Antipsychotic medication non-adherence among schizophrenia patients in Central Ethiopia.

Journal: The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa

Volume: 24

Issue: 

Year of Publication: 

Affiliated Institutions:  College of Medicine and Health Science, Bahir Dar University, Ethiopia. Department of Psychiatry, Felege Hiwot Referral Hospital, Ethiopia. College of Health Science, Psychiatry Unit, Department of Nursing, Mekelle University, Ethiopia.

Abstract summary 

Despite the fact that adherence to antipsychotic medications is the cornerstone in the treatment and prevention of relapse of the disease, non-adherence is a major problem among schizophrenia patients. The purpose of this study was to assess the magnitude and factors associated with antipsychotic medication non-adherence among schizophrenia patients in Amanuel Mental Specialized Hospital.An institution-based cross-sectional study was conducted among 412 people with schizophrenia at Amanuel Mental Specialized Hospital from April to May 2014. Non-adherence was assessed using the questionnaire of Morisky medication adherence rating scale and semi-structured questions for assessment of associated factors. Logistic regression analysis was used to assess predictors of non-adherence.Prevalence of non-adherence was 41.0% among schizophrenia patients. Living in rural areas (adjusted odds ratio [AOR] = 2.07; 95% confidence interval [CI]: 1.31, 3.28), current substance use (AOR = 1.67; 95% CI: 1.09, 2.56), long duration of treatment (AOR = 2.07; 95% CI: 1.22, 3.50) and polypharmacy (AOR = 2.13; 95% CI: 1.34, 3.40) were found to be significantly associated with non-adherence.The results indicate that non-adherence to antipsychotic medication was a major problem among patients with schizophrenia. Reducing the number of antipsychotic medications and availing drugs in rural areas may decrease the level of non-adherence.

Authors & Co-authors:  Tareke Minale M Tesfaye Siranesh S Amare Desalegn D Belete Tilahun T Abate Andargie A

Study Outcome 

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Statistics
Citations :  Catts S, Weickert CS. Schizophrenia and related psychotic disorders. Oxford University Press, 2017; p. 113–130.
Authors :  5
Identifiers
Doi : 1124
SSN : 2078-6786
Study Population
Male,Female
Mesh Terms
Other Terms
Study Design
Cross Sectional Study
Study Approach
Country of Study
Ethiopia
Publication Country
South Africa