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Adherence to diabetic self-care practices and its associated factors among patients with type 2 diabetes in Addis Ababa, Ethiopia

Authors Bonger Z, Shiferaw S, Tariku EZ

Received 4 November 2017

Accepted for publication 20 March 2018

Published 6 June 2018 Volume 2018:12 Pages 963—970


Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Editor who approved publication: Dr Johnny Chen

Zeleke Bonger,1 Solomon Shiferaw,2 Eshetu Zerihun Tariku3

1TB/HIV Control and Prevention, Ethiopian Public Health Institute, Adama, Ethiopia; 2School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia; 3Department of Public Health, Arba Minch University, Arba Minch, Ethiopia

Background: Self-care practices in diabetes patients are crucial to keep the illness under control and prevent complications. Effective management of diabetes will be a difficult task without adequate understanding of the existing level of practice related to diabetes self-care. This study is, therefore, aimed at assessing the self-care practice and its associated factors among patients with type 2 diabetes in Tikur Anbessa Specialized Hospital, Ethiopia.
Materials and methods: A health facility-based cross-sectional study was conducted among 419 type 2 diabetes patients from March 29, 2013, to May 16, 2013. The data were collected by face-to-face interview using structured and pretested questionnaire. Binary logistic regression was performed to assess the association between determinant factors and adherence to self-monitoring of blood glucose. Adjusted odds ratios (AOR) with its 95% confidence interval (CI) were estimated to identify factors associated with the outcome variables in the multivariable analysis.
Result: In this study, 318 (75.9%) diabetes patients did not adhere to the recommended diet management, 350 (83.5%) did not adhere to self-monitoring of blood glucose level, while 18 (4.3%) of the respondents did not adhere to the prescribed medications. Diabetic patients who were unemployed were 2.4 times more likely to practice blood glucose monitoring than merchants (AOR [95% CI] =2.4 [1.3–5.9]). Those who attended primary education were 70% less likely to adhere to blood glucose self-monitoring than those educated to a tertiary educational level (AOR [95% CI] =0.3 [0.1–0.9]). Respondents within the age group of 40–49 years were 11 times more likely to adhere to their medication than those aged 60–76 years (AOR [95% CI] =11 [1.03–13.6]).
Conclusion: The study showed that the extent to which individuals adhere to the recommended management of type 2 diabetes is substantially low. Improving awareness of patients and the community at large is imperative especially on medication adherence, glycemic control and diet management.

Keywords: type 2 diabetics, self-care practice, Tikur Anbessa, Ethiopia

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