Factors previously identified as associated with medication adherence in people with diabetes categorised by the five dimensions affecting adherence as defined by WHO11
| Dimension | Factors associated with reduced adherence |
|---|---|
| Patient-related | Younger age,5 26–28 female gender,5 26 27 smoking,5 impulsivity,29 ethnic minority groups27 30 31 |
| Socioeconomic | Lower socioeconomic status,28 32 lack of financial resources/increased medication costs,26 33 34 lower education level,27 35 lack of family support36 |
| Condition-related | Presence of depression,37 or other chronic diseases,38–40 shorter duration of diabetes,24 fewer diabetes complications28 |
| Health system | Healthcare centre/clinic,41 increased distance to nearest pharmacy,42 lower continuity of care43 |
| Therapy-related | Concurrent medication use,25 38 44 45 adverse effects,46 47 poor previous experience with medication42 |