Introduction: Diabetic patients adhering to their treatment are less likely to face complication from their disease. For this reason, we studied the compliance of diabetics with their treatment. Materials and Method: This was a comprehensive cross-sectional study of adherence in diabetic patients. All patients meeting the inclusion criteria were enrolled in the study. This study took place at a private pharmacy called “pharmacy Elhadj Seydou Nourou Tall” located in the city of Pikine during the period from April 1 to September 30, 2019. Results: In total, the study population was composed of 125 diabetics; frequency of 8.47%. The average age was 62.5 years and there were more women (58.4%). Of the patients, 87% had a low socioeconomic level and 72% a low educational level. Only 65.6% of the patients knew their diabetes type. Even though 97.6% of the patients were confident in the treatment but due to financial reasons 20.8% did not adhere to the prescribed treatment and 16.8% to their diets. Moreover, 15.2% of the patients had changed the dosage of the prescribed medication, 44.4% had forgotten to take their medication regularly. 78.4% of them thought they were taking too much medication. No factors were found to be statistically associated with poor adherence, but the proportion of poor adherence patients was higher in patients over 60 years of age, with low socio-economic status and low education. Conclusion: Low socio-economic status is the main barrier to good adherence. Recommendations have been formulated to improve this adherence.
References
[1]
IDF (2019) The IDF Diabetes Atlas. 9th Edition. https://diabetesatlas.org/atlas/ninth-edition/
Sabaté, E. (2001) Non Communicable Diseases and Mental Health Cluster. Adherence to Long-Term Therapies: Policy for Action: World Health Organization; Meeting Report, 4-5 June 2001. https://apps.who.int/iris/handle/10665/66984
[4]
World Health Organization (2003) Adherence to Long-Term Therapies: Evidence for Action. https://apps.who.int/iris/handle/10665/42682
[5]
Reach, G. (2008) Patient Non-Adherence and Healthcare-Provider Inertia Are Clinical Myopia. Diabetes & Metabolism, 34, 382-385. https://doi.org/10.1016/j.diabet.2008.02.008 https://pubmed.ncbi.nlm.nih.gov/18706843
[6]
https://votresalaire.org/senegal/salaire
[7]
Awodele, O. and Osuolale, J.A. (2015) Medication Adherence in Type 2 Diabetes Patients: Study of Patients in Alimosho General Hospital, Igando, Lagos, Nigeria. African Health Sciences, 15, 513-522. https://doi.org/10.4314/ahs.v15i2.26
[8]
Osei, K., Schuster, D.P., Amoah, A.G. and Owusu, S.K. (2003) Diabetes in Africa. Pathogenesis of Type 1 and Type 2 Diabetes Mellitus in Sub-Saharan Africa: Implications for Transient Populations. Journal of Cardiovascular Risk, 10, 85-96. https://doi.org/10.1177/174182670301000203
[9]
Kennedy, M., Mala, A.M., Paulin, B.M. and Muyer, M.C. (2014) A Case-Control Study to Determine the Sources of Nonadherence to Medical Monitoring in Diabetic Patients in Kinshasa in 2010. The Pan African Medical Journal, 17, 258. https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC4189857
[10]
Mbaye, M.N., Niang, K. and Sarr, A. (2011) Epidemiological Aspects of Diabetes in Senegal: Results of a Survey on Cardiovascular Risk Factors in the City of Saint-Louis. Medicine of Metabolic Diseases, 5, 659-664.
[11]
Kone, F. (2014) Evaluation of the Difficulties Related to the Follow-Up and Management of Diabetes in Senegal: A Survey Conducted at the Marc Sankalé Centre in Dakar. Cheikh Anta Diop University, Dakar, No. 22.
[12]
Gning, S.B., Thiam, M., Fall, F., Fall, K.B. and Mbaye, P.S. (2007) Diabetes Mellitus in Sub-Saharan Africa, Epidemiological Aspects Management Difficulties. Medecine Tropicale, 67, 607-611. https://bdsp-ehesp.inist.fr/vibad/index.php?action=getRecordDetail&idt=378014
[13]
Ka, O., Mbaye, E.H., Leye, M.M.M., Faye, A., Tall, A.B., Gaye, A., et al. (2016) Plan Sésame in Senegal: Limits of This Free-of-Charge Model. Public Health, 1, 91-101. https://www.cairn.info/revue-sante-publique-2016-1-page-91.htm https://doi.org/10.3917/spub.161.0091
[14]
Ankotche, A., Binan, Y., Leye, A., Biekre, A.R., Adoueni, V., Toutou, T. and Loukrou, A. (2009) Serious Consequences of the Financial Cost of Diabetes on Its Management, Apart from Complications, in Sub-Saharan Africa: The Example of Côte d’Ivoire. Médecine des maladies Métaboliques, 3, 100-105. https://doi.org/10.1016/S1957-2557(09)70126-9
[15]
Guenette, L., Moisan, J., Breton, B. and Sirois, C. (2013) Difficulty Adhering to Antidiabetic Treatment: Factors Associated with Persistence and Adherence. Diabetes & Metabolism, 39, 250-257. https://doi.org/10.1016/j.diabet.2012.12.005
[16]
Chambonet, J.Y. and Broard, F. (2001) Are You Forgetting Your Meds? Médical Concours, 32, 2159-2163.
[17]
Bagonza, J., Rutebember, E. and Bazeyo, W. (2015) Adherence to Anti Diabetic Medication among Patients with Diabetes in Eastern Uganda; a Cross Sectional Study. BMC Health Services Research, 19, Article No. 168. https://doi.org/10.1186/s12913-015-0820-5
[18]
Grant, R.W., Devita, N.G., Singer, D.E. and Meigs, J.B. (2003) Polypharmacy and Medication Adherence in Patients with Type 2 Diabetes. Diabetes Care, 26, 1408-1412. https://pubmed.ncbi.nlm.nih.gov/12716797 https://doi.org/10.2337/diacare.26.5.1408
[19]
Chakroun, E., Ben Salem Hachmi, L., Bouzid, C., Kammoun, I., Maatki, C., Turki, Z. and Ben Slama, C. (2009) Influence of Socioeconomic and Educational Level on Adherence in Type 2 Diabetics. Diabetes & Metabolism, 35, 67. https://www.em-consulte.com/article/203889/p164-influence-du-niveau-socioheconomique-et-du-ni https://doi.org/10.1016/S1262-3636(09)71962-7
[20]
Guillaume, K.T. (2010) Knowledge and Practical Attitudes of Diabetics on Physical activity. Thesis, Mali.
