Adherence to diabetes self –management and associated factors among adolescents with Type 1 diabetes in public hospitals of Addis Ababa, Ethiopia, 2021.
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Date
2021-06
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Abeba University
Abstract
Background: Type 1 diabetes is one of the quickly growing problems in Ethiopia. Adherence
to diabetes self-management of adolescents with type 1 diabetes is crucial for the control of type
1 diabetes to diminish mortality and morbidity. Prove of level of adherence to diabetes selfmanagement
and
associated
factors
in
adolescents
with
type
1 diabetes
in Ethiopia
is unknown.
Objectives:
To
determine
adherence
to
diabetes
self-management
and
associated
factors
among
adolescents
with
type
1
diabetes
in
public
hospitals
of
Addis
Ababa,
Ethiopia,
from
March
10
to
April
25,
2021.
Method:
Institutional
based
cross-sectional
study
was
done
in
four
arbitrary
chosen
public hospitals of Addis Ababa. Systematic random sampling technique was used to
select a total of 422 participants. A structured and pretested questionnaire was prepared and
interview technique was used for data collection. The data was collected by utilizing Kobo
collect version 1.30.1 and exported to excel for checking and cleaning. Later the data was
exported to SPSS version 25 for analysis. Descriptive statistics, bivariable and multivariable
logistic regression analysis was performed. A variable that has a P-value of <0.2 in bi-variable
logistic regression analysis was subjected to multivariable logistic regression analysis to control
the confounding factors. The level of significance was pronounced at P-value <0.05. Results:
With 98.1% response rate, a total of 414 diabetic adolescents were interviewed. About 218
participants (52.7%) had poor adherence to overall diabetes self-management. The prevalence
of poor adherence to insulin administration, dietary management, management of
hypoglycemia, blood glucose testing, and regulation of exercise were 56.8%, 68.4%, 42%,
54.8% and 50.5% respectively. Self-efficacy (AOR=8.7, 95% CI: (1.9, 14.1) and P=0.005),
social support (AOR=4.6, 95%CI: (1.5,13.5) and P=0.006), age (AOR=0.2, 95%CI: (0.1,0.4)
and P=0.001), good knowledge of the disease (AOR=9.046, 95%CI: (3.83,13.5) and P=0.000),
moderate knowledge (AOR=6.763, 95%CI: (2.18,12.921) and P=0.001), and time since
diagnosis of type 1 diabetes (AOR=0.1, 95%CI:(0.02-0.2) and P=0.005) were significantly
associated with adherence to diabetes self-management. Conclusions and Recommendations:
More than half of the participants had poor adherence. Planning a comprehensive rule of
adherence and expanding the recurrence of follow-up visits in diabetic clinics were profoundly
suggested.
Description
Keywords
Adherence, Self-management, Adolescents