Knowledge attitude and practice regarding diabetes mellitus among Nondiabetic and diabetic study participants in Bangladesh
Abstract Background Increased awareness amongst large population groups is a major determinant for the prevention of diabetes and its complications as well as related metabolic disorders. Knowledge and attitude are the principal markers of awareness that need to be studied in various population grou...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2017-04-01
|
| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12889-017-4285-9 |
| _version_ | 1819261246150541312 |
|---|---|
| author | Kaniz Fatema Sharmin Hossain Khurshid Natasha Hasina Akhter Chowdhury Jesmin Akter Tahmina Khan Liaquat Ali |
| author_facet | Kaniz Fatema Sharmin Hossain Khurshid Natasha Hasina Akhter Chowdhury Jesmin Akter Tahmina Khan Liaquat Ali |
| author_sort | Kaniz Fatema |
| collection | DOAJ |
| description | Abstract Background Increased awareness amongst large population groups is a major determinant for the prevention of diabetes and its complications as well as related metabolic disorders. Knowledge and attitude are the principal markers of awareness that need to be studied in various population groups in specific racial and cultural contexts. The present study was undertaken to explore knowledge, attitude and practice (KAP) regarding -diabetes mellitus (DM) among nondiabetic (nonDM) and type 2 diabetes mellitus (T2DM) patients in Bangladesh. Methods A cross-sectional study was conducted among 18,697 adults (aged 18 years and above; 7796 male and 10,901 female; 6780 nonDM and 11,917 T2DM) selected purposively from the OPD of 19 healthcare centres in and around Dhaka and in northern parts of Bangladesh. KAP were assessed by a pre-structured, interviewer-administered questionnaire and categorised using predefined scores of poor (<mean - 1 SD), average (mean ± 1 SD) and good (>mean + 1 SD). Univariate and bivariate statistical analysis were done as appropriate. Multivariate linear regression was done to examine the association between diabetes related KAP and other covariates. Results The mean (±SD) age (years) of all the study participants was 46 ± 14, mean BMI 24.4 ± 4.1 and mean waist-hip ratio (WHR) was 0.93 ± 0.07. The proportion of poor, average and good knowledge scores among T2DM subjects were 17%, 68% and 15% respectively. The corresponding values for attitude score were 23%, 67% and 10% respectively. The KAP regarding diabetes was found to be better among people who were living with diabetes compared to their counterparts. DM males showed better knowledge and practice regarding diabetes, compared to nonDM counterparts (M ± SD; 44.18 ± 16.13 vs 40.88 ± 15.62, p = <0.001; 66.00 ± 29.68 vs 64.21 ± 31.79, p < 0.001, respectively). Females showed better attitude score compared to males. Overall KAP were found to be significantly higher (p < 0.001) in middle aged (31–50 years) participants in each group. Participants from urban residents, higher educational background and upper socio-economic class demonstrated significantly greater score in terms of KAP in both nonDM and T2DM groups (p < 0.001). On linear regression analysis, knowledge scores correlated strongly with education, income, residence, diabetic state, BMI and attitude. Conclusions The overall level of knowledge and practice concerning diabetes among Bangladeshi population is average, but the overall level of attitude is good both in nonDM and T2DM subjects. To prevent diabetes and its complications there is an urgent need for coordinated educational campaigns with a prioritized focus on poorer, rural and less educated groups. |
| first_indexed | 2024-12-23T19:38:45Z |
| format | Article |
| id | doaj.art-3d1d399d7c114b10a02effd212a1fae6 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-23T19:38:45Z |
| publishDate | 2017-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-3d1d399d7c114b10a02effd212a1fae62022-12-21T17:33:43ZengBMCBMC Public Health1471-24582017-04-0117111010.1186/s12889-017-4285-9Knowledge attitude and practice regarding diabetes mellitus among Nondiabetic and diabetic study participants in BangladeshKaniz Fatema0Sharmin Hossain1Khurshid Natasha2Hasina Akhter Chowdhury3Jesmin Akter4Tahmina Khan5Liaquat Ali6Department of Epidemiology, Bangladesh University of Health Sciences (BUHS)Department of Health Promotion and Health Education, BUHSDepartment of Health Promotion and Health Education, BUHSDepartment of Biostatistics, BUHSDepartment of Reproductive and Child Health, BUHSDepartment of Health Promotion and Health Education, BUHSDepartment of Biochemistry and Cell Biology, BUHSAbstract Background Increased awareness amongst large population groups is a major determinant for the prevention of diabetes and its complications as well as related metabolic disorders. Knowledge and attitude