Bertrand Hugo Mbatchou Ngahane1, Eric Walter Pefura-Yone2, Maïmouna Mama3, Bruno Tengang4, Motto Malea Nganda3, Adeline Wandji5, Ubald Olinga6, Emmanuel Nyankiyé7, Emmanuel Afane Ze8, Christopher Kuaban9. 1. Department of Internal Medicine, Douala General Hospital, Douala, Cameroon; Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Cameroon. 2. Yaounde Jamot Hospital, Pneumology service, Yaounde, Cameroon; Faculty of Medicine and Biomedical Sciences, Internal medicine and specialities, University of Yaounde I, Yaounde, Cameroon. 3. Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Cameroon. 4. Centre des Maladies Respiratoires, Douala, Cameroon. 5. Douala Laquintinie Hospital, Cameroon. 6. Yaounde Jamot Hospital, Pneumology service, Yaounde, Cameroon. 7. Cabinet de Pneumologie d'Akwa, Cameroon. 8. Faculty of Medicine and Biomedical Sciences, Internal medicine and specialities, University of Yaounde I, Yaounde, Cameroon. 9. Faculty of Health Sciences, University of Bamenda, Cameroon.
Abstract
BACKGROUND: Adherence to controller therapy in asthma is a major concern during the management of the disease. OBJECTIVE: To determine the adherence rate and identify the predictors of low adherence to asthma controller therapy. METHODS: A cross-sectional study including asthma patients was conducted from November 1, 2012 to May 31, 2013 in 4 chest clinics in Cameroon. The adherence to asthma treatment was rated using Morisky Medication Adherence Scale. A multivariate logistic regression analysis was performed for the identification of factors associated with adherence to asthma treatment. RESULTS: Among the 201 asthma patients included, 133 (66.2%) were female. The mean age of participants was 41.2 years. Sixty-one (30.3%) of the patients did not visit the chest physician during the last year prior to the study. Asthma was well controlled in 118 patients (58.7%). The prevalence of low adherence rate to asthma controller therapy was 44.8% and the absence of any chest specialist visit within the last 12 months was the only factor associated with the low adherence rate to asthma treatment (OR 5.57 ; 95% CI 2.84-10.93). CONCLUSION: The adherence rate to asthma controller therapy in Cameroon is low and it could be improved if scheduled visits are respected by patients.
BACKGROUND: Adherence to controller therapy in asthma is a major concern during the management of the disease. OBJECTIVE: To determine the adherence rate and identify the predictors of low adherence to asthma controller therapy. METHODS: A cross-sectional study including asthma patients was conducted from November 1, 2012 to May 31, 2013 in 4 chest clinics in Cameroon. The adherence to asthma treatment was rated using Morisky Medication Adherence Scale. A multivariate logistic regression analysis was performed for the identification of factors associated with adherence to asthma treatment. RESULTS: Among the 201 asthma patients included, 133 (66.2%) were female. The mean age of participants was 41.2 years. Sixty-one (30.3%) of the patients did not visit the chest physician during the last year prior to the study. Asthma was well controlled in 118 patients (58.7%). The prevalence of low adherence rate to asthma controller therapy was 44.8% and the absence of any chest specialist visit within the last 12 months was the only factor associated with the low adherence rate to asthma treatment (OR 5.57 ; 95% CI 2.84-10.93). CONCLUSION: The adherence rate to asthma controller therapy in Cameroon is low and it could be improved if scheduled visits are respected by patients.
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