Barriers to Prevention and Treatment of Type 2 Diabetes Mellitus Among Outpatients in Belarus

ObjectivesThis study aimed to determine the main barriers and reasons for non-adherence to preventive measures and treatment for type 2 diabetes mellitus among outpatients in Belarus.MethodsAn anonymous questionnaire survey was conducted with 814 adults aged 18 years and over who visited outpatient...

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Main Authors: Anastasiya Sachkouskaya, Tamara Sharshakova, Dmitry Kovalevsky, Maria Rusalenko, Irina Savasteeva, Aya Goto, Hirohide Yokokawa, Atsushi Kumagai, Jumpei Takahashi
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-01-01
Series:Frontiers in Clinical Diabetes and Healthcare
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcdhc.2021.797857/full
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author Anastasiya Sachkouskaya
Tamara Sharshakova
Dmitry Kovalevsky
Maria Rusalenko
Irina Savasteeva
Aya Goto
Hirohide Yokokawa
Atsushi Kumagai
Jumpei Takahashi
author_facet Anastasiya Sachkouskaya
Tamara Sharshakova
Dmitry Kovalevsky
Maria Rusalenko
Irina Savasteeva
Aya Goto
Hirohide Yokokawa
Atsushi Kumagai
Jumpei Takahashi
author_sort Anastasiya Sachkouskaya
collection DOAJ
description ObjectivesThis study aimed to determine the main barriers and reasons for non-adherence to preventive measures and treatment for type 2 diabetes mellitus among outpatients in Belarus.MethodsAn anonymous questionnaire survey was conducted with 814 adults aged 18 years and over who visited outpatient health care units and hospitals in Belarus. The questionnaire was developed to analyze the perceived barriers that limit adherence to preventive measures and treatment for type 2 diabetes.ResultsThe proportion of respondents who reported doing daily physical activity was 53.2%, and 46.6% consumed at least 400 grams of fruit and vegetables per day. Among the 42.8% of respondents with a prescribed treatment for type 2 diabetes mellitus, 50.1% sometimes forgot to take their medicine. The specific barriers to treatment most frequently identified by survey respondents were “Financial situation” (23.5% of respondents), and “Fear of side effects” (25.2%). Those for lifestyle instructions were “Insufficient knowledge” (29.3%), “Financial situation” (27.9%), and “Lack of motivation” (21.7%).ConclusionsThe study revealed that the main barriers to adherence were insufficient knowledge of diabetes and its treatment and an underestimation of the role of behavioral risk factors in health, combined with financial difficulties. We recommend that physicians should take a patient-centered approach to raising awareness of behavioral risk factors for type 2 diabetes mellitus, and suggest that the importance of adhering to preventative measures and treatment should be promoted in consultations in Belarus.
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spelling doaj.art-29b267d7b96943899e320fdb8ebae4052022-12-22T04:04:33ZengFrontiers Media S.A.Frontiers in Clinical Diabetes and Healthcare2673-66162022-01-01210.3389/fcdhc.2021.797857797857Barriers to Prevention and Treatment of Type 2 Diabetes Mellitus Among Outpatients in BelarusAnastasiya Sachkouskaya0Tamara Sharshakova1Dmitry Kovalevsky2Maria Rusalenko3Irina Savasteeva4Aya Goto5Hirohide Yokokawa6Atsushi Kumagai7Jumpei Takahashi8Public Health Department and Public Health Services, Gomel State Medical University, Gomel, BelarusPublic Health Department and Public Health Services, Gomel State Medical University, Gomel, BelarusPublic Health Department and Public Health Services, Gomel State Medical University, Gomel, BelarusAdministration Department, Republican Research Center for Radiation Medicine and Human Ecology, Gomel, BelarusInformation and Analytical Department, Republican Research Center for Radiation Medicine and Human Ecology, Gomel, BelarusCenter for Integrated Science and Humanities, Fukushima Medical University, Fukushima, JapanDepartment of General Medicine, Juntendo University, Tokyo, JapanDepartment of Radiation Emergency Medicine, The National Institutes for Quantum and Radiological Science and Technology, Chiba, JapanOffice of Global Relations, Nagasaki University, Nagasaki, JapanObjectivesThis study aimed to determine the main barriers and reasons for non-adherence to preventive measures and treatment for type 2 diabetes mellitus among outpatients in Belarus.MethodsAn anonymous questionnaire survey was conducted with 814 adults aged 18 years and over who visited outpatient health care units and hospitals in Belarus. The questionnaire was developed to analyze the perceived barriers that limit adherence to preventive measures and treatment for type 2 diabetes.ResultsThe proportion of respondents who reported doing daily physical activity was 53.2%, and 46.6% consumed at least 400 grams of fruit and vegetables per day. Among the 42.8% of respondents with a prescribed treatment for type 2 diabetes mellitus, 50.1% sometimes forgot to take their medicine. The specific barriers to treatment most frequently identified by survey respondents were “Financial situation” (23.5% of respondents), and “Fear of side effects” (25.2%). Those for lifestyle instructions were “Insufficient knowledge” (29.3%), “Financial situation” (27.9%), and “Lack of motivation” (21.7%).ConclusionsThe study revealed that the main barriers to adherence were insufficient knowledge of diabetes and its treatment and an underestimation of the role of behavioral risk factors in health, combined with financial difficulties. We recommend that physicians should take a patient-centered approach to raising awareness of behavioral risk factors for type 2 diabetes mellitus, and suggest that the importance of adhering to preventative measures and treatment should be promoted in consultations in Belarus.https://www.frontiersin.org/articles/10.3389/fcdhc.2021.797857/fulldiabetes mellitusbehavioral risk factorstreatment adherenceprevention adherencebarriers
spellingShingle Anastasiya Sachkouskaya
Tamara Sharshakova
Dmitry Kovalevsky
Maria Rusalenko
Irina Savasteeva
Aya Goto
Hirohide Yokokawa
Atsushi Kumagai
Jumpei Takahashi
Barriers to Prevention and Treatment of Type 2 Diabetes Mellitus Among Outpatients in Belarus
Frontiers in Clinical Diabetes and Healthcare
diabetes mellitus
behavioral risk factors
treatment adherence
prevention adherence
barriers
title Barriers to Prevention and Treatment of Type 2 Diabetes Mellitus Among Outpatients in Belarus
title_full Barriers to Prevention and Treatment of Type 2 Diabetes Mellitus Among Outpatients in Belarus
title_fullStr Barriers to Prevention and Treatment of Type 2 Diabetes Mellitus Among Outpatients in Belarus
title_full_unstemmed Barriers to Prevention and Treatment of Type 2 Diabetes Mellitus Among Outpatients in Belarus
title_short Barriers to Prevention and Treatment of Type 2 Diabetes Mellitus Among Outpatients in Belarus
title_sort barriers to prevention and treatment of type 2 diabetes mellitus among outpatients in belarus
topic diabetes mellitus
behavioral risk factors
treatment adherence
prevention adherence
barriers
url https://www.frontiersin.org/articles/10.3389/fcdhc.2021.797857/full
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