Medication adherence of diabetic and hypertensive patients attending primary health care centers: Cross-sectional study in Morocco

BACKGROUND: Medication adherence is a key factor in controlling chronic diseases, particularly diabetes and high blood pressure. We aimed to describe the level of medication adherence of patients with diabetes or high blood pressure in urban and rural areas in Morocco and to identify the factors ass...

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Main Authors: Samira Essoli, Latifa Adarmouch, Adil Mansouri, Sarah Michaud, Majda Sebbani, Mohamed Amine
Format: Article
Language:English
Published: Vesnu Publications 2025-01-01
Series:Chronic Diseases Journal
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Online Access:http://cdjournal.muk.ac.ir/index.php/cdj/article/view/748
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author Samira Essoli
Latifa Adarmouch
Adil Mansouri
Sarah Michaud
Majda Sebbani
Mohamed Amine
author_facet Samira Essoli
Latifa Adarmouch
Adil Mansouri
Sarah Michaud
Majda Sebbani
Mohamed Amine
author_sort Samira Essoli
collection DOAJ
description BACKGROUND: Medication adherence is a key factor in controlling chronic diseases, particularly diabetes and high blood pressure. We aimed to describe the level of medication adherence of patients with diabetes or high blood pressure in urban and rural areas in Morocco and to identify the factors associated with medication non-adherence. METHODS: A cross-sectional study was conducted from August 1, 2019 to January 30, 2020, among participants recruited from primary health centers in Morocco. The Girard questionnaire was used to measure medication adherence, and bivariate and multivariate analyses were done using SPSS software. RESULTS: A total of 502 patients were recruited, with a majority of women (70.5%). According to the Girard questionnaire, a minority of our patients had good adherence to medication (11.8%), less than half had low adherence (38.4%), and half were non-adherent (50%). The factors associated with medication non-adherence for patients with diabetes were living in rural areas, being overweight, taking antidiabetic oral drugs, and suffering from dyslipidemia. Concerning the patients with high blood pressure, medication non-adherence was higher among patients with dyslipidemia, overweight patients, and those who benefited from a free treatment. For patients suffering from both, the associated factors of non-adherence were taking oral drugs, a multi-therapy of anti-hypertensive drugs, and shorter diabetes duration. CONCLUSION: This study highlighted several matters concerning medication adherence among patients with chronic diseases. Healthcare professionals should encourage and help their patients to take their medications.
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publishDate 2025-01-01
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spelling doaj-art-682f6cec4d1145d9b5818afe73eaf1322025-08-20T02:47:45ZengVesnu PublicationsChronic Diseases Journal2588-72972345-22262025-01-011314956https://doi.org/10.22122/cdj.v13i1.748Medication adherence of diabetic and hypertensive patients attending primary health care centers: Cross-sectional study in MoroccoSamira Essoli0https://orcid.org/0000-0002-8368-4297Latifa Adarmouch1https://orcid.org/0000-0002-9543-6899Adil Mansouri2https://orcid.org/0000-0002-2192-3838Sarah Michaud3https://orcid.org/0000-0002-7317-9174Majda Sebbani4https://orcid.org/0000-0001-5827-1098Mohamed Amine5https://orcid.org/0000-0002-9008-277XClinical Research Department, Mohammed VI University Hospital AND Department of Community Medicine and Public Health, Bioscience, Health, and Research Laboratory, School of Medicine, Cadi Ayyad University, Marrakesh, MoroccoClinical Research Department, Mohammed VI University Hospital AND Department of Community Medicine and Public Health, Bioscience, Health, and Research Laboratory, School of Medicine, Cadi Ayyad University, Marrakesh, MoroccoClinical Research Department, Mohammed VI University Hospital AND Department of Community Medicine and Public Health, Bioscience, Health, and Research Laboratory, School of Medicine, Cadi Ayyad University, Marrakesh, MoroccoClinical Research Department, Mohammed VI University Hospital AND Department of