Factors Associated with Poor Therapeutic Compliance Among Diabetic Patients in Health Facilities of Kinshasa.
| Title: | Factors Associated with Poor Therapeutic Compliance Among Diabetic Patients in Health Facilities of Kinshasa. |
|---|---|
| Authors: | Atantama M; Unit of Endocrinology and Nuclear Medicine, Department of Internal Medicine, Kinshasa University Hospital, Kinshasa, Democratic Republic of the Congo.; Mafuta Munganga D; Unit of Endocrinology and Nuclear Medicine, Department of Internal Medicine, Kinshasa University Hospital, Kinshasa, Democratic Republic of the Congo.; Kapongo Yobo R; Unit of Endocrinology and Nuclear Medicine, Department of Internal Medicine, Kinshasa University Hospital, Kinshasa, Democratic Republic of the Congo.; Bidingija Mabika J; Unit of Endocrinology and Nuclear Medicine, Department of Internal Medicine, Kinshasa University Hospital, Kinshasa, Democratic Republic of the Congo.; Mikobi Minga JP; Unit of Endocrinology and Nuclear Medicine, Department of Internal Medicine, Kinshasa University Hospital, Kinshasa, Democratic Republic of the Congo.; Kisoka Lusunsi C; Cardiology Unit, Department of Internal Medicine, Kinshasa University Hospital, Kinshasa, Democratic Republic of the Congo.; Kasiam Lasi On'Kin JB; Unit of Endocrinology and Nuclear Medicine, Department of Internal Medicine, Kinshasa University Hospital, Kinshasa, Democratic Republic of the Congo.; Otshudi Onembo N; Cardiology Unit, Department of Internal Medicine, Kinshasa University Hospital, Kinshasa, Democratic Republic of the Congo.; Bayauli Mwasa P; Unit of Endocrinology and Nuclear Medicine, Department of Internal Medicine, Kinshasa University Hospital, Kinshasa, Democratic Republic of the Congo. |
| Source: | Diabetes, metabolic syndrome and obesity : targets and therapy [Diabetes Metab Syndr Obes] 2025 May 01; Vol. 18, pp. 1365-1371. Date of Electronic Publication: 2025 May 01 (Print Publication: 2025). |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: Dove Medical Press Country of Publication: New Zealand NLM ID: 101515585 Publication Model: eCollection Cited Medium: Print ISSN: 1178-7007 (Print) Linking ISSN: 11787007 NLM ISO Abbreviation: Diabetes Metab Syndr Obes Subsets: PubMed not MEDLINE |
| Imprint Name(s): | Original Publication: [Auckland, N.Z.] : Dove Medical Press, c2008- |
| Abstract: | Background: Poor therapeutic compliance among diabetic patients is one of the public health issues contributing to inadequate diabetes mellitus control and an increased risk of chronic complications. This study aimed to determine the frequency and factors associated with poor therapeutic compliance among diabetic patients in Kinshasa.; Methods: A cross-sectional study was conducted between November 2021 and November 2022 on diabetic patients aged at least 18 years who visited four health facilities in Kinshasa. The Morisky questionnaire was used to assess therapeutic compliance. Data analysis was carried out using SPSS 26 software. Descriptive analyses, Pearson's chi-square test, Mann-Whitney U-test, and logistic regression were applied. A p-value < 0.05 was considered statistically significant.; Results: A total of 131 participants were enrolled, of which 88 (67.1%) had poor compliance. The mean age was 53.8 ± 16.5 years, with male participants representing 67.9%. Median values of blood glucose, glycated hemoglobin (HbA1c), triglycerides (TG), and LDL-cholesterol were high in the non-compliant group with respectively 147.5 mg/dL, 8.5%, 146.9 mg/dL, and 116.5 mg/dL. Inadequate self-monitoring (AOR: 10.144, 95% CI 3.543-29.040, p |
| Competing Interests: | The authors report no conflicts of interest in relation to this work. |
| References: | BMC Med. 2022 Jan 26;20(1):22. (PMID: 35078484); J Clin Nurs. 2001 Sep;10(5):618-27. (PMID: 11822512); Am J Manag Care. 2009 Jan;15(1):59-66. (PMID: 19146365); Diabetes Res Clin Pract. 2019 Nov;157:107843. (PMID: 31518657); Patient Prefer Adherence. 2020 Oct 29;14:2071-2083. (PMID: 33154631); BMC Endocr Disord. 2022 Aug 31;22(1):219. (PMID: 36045370); BMJ Open. 2018 Jan 23;8(1):e015332. (PMID: 29362241); Diabetes Care. 2021 Jan;44(Suppl 1):S73-S84. (PMID: 33298417); J Diabetes Metab Disord. 2018 Oct 25;17(2):165-172. (PMID: 30918851); Am Psychol. 2016 Oct;71(7):526-538. (PMID: 27690482); Pan Afr Med J. 2018 Jan 29;29:82. (PMID: 29875963); Urol Nurs. 2016 Jan-Feb;36(1):27-36. (PMID: 27093761); Glob Epidemiol. 2023 Jun 10;5:100113. (PMID: 37638377); Diabetes Care. 2012 Dec;35(12):2533-9. (PMID: 22912429); Arch Public Health. 2019 May 16;77:21. (PMID: 31123588); Patient Prefer Adherence. 2022 Aug 05;16:1999-2007. (PMID: 35958890); Int J Gen Med. 2022 Oct 04;15:7669-7683. (PMID: 36217367); Front Public Health. 2022 Nov 01;10:976888. (PMID: 36407991); Pan Afr Med J. 2014 Apr 08;17:258. (PMID: 25309658); J Adv Nurs. 2020 Feb;76(2):621-631. (PMID: 31670404); Front Cardiovasc Med. 2024 Dec 20;11:1493447. (PMID: 39759497); J Clin Pharmacol. 2015 Mar;55(3):279-87. (PMID: 25293349); Br J Clin Pharmacol. 2009 May;67(5):547-57. (PMID: 19552750); Diabetes Care. 2009 Jan;32 Suppl 1:S62-7. (PMID: 19118289); Cureus. 2021 Oct 20;13(10):e18918. (PMID: 34826318); PLoS One. 2019 Oct 1;14(10):e0222985. (PMID: 31574113); Clin Podiatr Med Surg. 2002 Jan;19(1):79-107. (PMID: 11806167); Pan Afr Med J. 2019 Sep 16;34:34. (PMID: 31762902) |
| Contributed Indexing: | Keywords: Kinshasa; diabetes mellitus; non-compliance |
| Entry Date(s): | Date Created: 20250507 Latest Revision: 20250509 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC12052007 |
| DOI: | 10.2147/DMSO.S508883 |
| PMID: | 40330317 |
| Database: | MEDLINE |
Journal Article