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Journal Publication
Title of Article The Study of Medication Understanding and Medication Adherence in Chinese Patients with Type 2 Diabetes Mellitus 
Date of Acceptance 9 July 2020 
Journal
     Title of Journal Journal of Medical Association of Thailand 
     Standard SCOPUS 
     Institute of Journal Medical Association of Thailand 
     ISBN/ISSN  
     Volume 10 
     Issue 103 
     Month October
     Year of Publication 2020 
     Page  
     Abstract Background: Medication adherence (MA) is a key component to prevent complications of diabetes mellitus. Patients with better medication understanding (MU) showed higher MA. Even there were numerous studies of MA in Chinese patients, but there was no any MU study. Objective: To assess the associations of MA and MU in Chinese patients with type 2 diabetes mellitus (T2D). To translate and validate Chinese version medication understanding questionnaire (C-MUQ). Materials and Methods: A cross-sectional study was conducted in 384 Chinese T2D patients. The MA was assessed by proportion of days covered (PDC), and MU was assessed by C-MUQ. The multiple logistic regression was applied to simultaneously assess the association of MA (good or poor MA) with MU and other contributing factors including the sociodemographic characteristics and clinical conditions of patients. Results: The average PDC of study patients was 89.78% (SD=14.75%), and 77.08% of patients were classified into good MA group (PDC≥80%). Based on multiple logistic regression as good MA was dependent variable, factors significantly associated with good MA were not long durations of diabetes, not using TCM products, and the interaction effect of high education level and good MU. The adjusted odd ratio (AOR) were 0.28 (95% CI=0.10, 0.79) for 25 years or more of diabetes durations, 0.33 (95% CI=0.12, 0.89) for using TCM products, 3.28 (95% CI=1.94, 8.62) for high education with poor MU, 4.09 (95% CI=1.46, 7.36) for low education with good MU, and 5.32 (95% CI=2.49, 11.34) for high education with good MU, respectively. Conclusion: To achieve good MA, the Chinese health professionals should concern about improving MU, especially in the low education patients.  
     Keyword : Medication understanding, Medication adherence, Type 2 diabetes 
Author
587150008-9 Ms. YING HU [Main Author]
Pharmaceutical Sciences Doctoral Degree

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