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  <front>    <journal-meta>
      <journal-title>Journal of Diabetes and Endocrinology</journal-title>
      <issn pub-type="epub">2141-2685</issn>      <publisher>
        <publisher-name>Academic Journals</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="doi">10.5897/JDE2019.0133</article-id>
      <title-group>
        <article-title><![CDATA[Non-adherence to selected self-care actions and its determinants among adults with type 2 diabetes mellitus in a tertiary hospital in Enugu State Nigeria]]></article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author" xlink:type="simple">
        		        	<name name-style="western">
	            <surname>Hope</surname>
            <given-names>Chizolum Opara</given-names>
	          </name>	
        		        	<name name-style="western">
	            <surname>Agnes</surname>
            <given-names>Nonyem Anarado</given-names>
	          </name>	
        		        	<name name-style="western">
	            <surname>Chinenye</surname>
            <given-names>Juliet Anetekhai</given-names>
	          </name>	
        		        	<name name-style="western">
	            <surname>Peace</surname>
            <given-names>Njideka Iheanacho</given-names>
	          </name>	
        		        	<name name-style="western">
	            <surname>Ijeome</surname>
            <given-names>Lewechi Okoronkwo</given-names>
	          </name>	
        		        	<name name-style="western">
	            <surname>Adaobi</surname>
            <given-names>Lilian Obuekwu</given-names>
	          </name>	
        	        </contrib>
      </contrib-group>
      <author-notes>
		<corresp id="cor1">* E-mail: <email xlink:type="simple">hope.opara@unn.edu.ng</email></corresp>
      </author-notes>
      <pub-date pub-type="collection">
        <year>2020</year>
      </pub-date>
      <pub-date pub-type="epub">
      	<day>31</day>
        <month>01</month>
        <year>2020</year>
      </pub-date>
      <history>
      			<date date-type="received">
			<day>31</day>
			<month>07</month>
			<year>2019</year>
		</date>
						<date date-type="accepted">
			<day>07</day>
			<month>01</month>
			<year>2020</year>
		</date>
			  </history>
      <volume>11</volume>
      <issue>1</issue>
	  	  <fpage>1</fpage>
	  <lpage>9</lpage>
      <permissions>
		<license xlink:type="simple">
			<license-p>
			This is an open-access article distributed under the terms of the Creative Commons Attribution License 4.0, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
			</license-p>
		</license>
	  </permissions>
	  <self-uri xlink:href="http://politicalwaffle.uk/journal/JDE/article-abstract/3F6116662867">
		This article is available from http://politicalwaffle.uk/journal/JDE/article-abstract/3F6116662867	  </self-uri>
	  <self-uri xlink:href="http://politicalwaffle.uk/journal/JDE/article-full-text-pdf/3F6116662867">
		The full text article is available as a PDF file from http://politicalwaffle.uk/journal/JDE/article-full-text-pdf/3F6116662867	  </self-uri>
	  
      <abstract><![CDATA[The study determined the prevalence of non-adherence to medication, self monitoring of blood glucose (SMBG), clinic visits and the associated factors among out-patient type 2 adult diabetics at a tertiary hospital in Enugu State Nigeria. Using a descriptive cross-sectional design, 200 patients was purposively selected. Researcher-developed questionnaire was tool for data collection. Analysis was done in proportions, percentages and logistic regression (alpha level was P=0.05). Respondentsrsquo; mean age was 60.1plusmn;10.6; 88% were married and females were 63.5%. Overall prevalence of non adherence to drugs was 24.5%; that varied from 26.9 to 11.8% depending on drug combinations. Majority (57.5%) of the respondents had no glucometer for SMBG at home; 86.1% on oral hypoglycaemic agents did not monitor their blood glucose level 2-3 times weekly; 78.9% on injection insulin combined with tablets did not monitor their blood glucose level at least once daily. Non-adherents to clinic visits were 49.0%. Age lt;50 years (P= 0.006) and being married (P= 0.025) were associated with drug non-adherence. Cost of transportation (P= 0.000), discouraging attitudes of health workers (P= 0.003) and late commencement of clinic activities (P= 0.006) were associated with clinic visit non-adherence. There was non adherence to diverse self care activities among diabetic patients in this study therefore factors that contribute to non adherence should be addressed by healthcare providers. 

	Key words:  Non-adherence, self-care actions, diabetic management regimen, adults with type 2 diabetes.]]></abstract>
    </article-meta>
  </front>
      <body/>
    <back>
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