are the principal markers of awareness that need to be studied in various population groups in specific racial and cultural contexts. The present study was undertaken to explore knowledge, attitude and practice (KAP) regarding -diabetes mellitus (DM) among nondiabetic (nonDM) and type 2 diabetes mellitus (T2DM) patients in Bangladesh. Methods A cross-sectional study was conducted among 18,697 adults (aged 18 years and above; 7796 male and 10,901 female; 6780 nonDM and 11,917 T2DM) selected purposively from the OPD of 19 healthcare centres in and around Dhaka and in northern parts of Bangladesh. KAP were assessed by a pre-structured, interviewer-administered questionnaire and categorised using predefined scores of poor (<mean - 1 SD), average (mean ± 1 SD) and good (>mean + 1 SD). Univariate and bivariate statistical analysis were done as appropriate. Multivariate linear regression was done to examine the association between diabetes related KAP and other covariates. Results The mean (±SD) age (years) of all the study participants was 46 ± 14, mean BMI 24.4 ± 4.1 and mean waist-hip ratio (WHR) was 0.93 ± 0.07. The proportion of poor, average and good knowledge scores among T2DM subjects were 17%, 68% and 15% respectively. The corresponding values for attitude score were 23%, 67% and 10% respectively. The KAP regarding diabetes was found to be better among people who were living with diabetes compared to their counterparts. DM males showed better knowledge and practice regarding diabetes, compared to nonDM counterparts (M ± SD; 44.18 ± 16.13 vs 40.88 ± 15.62, p = <0.001; 66.00 ± 29.68 vs 64.21 ± 31.79, p < 0.001, respectively). Females showed better attitude score compared to males. Overall KAP were found to be significantly higher (p < 0.001) in middle aged (31–50 years) participants in each group. Participants from urban residents, higher educational background and upper socio-economic class demonstrated significantly greater score in terms of KAP in both nonDM and T2DM groups (p < 0.001). On linear regression analysis, knowledge scores correlated strongly with education, income, residence, diabetic state, BMI and attitude. Conclusions The overall level of knowledge and practice concerning diabetes among Bangladeshi population is average, but the overall level of attitude is good both in nonDM and T2DM subjects. To prevent diabetes and its complications there is an urgent need for coordinated educational campaigns with a prioritized focus on poorer, rural and less educated groups.http://link.springer.com/article/10.1186/s12889-017-4285-9KnowledgeAttitudePracticeType 2 diabetesBangladesh |
| spellingShingle | Kaniz Fatema Sharmin Hossain Khurshid Natasha Hasina Akhter Chowdhury Jesmin Akter Tahmina Khan Liaquat Ali Knowledge attitude and practice regarding diabetes mellitus among Nondiabetic and diabetic study participants in Bangladesh BMC Public Health Knowledge Attitude Practice Type 2 diabetes Bangladesh |
| title | Knowledge attitude and practice regarding diabetes mellitus among Nondiabetic and diabetic study participants in Bangladesh |
| title_full | Knowledge attitude and practice regarding diabetes mellitus among Nondiabetic and diabetic study participants in Bangladesh |
| title_fullStr | Knowledge attitude and practice regarding diabetes mellitus among Nondiabetic and diabetic study participants in Bangladesh |
| title_full_unstemmed | Knowledge attitude and practice regarding diabetes mellitus among Nondiabetic and diabetic study participants in Bangladesh |
| title_short | Knowledge attitude and practice regarding diabetes mellitus among Nondiabetic and diabetic study participants in Bangladesh |
| title_sort | knowledge attitude and practice regarding diabetes mellitus among nondiabetic and diabetic study participants in bangladesh |
| topic | Knowledge Attitude Practice Type 2 diabetes Bangladesh |
| url | http://link.springer.com/article/10.1186/s12889-017-4285-9 |
| work_keys_str_mv | AT kanizfatema knowledgeattitudeandpracticeregardingdiabetesmellitusamongnondiabeticanddiabeticstudyparticipantsinbangladesh AT sharminhossain knowledgeattitudeandpracticeregardingdiabetesmellitusamongnondiabeticanddiabeticstudyparticipantsinbangladesh AT khurshidnatasha knowledgeattitudeandpracticeregardingdiabetesmellitusamongnondiabeticanddiabeticstudyparticipantsinbangladesh AT hasinaakhterchowdhury knowledgeattitudeandpracticeregardingdiabetesmellitusamongnondiabeticanddiabeticstudyparticipantsinbangladesh AT jesminakter knowledgeattitudeandpracticeregardingdiabetesmellitusamongnondiabeticanddiabeticstudyparticipantsinbangladesh AT tahminakhan knowledgeattitudeandpracticeregardingdiabetesmellitusamongnondiabeticanddiabeticstudyparticipantsinbangladesh AT liaquatali knowledgeattitudeandpracticeregardingdiabetesmellitusamongnondiabeticanddiabeticstudyparticipantsinbangladesh |