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. 2023 Jan 14;20(2):1537. doi: 10.3390/ijerph20021537

Table 3.

Factors associated with medication adherence 1 among 343 diabetes patients at Dhulikhel hospital *.

Characteristics Model 1 Model 2 ** Model 3 ***
Bivariate Analysis Adjusted for Sociodemographic Variables Adjusted for
Sociodemographic
& Clinical History
(n = 343) (n = 343) (n = 343)
OR 95% CI p-Value OR 95% CI p-Value OR 95% CI p-Value
Age, years 0.99 (0.97, 1.01) 0.28 0.99 (0.97, 1.01) 0.40 0.99 (0.97, 1.02) 0.73
Education
No formal education Ref Ref Ref
Formal education 2.43 (1.55, 3.81) <0.001 2.36 (1.32, 4.23) <0.001 2.43 (1.34, 4.39) 0.003
Occupation
Unemployed Ref Ref Ref
Employed 1.19 (0.76, 1.88) 0.44 0.71 (0.39, 1.29) 0.26 0.70 (0.38, 1.29) 0.25
Medicine intake duration, Years (nat.log) 1.00 (0.95, 1.04) 0.85 - - - 0.91 (0.73, 1.13) 0.41
Attendance diabetes counseling
No Ref Ref
Yes 1.78 (1.14, 2.79) 0.01 - - - 1.76 (1.02, 3.04) 0.04
Diabetes medicine types
Only OHA Ref Ref
Insulin or Insulin with OHA 1.34 (0.73, 2.47) 0.35 - - - 1.28 (0.60,2.73) 0.52

* Dependent variable: Medication adherence (high adherence and moderate/low adherence). ** Model 2 adjusted for sociodemographic characteristics (age, education, and occupation);*** Model 3 adjusted for sociodemographic characteristic and clinical characteristics (age, education, occupation, medicine intake duration (natural log), attendance of diabetes counselling and types of diabetes medicines). 1 The MMAS (8-item) content, name, and trademarks are protected by US copyright and trademark laws. Permission for use of the scale and its coding is required. A license agreement is available from Donald E. Morisky, ScD, ScM, MSPH, MMAS Research LLC.; donald.morisky@moriskyscale.com.