Illness perceptions of Libyans with T2DM and their influence on medication adherence: a study in a diabetes center in Tripoli.
BACKGROUND
The surrounding environment influences the constitution of illness perceptions. Therefore, local research is needed to examine how Libyan diabetes patients perceive diabetes and how their perceptions influence their medication adherence.


METHODS
A cross-sectional study was conducted at the National Centre for Diabetes and Endocrinology in Tripoli, Libya, between October and December 2013. A total of 523 patients with type 2 diabetes participated in this study. A self-administered questionnaire was used for data collection; this included the Revised Illness Perception Questionnaire and the eight-item Morisky Medication Adherence Scale.


RESULTS
The respondents showed moderately high personal control and treatment control perceptions and a moderate consequences perception. They reported a high perception of diabetes timeline as chronic and a moderate perception of the diabetes course as unstable. The most commonly perceived cause of diabetes was Allah's will. The prevalence of low medication adherence was 36.1%. The identified significant predictors of low medication adherence were the low treatment control perception (p=0.044), high diabetes identity perception (p=0.008), being male (p=0.026), and employed (p=0.008).


CONCLUSION
Diabetes illness perceptions of type 2 diabetic Libyans play a role in guiding the medication adherence and could be considered in the development of medication adherence promotion plans.
['Ashur|Sana Taher|ST|', 'Shah|Shamsul Azhar|SA|', 'Bosseri|Soad|S|', 'Morisky|Donald E|DE|', 'Shamsuddin|Khadijah|K|']
D000328:Adult D015897:Comorbidity D003430:Cross-Sectional Studies D003924:Diabetes Mellitus, Type 2 D005260:Female D007722:Health Knowledge, Attitudes, Practice D006801:Humans D008002:Libya D008297:Male D055118:Medication Adherence D008875:Middle Aged D010465:Perception D057566:Self Report D011795:Surveys and Questionnaires
illness perceptions medication adherence diabetes Libya Arabs