Predictors of Non-Adherence to Type II Diabetes Management Among Adult Inmates in Machakos County Prisons, Kenya
Abstract
ABSTRACT
Background: While the management of Type II diabetes continues to enjoy progressive changes, non-compliance with medications has emerged as a threat that could jeopardize public health gains. The incarcerated population best captures the 21st-century concern, where the special group is faced with limited decision-making capabilities. The aim of this study was to establish the predictors that influence non-compliance to type II diabetes treatment among adult inmates in Machakos County Prisons.
Materials and Methods: A mixed methods was used to conduct interviews from 258 staff and 556 inmates. The study area encompassed inmates and staff of Yatta and Machakos GK prison in Machakos County. Data were collected through the use of structured questionnaires and KII. Data was analyzed using SPSS version 20 software, Chi square and logistical regression. Results were presented using tables, charts and bar graphs.
Results:The findings shows that involvement in treatment decisions has a significant influence on non-adherence to type II diabetes management (p=0.000). The respondents who are not involved in treatment decisions (OR= 0.154, 95%CI [0.061-0.385], p = 0.000) were more likely to be non-adherent to type II diabetes management as compared to those who are involved in treatment decisions. The findings indicates that doctors giving prisoners information on diabetes has a significant influence on non-adherence to type II diabetes management (p=0.000). The prisoners who don’t receive information on diabetes (OR= 6.577, 95%CI [3.043-14.213], p = 0.000) were more likely to be non-adherent to type II diabetes management as compared to prisoners who receive information on diabetes.
Conclusion: Doctors giving prisoners information on diabetes and involvement in treatment decisions, feeling comfortable to ask questions to the doctor had an influence on non-adherence to type II diabetes management
Recommendations: The study found that adult inmates were not involved in treatment decisions. This study therefore recommends that the doctors in prison clinics should spend adequate time with the inmates explaining important information on diabetes to help the patient understand his condition and encourage him to start and maintain therapy. Patient satisfaction and a good understanding of the content given by the provider improve compliance to type II diabetes management among adult inmates.
Keywords; Predictors, Patient-Provider relationship, Non- compliance
