Diabetes, Metabolic Syndrome and Obesity (Mar 2022)

Adherence to Diabetes Self-Management and Its Associated Factors Among Adolescents Living with Type 1 Diabetes at Public Hospitals in Addis Ababa, Ethiopia: A Cross-Sectional Study

  • Geneti Y,
  • Wondwossen K,
  • Adimasu M,
  • Deressa D,
  • Aga F,
  • Lami M,
  • Abdisa L,
  • Abebe S,
  • Dinku H

Journal volume & issue
Vol. Volume 15
pp. 659 – 670

Abstract

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Yomilan Geneti,1 Kalkidan Wondwossen,2 Mekonen Adimasu,2 Dereje Deressa,2 Fekadu Aga,2 Magarsa Lami,3 Lemesa Abdisa,3 Seboka Abebe,4 Hirut Dinku4 1Department of Nursing and Midwifery, Dire Dawa University, Dire Dawa, Ethiopia; 2Department of Nursing and Midwifery, Addis Ababa University, Addis Ababa, Ethiopia; 3Department of Nursing and Midwifery, Haramaya University, Harar, Ethiopia; 4Department of Nursing and Midwifery, Wolkite University, Wolkite, EthiopiaCorrespondence: Yomilan Geneti, Department of Nursing and Midwifery, Dire Dawa University, PO Box 1362, Dire Dawa, Ethiopia, Tel +251 928651326, Email [email protected]: The purpose of this study was to determine the level of adherence to diabetes self-management and associated factors among adolescents living with type 1 diabetes at Public Hospitals in Addis Ababa, Ethiopia.Methods: An institutional-based cross-sectional study was carried out among 422 adolescents with type 1 diabetes attending outpatient diabetic clinics at public hospitals in Addis Ababa. The adolescents were interviewed using pretested questionnaires to give information on adherence to diabetes self-management. 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: In this study, a total of 414 adolescents living with type 1 diabetes were interviewed making a 98.1% response rate. About 218 participants (52.7%) had poor adherence to overall diabetes self-management. Self-efficacy (AOR=8.7, 95% CI:1.9– 14.1, P=0.005), social support (AOR=4.6, 95% CI:1.5– 13.5, P=0.006), age (AOR=0.2, 95% CI:0.1– 0.4, P=0.001), good knowledge of the disease (AOR=9.046, 95% CI:3.83– 13.5, P=0.000), moderate knowledge (AOR=6.763, 95% CI:2.18– 12.921, P=0.001), and time since diagnosis of type 1 diabetes (AOR=0.1, 95% CI:0.02– 0.2, P=0.005) were significantly associated with adherence to diabetes self-management.Conclusions and Recommendations: More than half of this population had poor adherence to diabetes self-management. The finding suggested that implementing a comprehensive guideline of adherence and expanding the recurrence of follow-up visits could be important for this population.Keywords: adherence, diabetes, self-management, adolescents, ADSM

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