Nonadherence to dietary recommendation and associated factors among type 2 diabetic patients in Illubabor zone, South West Ethiopia

Rukiya Debalke*, Beakal Zinab and Tefera Belachew

Introduction:  Dietary adherence, as one of the cornerstones of diabetes self-management, is important to improve glycemic control and preventing diabetes complications, which affect patient’s quality of life as well, impose a large economic burden on health care systems; however most patients have difficulty in adhering to dietary recommendations. 

This study assessed the magnitude of non adherence and factors associated with nonadherence to dietary recommendation among type 2 diabetic patients attending follow up at government hospitals in Ilu Abba Bora Zone, south west Ethiopia, 2018

Methods: Institution based cross-sectional study was conducted from March 19 to May 19, 2018 among 422 diabetic patients attending regular follow up at government health facilities in  Illuababor Zone,  Southwest Ethiopia, participants were selected using systematic random sampling method. Data were collected using pretested interviewer administered semi structured questionnaires. Dietary adherence was assessed using modified version of Morisky medication adherence scale. Multivariable logistic regression was used to identify factors associated with diabetic patient’s non adherence to dietary recommendations. Odds ratio along with 95% confidence interval and p value <0.05 was used to declare significant association. 

Results: In the current study more than half (51.8%) of the respondents were found to be non adherent to dietary recommendations.Non-adherence was significantly associated with patients occupation [AOR=5 (95%CI: 2.5, 9.8)], not being diabetic association member [AOR=2.8, (95%CI: 1.6, 4.9)], having low perceived susceptibility [AOR=2 (95%CI: 1.1, 3.7)], and poor emotional support of friends and families [AOR=1.9 (95%CI: 1.2-3.1)].

Conclusion: The rates of non adherence to dietary recommendation were generally found to be high. Model based and family centered educational packages should be delivered, additionally efforts should be taken to engage them to be a member of different membership platforms.

Keywords:

Published on: Oct 9, 2020 Pages: 53-59

Full Text PDF Full Text HTML DOI: 10.17352/2455-8583.000048
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