A CROSS-SECTIONAL STUDY TO INVESTIGATE COST-RELATED NON-ADHERENCE AMONG DIABETIC PATIENTS IN TWIN CITIES

Background: Medication nonadherence is a significant global health issue, particularly among diabetic patients, and is associated with worsened health outcomes and increased healthcare costs. In Pakistan, where diabetes prevalence is high, socioeconomic disparities exacerbate adherence challenges. Cost-related barriers, forgetfulness, and complex medication regimens are commonly cited reasons for nonadherence. Understanding the influence of socioeconomic factors such as income, education, and insurance coverage on medication adherence is essential to developing effective strategies for improving diabetes management. Objective: To investigate the correlation between socioeconomic factors (income levels, education, and insurance coverage) and medication adherence among diabetic patients in Rawalpindi and Islamabad. Methods: A cross-sectional study was conducted involving 300 diabetic patients from Rawalpindi and Islamabad. Data were collected using a validated self-administered questionnaire consisting of six sections, including demographics, adherence challenges, and coping strategies. Statistical analysis, including chi-square tests, was performed using SPSS version 23.0 to identify significant associations (p<0.05). Ethical approval was obtained from the university's ethical review board. Results: Among the 300 participants, 45% reported nonadherence to medication regimens, primarily due to financial concerns (37.3%) and forgetfulness (50.3%). The majority (61%) were aged between 30 and 50 years, and 79.3% sought alternative financial support, while 80.3% were aware of community resources. Significant associations were observed between age and key adherence factors, including cost-related challenges (p<0.001). Despite awareness and financial assistance, adherence barriers persisted. Conclusion: This study highlights the critical impact of socioeconomic factors on medication adherence among diabetic patients in Rawalpindi and Islamabad. Addressing nonadherence requires a multifaceted approach, including enhanced financial support, personalized counseling, and innovative interventions such as healthcare reminders, to improve diabetes management outcomes.