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| SCIENCES DE LA SANTE [ S.S. ] |
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Cahier de Santé Publique |
| Auteurs de l'article |
| Attia Konan Akissi R, Kouakou Sackou J G, Kouamé Jérôme, Hounsa Alla Annita E, Oga Agbaya Stéphane S |
| Mots Clés |
| Diabetes mellitus, Follow-up care, Patient drop-outs, Côte d’Ivoire |
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Num ISSN : 1817-5538 [ Semestriel ] |
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Parution N° 1 du 28-05-2020 |
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Volume : 18 de l'année 2019 |
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| RENOUNCEMENT TO MEDICAL FOLLOW-UP BY PEOPLE LIVING WITH TYPE 2 DIABETES IN CÔTE D’IVOIRE, 2018.
pp. 47-58. |
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| The non-compliance regarding treatment follow-up by diabetic mellitus patients is a barrier to effective treatment. Our main objective was to identify the social determinants of renouncement to medical follow-up in people living with type 2 diabetes mellitus receiving treatment at the Anti-diabetic Center of Abidjan (CADA). A retrospective survey was performed on diabetics’ treatment follow-up data in 2018. The study population was drawn from the 2017 cohort. A multiple correspondence analysis and a logistic regression were performed. The threshold of significance of the statistical tests was set at 0.05. The study involved 403 diabetics. Nearly nine (9) out of ten (10) diabetics were non-compliance regarding medical follow-up.
This non-compliance mainly concerned the fundus examination(86%), the performance of HbA1(55%) and the electrocardiogram(53%). Widowed or divorced, often above 70 years of age and illiterate, and employed in the formal sector were positive predictors of non-compliance (OR=2.40 ; CI : 1.05 – 5.87 et OR=2.95 ; CI : 1.45 – 5.95 respectively). Our study has highlighted the need to improve on access to all diabetic follow-up checking at CADA and the need to communicate all national recommendations to diabetics through healthcare centers.
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