Community Medicine and Public Health, Bioscience, Health, and Research Laboratory, School of Medicine, Cadi Ayyad University, Marrakesh, MoroccoClinical Research Department, Mohammed VI University Hospital AND Department of Community Medicine and Public Health, Bioscience, Health, and Research Laboratory, School of Medicine, Cadi Ayyad University, Marrakesh, MoroccoClinical Research Department, Mohammed VI University Hospital AND Department of Community Medicine and Public Health, Bioscience, Health, and Research Laboratory, School of Medicine, Cadi Ayyad University, Marrakesh, MoroccoBACKGROUND: Medication adherence is a key factor in controlling chronic diseases, particularly diabetes and high blood pressure. We aimed to describe the level of medication adherence of patients with diabetes or high blood pressure in urban and rural areas in Morocco and to identify the factors associated with medication non-adherence. METHODS: A cross-sectional study was conducted from August 1, 2019 to January 30, 2020, among participants recruited from primary health centers in Morocco. The Girard questionnaire was used to measure medication adherence, and bivariate and multivariate analyses were done using SPSS software. RESULTS: A total of 502 patients were recruited, with a majority of women (70.5%). According to the Girard questionnaire, a minority of our patients had good adherence to medication (11.8%), less than half had low adherence (38.4%), and half were non-adherent (50%). The factors associated with medication non-adherence for patients with diabetes were living in rural areas, being overweight, taking antidiabetic oral drugs, and suffering from dyslipidemia. Concerning the patients with high blood pressure, medication non-adherence was higher among patients with dyslipidemia, overweight patients, and those who benefited from a free treatment. For patients suffering from both, the associated factors of non-adherence were taking oral drugs, a multi-therapy of anti-hypertensive drugs, and shorter diabetes duration. CONCLUSION: This study highlighted several matters concerning medication adherence among patients with chronic diseases. Healthcare professionals should encourage and help their patients to take their medications.http://cdjournal.muk.ac.ir/index.php/cdj/article/view/748medication adherencechronic diseasesdiabetes mellitushypertensionmorocco
spellingShingle Samira Essoli
Latifa Adarmouch
Adil Mansouri
Sarah Michaud
Majda Sebbani
Mohamed Amine
Medication adherence of diabetic and hypertensive patients attending primary health care centers: Cross-sectional study in Morocco
Chronic Diseases Journal
medication adherence
chronic diseases
diabetes mellitus
hypertension
morocco
title Medication adherence of diabetic and hypertensive patients attending primary health care centers: Cross-sectional study in Morocco
title_full Medication adherence of diabetic and hypertensive patients attending primary health care centers: Cross-sectional study in Morocco
title_fullStr Medication adherence of diabetic and hypertensive patients attending primary health care centers: Cross-sectional study in Morocco
title_full_unstemmed Medication adherence of diabetic and hypertensive patients attending primary health care centers: Cross-sectional study in Morocco
title_short Medication adherence of diabetic and hypertensive patients attending primary health care centers: Cross-sectional study in Morocco
title_sort medication adherence of diabetic and hypertensive patients attending primary health care centers cross sectional study in morocco
topic medication adherence
chronic diseases
diabetes mellitus
hypertension
morocco
url http://cdjournal.muk.ac.ir/index.php/cdj/article/view/748
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AT adilmansouri medicationadherenceofdiabeticandhypertensivepatientsattendingprimaryhealthcarecenterscrosssectionalstudyinmorocco
AT sarahmichaud medicationadherenceofdiabeticandhypertensivepatientsattendingprimaryhealthcarecenterscrosssectionalstudyinmorocco
AT majdasebbani medicationadherenceofdiabeticandhypertensivepatientsattendingprimaryhealthcarecenterscrosssectionalstudyinmorocco
AT mohamedamine medicationadherenceofdiabeticandhypertensivepatientsattendingprimaryhealthcarecenterscrosssectionalstudyinmorocco