Prevalence of Therapeutic Non-Adherence in Type 2 Diabetic Patients at the Maradi Reference Hospital

Introduction: Type 2 diabetes (T2D) represents a major public health problem. Monitoring and control are hampered by the issue of therapeutic non-adherence. The objective of this work was to evaluate the level of therapeutic adherence in type 2 diabetic patients. Methodology. This was a descriptive, cross-sectional study involving type 2 diabetic patients followed as outpatients. Sociodemographic variables, those related to therapeutic adherence, and factors that could influence therapeutic adherence were collected and analyzed. Adherence was assessed using the Morisky questionnaire (also called MMAS for Morisky Medication Adherence Scale). The results were analyzed using SPSS software version 27.0.1. Results: We recorded 108 patients meeting our inclusion criteria. The mean age was 51.09 years with extremes ranging from 14 to 74 years. The 30 to 60-year- old age group was the most represented at 70.4%. The study population was predominantly female in 63.9% of cases, with a sex ratio of 0.56. Patients with secondary and higher education levels were the most represented at 38% each, and 55.6% of patients reported receiving family support. The majority of patients (66.7%) were treated with oral antidiabetic drugs alone. The consultation frequency was monthly in 48.1% of cases. The proportion of non-adherent patients is high (67.6%). Conclusion: Therapeutic adherence among type 2 diabetic patients at the Maradi Reference Hospital is low.