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Insulin refill adherence among type 2 diabetes mellitus patients attending public health clinics in Perlis, Malaysia

Poor adherence to diabetes medications, particularly insulin, is still a concern. This study aimed to assess insulin refill adherence among diabetes patients attending public health clinics in Perlis before and during the COVID-19 pandemic. The underlying factors associated with insulin refill adher...

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Main Authors: PP, Soo, MSA, Kassim, NNA, Fazeli Shah, N, Mohmmad, YH, Ng
Format: Article
Language:English
Published: Penerbit Universiti Kebangsaan Malaysia 2023
Online Access:http://journalarticle.ukm.my/22585/1/m%26h_17.pdf
http://journalarticle.ukm.my/22585/
https://www.medicineandhealthukm.com/toc/18/1
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spelling my-ukm.journal.225852023-11-30T07:15:02Z http://journalarticle.ukm.my/22585/ Insulin refill adherence among type 2 diabetes mellitus patients attending public health clinics in Perlis, Malaysia PP, Soo MSA, Kassim NNA, Fazeli Shah N, Mohmmad YH, Ng Poor adherence to diabetes medications, particularly insulin, is still a concern. This study aimed to assess insulin refill adherence among diabetes patients attending public health clinics in Perlis before and during the COVID-19 pandemic. The underlying factors associated with insulin refill adherence were also investigated. This cross-sectional study was conducted among type 2 diabetes mellitus patients with insulin therapy from five primary health clinics in Perlis. Simple random sampling method was used to select participants from the Pharmacy Information System (PhIS) database. Adherence to insulin refill was measured by medication possession ratio before and during the COVID-19 pandemic. A general linear model was used to identify factors associated with adherence to insulin refills. A total of 426 patients were included in this study. Patients in this study were mostly Malay (94.3%) and female (63.1%). The insulin refill adherence was significantly poorer during the COVID-19 pandemic (mean=59.24, SD=28.97) than before the pandemic (mean=68.31, SD=31.27) (p<0.001). Only total daily insulin dose (adjusted β = -0.129; p=0.012) and not having hypertension (adjusted β = -7.359; p=0.043) were significantly associated with insulin refill adherence. This study highlighted that overall insulin refill adherence among patients in public health clinics in Perlis was still low, especially during the COVID-19 pandemic. Special attention should be given to patients using high total daily insulin doses and having no hypertension to improve adherence. Penerbit Universiti Kebangsaan Malaysia 2023 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/22585/1/m%26h_17.pdf PP, Soo and MSA, Kassim and NNA, Fazeli Shah and N, Mohmmad and YH, Ng (2023) Insulin refill adherence among type 2 diabetes mellitus patients attending public health clinics in Perlis, Malaysia. Medicine & Health, 18 (1). pp. 211-221. ISSN 2289-5728 https://www.medicineandhealthukm.com/toc/18/1
institution Universiti Kebangsaan Malaysia
building Tun Sri Lanang Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Kebangsaan Malaysia
content_source UKM Journal Article Repository
url_provider http://journalarticle.ukm.my/
language English
description Poor adherence to diabetes medications, particularly insulin, is still a concern. This study aimed to assess insulin refill adherence among diabetes patients attending public health clinics in Perlis before and during the COVID-19 pandemic. The underlying factors associated with insulin refill adherence were also investigated. This cross-sectional study was conducted among type 2 diabetes mellitus patients with insulin therapy from five primary health clinics in Perlis. Simple random sampling method was used to select participants from the Pharmacy Information System (PhIS) database. Adherence to insulin refill was measured by medication possession ratio before and during the COVID-19 pandemic. A general linear model was used to identify factors associated with adherence to insulin refills. A total of 426 patients were included in this study. Patients in this study were mostly Malay (94.3%) and female (63.1%). The insulin refill adherence was significantly poorer during the COVID-19 pandemic (mean=59.24, SD=28.97) than before the pandemic (mean=68.31, SD=31.27) (p<0.001). Only total daily insulin dose (adjusted β = -0.129; p=0.012) and not having hypertension (adjusted β = -7.359; p=0.043) were significantly associated with insulin refill adherence. This study highlighted that overall insulin refill adherence among patients in public health clinics in Perlis was still low, especially during the COVID-19 pandemic. Special attention should be given to patients using high total daily insulin doses and having no hypertension to improve adherence.
format Article
author PP, Soo
MSA, Kassim
NNA, Fazeli Shah
N, Mohmmad
YH, Ng
spellingShingle PP, Soo
MSA, Kassim
NNA, Fazeli Shah
N, Mohmmad
YH, Ng
Insulin refill adherence among type 2 diabetes mellitus patients attending public health clinics in Perlis, Malaysia
author_facet PP, Soo
MSA, Kassim
NNA, Fazeli Shah
N, Mohmmad
YH, Ng
author_sort PP, Soo
title Insulin refill adherence among type 2 diabetes mellitus patients attending public health clinics in Perlis, Malaysia
title_short Insulin refill adherence among type 2 diabetes mellitus patients attending public health clinics in Perlis, Malaysia
title_full Insulin refill adherence among type 2 diabetes mellitus patients attending public health clinics in Perlis, Malaysia
title_fullStr Insulin refill adherence among type 2 diabetes mellitus patients attending public health clinics in Perlis, Malaysia
title_full_unstemmed Insulin refill adherence among type 2 diabetes mellitus patients attending public health clinics in Perlis, Malaysia
title_sort insulin refill adherence among type 2 diabetes mellitus patients attending public health clinics in perlis, malaysia
publisher Penerbit Universiti Kebangsaan Malaysia
publishDate 2023
url http://journalarticle.ukm.my/22585/1/m%26h_17.pdf
http://journalarticle.ukm.my/22585/
https://www.medicineandhealthukm.com/toc/18/1
_version_ 1784513001268707328
score 13.211869

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