A study on non-compliance to treatment in a Chennai based diabetic population

U. Yashila Prithika, Christina Mary P. Paul, Vishwanath Simha Nethaji, S. Vishnu, Wajeeha Rumaiza, Sangeetha Manoharan, M. Meghna, K. Vivek


Background: India is world's diabetic capital. Treatment compliance is most important to manage the disease effectively. This study was done to estimate the prevalence of treatment non–compliance among the adult diabetic population and to identify certain risk factors that may be associated with it.

Methods: The study was done on 300 diabetics who were chosen through stratified random sampling from urban and rural areas. Information was collected through a questionnaire that had questions on background information of the subject and then on diabetes and treatment compliance. The data entry and analysis were done using statistical package for social sciences (SPSS) version 22. The final data was summarized into percentages and 95% C.I was calculated for the prevalence rates. Cross tabulations were done for various variables. Chi-square values were calculated wherever appropriate and p values were based on the 2 –tailed values. Associations were assessed and 95% confidence interval of odds ratios were found using Epi Info version 7.1.2.

Results: The overall prevalence of non-compliance to treatment in diabetics was found to be 29.7% with a 95% CI of 24.5-34.8%. Treatment non–compliance among diabetics was significantly higher among male subjects, subjects from joint families, subjects with family history of diabetes and also subjects with BMI in the normal range.

Conclusions: This study shows the high prevalence rates of treatment non–compliance among the diabetic population emphasizes on the need for effective public–private partnerships to effectively reduce the disease burden of diabetes.


Non–compliance, Diabetes, Urban, Rural, Obesity

Full Text:



Gulabani M, John M, Isaac R. Knowledge of diabetes, its treatment and complications amongst diabetic patients in a tertiary care hospital. Indian J Community Med. 2008;33(3):204-6.

Diagnosis and Classification of Diabetes Mellitus. Diabetes Care. 2011;35(1):64-71.

Diabetic compliance: A qualitative study from the patient’s perspective in developing countries. IOSR J Nursing Health Sci. 2013;1(4):29-38.

Mateti U, Kanduri K, Konda S, Medi R. Medication adherence and determinants of non-adherence among south Indian diabetes patients. J Social Health Diabetes. 2015;3(1):48-51.

Divya S, Nadig P. Factors contributing to non-adherence to medication among type 2 diabetes mellitus in patients attending tertiary care hospital in south india. Asian J Pharmaceutical Clin Res. 2015;8:274 -6

Paul C, Stanly M, Archanalakshmi P. A Study on the Prevalence of Depression Among Women in the Reproductive Age Group (15- 49 Years) in A Rural Population. Paripex. Indian J Res. 2013;9(2):169–72.

Shobhana R, Begum R, Snehalatha C, Vijay V, Ramachandran A. Patients' adherence to diabetes treatment. J Assoc Physicians India. 1999;47(12):1173-5.

Rao C, Kamath V, Shetty A, Kamath A. Treatment Compliance among Patients with Hypertension and Type 2 Diabetes Mellitus in a Coastal Population of Southern India. Int J Prev Med. 2014;5(8):992–8.