Non-compliance to treatment among type 2diabetic men in Mosul: A case-control study


Context: Non-compliance to treatment among diabetic patients is a world-wide problem and its underlying risk factors can be the subject of many studies in different localities.
Objective: To identify risk factors for non-compliance to treatment plan among type 2 diabetic men attending Al-Wafaa Center for diabetes in Mosul City.
Methods: A case-control study design has been adopted. A special questionnaire form has been prepared and filled in by the investigator for each patient (case and control) through direct interview with patients.
Results: Study results revealed a significant association between non-compliance and socio-economic strata, duration of disease >10 years, number of tablets >2 daily, frequency of taking medication >2, poor patient satisfaction about health personnel, body mass index >30 and sedentary life style activities.
On the other hand, an inverse association was found between non-compliance and urban place of residence, marriage, 10 and 20 school level of education, taking medical treatment without herbals and type A personality.
Conclusion: The study concluded that health care professionals are in need to identify risky patients for non-compliance and recommends to use the counseling approach of communication before applying any individual patient management plan characteristics.
Keywords: Type 2 diabetes, compliance, treatment.