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Adherence to Diabetes Self-Management and the Associated Factors among Type 1 Diabetic Adolescents Attending Outpatient Diabetic Clinic at Public Hospitals in Addis Ababa, Ethiopia, 2021

Article scientifique 2021 Anglais

Résumé

Abstract Objectives The purpose of this study was to determine the level of adherence to diabetes self-management and associated factors among type 1 diabetic adolescents attending outpatient diabetic clinics 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 four randomly selected public hospitals in Addis Ababa. The adolescents were interviewed using pretested questionnaires to give information on socio-demographic characteristics, medical factors, knowledge about type 1 diabetes, adherence to diabetes self-management, self-efficacy, and social support related to type 1 diabetes. 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 diabetic adolescents 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. The finding suggested that implementing a comprehensive guideline of adherence and expanding the recurrence of follow-up visits could be important for this population.

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Geneti, Y., Wondwossen, K., Adimasu, M., Deressa, D., Aga, F., Lami, M., Abdisa, L., Sori, S., Jiru, H. (2021). Adherence to Diabetes Self-Management and the Associated Factors among Type 1 Diabetic Adolescents Attending Outpatient Diabetic Clinic at Public Hospitals in Addis Ababa, Ethiopia, 2021. https://doi.org/10.21203/rs.3.rs-1092496/v1

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Yomilan Geneti Kalkidan Wondwossen Mekonen Adimasu Dereje Deressa Fekadu Aga Magarsa Lami Lemesa Abdisa Seboka Abebe Sori Hirut Dinku Jiru

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