify predictive factors for poor adherence among elderly diabetic patients.
Methods: We conducted a descriptive, cross-sectional study among diabetic patients aged 65 years and older, who were attending the Endocrinology Department at Hedi Chaker University Hospital in Sfax from January to March 2022. Medication adherence was assessed using a validated Arabic version of the 8-item Morisky Medication Adherence Scale (MMAS-8). Univariate analysis followed by multivariate logistic regression was used to identify predictors of low medication adherence.
Results: This study included a sample of 137 elderly patients, with a mean age of 71.49 years (±6.2) and a sex-ratio of 0.9. The prevalence of low medication adherence was 56.2%, and it was independently and significantly correlated with five distinct factors: the absence of self-monitoring of blood glucose [OR = 2.987; 95% CI (1.295-6.889), P=0.01], irregular medical visits [OR = 5.383; 95% CI (1.353-21.419), P=0.017], non-adherence to prescribed treatments [OR = 4.644; 95% CI (1.457-14.804), P=0.009], high HbA1C levels (>7%) [OR = 3.008; 95% CI (1.194-7.580), P=0.02] and diabetic retinopathy[OR = 2.987; 95% CI (1.327-6.725), P=0.008].
Conclusions: Medication adherence was insufficient in our study. Therapeutic education programs are needed for patient management.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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