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Unmet needs for informal care among people with type 2 diabetes in rural communities in Vietnam

OBJECTIVES: The objective of this study was to identify determinants associated with unmet needs for informal support among people with type-2 diabetes in rural communities of Vietnam in order to inform development of effective interventions aimed at bridging the gap between community members and re...

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Detalles Bibliográficos
Autores principales: Meyrowitsch, Dan Wolf, Nielsen, Jannie, Bygbjerg, Ib Christian, Søndergaard, Jens, Thi, Diep Khong, Huyen, Dieu Bui Thi, Gammeltoft, Tine, Duc, Thanh Nguyen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9958372/
https://www.ncbi.nlm.nih.gov/pubmed/36852166
http://dx.doi.org/10.1016/j.puhip.2023.100364
Descripción
Sumario:OBJECTIVES: The objective of this study was to identify determinants associated with unmet needs for informal support among people with type-2 diabetes in rural communities of Vietnam in order to inform development of effective interventions aimed at bridging the gap between community members and resource constrained health systems. STUDY DESIGN: A cross-sectional survey was conducted from December 2018 to February 2019 in a rural area of northern Vietnam. METHODS: From 2 districts in northern Vietnam, 806 people with type-2 diabetes participated in a survey to assess who were their most important informal caregivers (ICGs) and to measure the association between demographic and socio-economic predictors and unmet needs of informal support of relevance for diabetes self-care using bivariate and multivariate analyses. RESULTS: The spouse was reported as the most important ICG (62.9%) followed by a daughter or son (28.4%). 32.0% reported at least one type of unmet need for informal support. The most commonly reported unmet needs of informal care were: transport to health facilities and company when seeking formal care (20.5%), financial support related to costs of diabetes self-management (18.5%), and reminders to engage in physical exercise (14.5%). People living alone reported the highest odds ratio (OR) for unmet need of informal care (OR = 4.41; CI95%: 2.19–8.88), followed by those being poor (OR = 3.79; CI95%: 1.25–11.52) and those being unemployed (OR = 2.85; CI95%: 1.61–5.05). CONCLUSIONS: Almost one-third of people with type-2 diabetes reported at least one type of unmet need for informal care. These findings provide a basis for development of new modalities for strengthening support provided by ICGs in rural communities in Vietnam and in other low- and middle-income countries.