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Knowledge, Attitudes and Practices Regarding Diabetes in the General Population: A Cross-Sectional Study from Pakistan

Background: Low knowledge about diabetes risk factors coupled with high disease prevalence is common in low-resource countries. This study evaluated diabetes-related knowledge, attitudes, and practices in the general population in Punjab (Pakistan). Methods: A cross-sectional study was conducted in...

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Autores principales: Gillani, Ali Hassan, Amirul Islam, Fakir Mohammad, Hayat, Khezar, Atif, Naveel, Yang, Caijun, Chang, Jie, Qu, Zhan, Fang, Yu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6164838/
https://www.ncbi.nlm.nih.gov/pubmed/30200534
http://dx.doi.org/10.3390/ijerph15091906
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author Gillani, Ali Hassan
Amirul Islam, Fakir Mohammad
Hayat, Khezar
Atif, Naveel
Yang, Caijun
Chang, Jie
Qu, Zhan
Fang, Yu
author_facet Gillani, Ali Hassan
Amirul Islam, Fakir Mohammad
Hayat, Khezar
Atif, Naveel
Yang, Caijun
Chang, Jie
Qu, Zhan
Fang, Yu
author_sort Gillani, Ali Hassan
collection PubMed
description Background: Low knowledge about diabetes risk factors coupled with high disease prevalence is common in low-resource countries. This study evaluated diabetes-related knowledge, attitudes, and practices in the general population in Punjab (Pakistan). Methods: A cross-sectional study was conducted in five districts in Punjab from January to March 2017. Data were collected from 2019 adults aged 18–90 years through face-to-face interviews using a semi-structured questionnaire. The total knowledge score ranged from 0–9; a score ≥6 was considered adequate diabetes awareness. Descriptive statistics, chi-square tests, and linear and binary logistic regression were used for the analyses. Results: Respondents’ mean age was 32.92 ± 11.4 years. In total, 85.9% of respondents had heard of diabetes, and 30.1% knew about the glucose tolerance test. We found 2.3% of respondents scored zero for diabetes knowledge, 11.3% scored 9, and 47.4% scored ≥6 (adequate awareness). Being female (β = 0.37, 95% confidence interval [CI]: 0.16, 0.05; p = 0.001), socioeconomic status (β = 0.24, 95% CI: 0.12, 0.36; p < 0.001), being diabetic (β = 0.82, 95% CI: 0.53, 1.10; p < 0.001), and higher education (β = 0.25, 95% CI: 0.17, 0.33; p < 0.001) were significantly associated with knowledge score. Respondents with high socioeconomic status showed significantly higher positive attitudes compared with those with low socioeconomic status (adjusted odds ratio 1.57, 95% CI: 1.12, 2.24). Only 8.7% (30/343) of those diagnosed with diabetes had never undergone blood glucose screening since diagnosis. Conclusions: Knowledge of diabetes risk factors, management, and care is low in Pakistan’s general population. Targeted public education programs should be instigated at a national level to increase understanding of diabetes prevention and treatment.
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spelling pubmed-61648382018-10-12 Knowledge, Attitudes and Practices Regarding Diabetes in the General Population: A Cross-Sectional Study from Pakistan Gillani, Ali Hassan Amirul Islam, Fakir Mohammad Hayat, Khezar Atif, Naveel Yang, Caijun Chang, Jie Qu, Zhan Fang, Yu Int J Environ Res Public Health Article Background: Low knowledge about diabetes risk factors coupled with high disease prevalence is common in low-resource countries. This study evaluated diabetes-related knowledge, attitudes, and practices in the general population in Punjab (Pakistan). Methods: A cross-sectional study was conducted in five districts in Punjab from January to March 2017. Data were collected from 2019 adults aged 18–90 years through face-to-face interviews using a semi-structured questionnaire. The total knowledge score ranged from 0–9; a score ≥6 was considered adequate diabetes awareness. Descriptive statistics, chi-square tests, and linear and binary logistic regression were used for the analyses. Results: Respondents’ mean age was 32.92 ± 11.4 years. In total, 85.9% of respondents had heard of diabetes, and 30.1% knew about the glucose tolerance test. We found 2.3% of respondents scored zero for diabetes knowledge, 11.3% scored 9, and 47.4% scored ≥6 (adequate awareness). Being female (β = 0.37, 95% confidence interval [CI]: 0.16, 0.05; p = 0.001), socioeconomic status (β = 0.24, 95% CI: 0.12, 0.36; p < 0.001), being diabetic (β = 0.82, 95% CI: 0.53, 1.10; p < 0.001), and higher education (β = 0.25, 95% CI: 0.17, 0.33; p < 0.001) were significantly associated with knowledge score. Respondents with high socioeconomic status showed significantly higher positive attitudes compared with those with low socioeconomic status (adjusted odds ratio 1.57, 95% CI: 1.12, 2.24). Only 8.7% (30/343) of those diagnosed with diabetes had never undergone blood glucose screening since diagnosis. Conclusions: Knowledge of diabetes risk factors, management, and care is low in Pakistan’s general population. Targeted public education programs should be instigated at a national level to increase understanding of diabetes prevention and treatment. MDPI 2018-09-02 2018-09 /pmc/articles/PMC6164838/ /pubmed/30200534 http://dx.doi.org/10.3390/ijerph15091906 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Gillani, Ali Hassan
Amirul Islam, Fakir Mohammad
Hayat, Khezar
Atif, Naveel
Yang, Caijun
Chang, Jie
Qu, Zhan
Fang, Yu
Knowledge, Attitudes and Practices Regarding Diabetes in the General Population: A Cross-Sectional Study from Pakistan
title Knowledge, Attitudes and Practices Regarding Diabetes in the General Population: A Cross-Sectional Study from Pakistan
title_full Knowledge, Attitudes and Practices Regarding Diabetes in the General Population: A Cross-Sectional Study from Pakistan
title_fullStr Knowledge, Attitudes and Practices Regarding Diabetes in the General Population: A Cross-Sectional Study from Pakistan
title_full_unstemmed Knowledge, Attitudes and Practices Regarding Diabetes in the General Population: A Cross-Sectional Study from Pakistan
title_short Knowledge, Attitudes and Practices Regarding Diabetes in the General Population: A Cross-Sectional Study from Pakistan
title_sort knowledge, attitudes and practices regarding diabetes in the general population: a cross-sectional study from pakistan
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6164838/
https://www.ncbi.nlm.nih.gov/pubmed/30200534
http://dx.doi.org/10.3390/ijerph15091906
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