Evaluating Dietary Knowledge and Barriers to Self-Management of Type 2 Diabetes in Rural Kentucky: Cross-Sectional Interview Survey

To determine the challenges that residents of rural Kentucky face regarding diabetes self-management and to identify methods that may promote diabetes management based on a population’s needs, semistructured questionnaires were used to interview 71 adults with diabetes (40 food pantry customers and...

Full description

Bibliographic Details
Main Authors: Sahar Ashrafzadeh, Hadi Tohidi, Kianoosh Nasseh
Format: Article
Language:English
Published: SAGE Publishing 2017-10-01
Series:SAGE Open
Online Access:https://doi.org/10.1177/2158244017738553
_version_ 1828929115614347264
author Sahar Ashrafzadeh
Hadi Tohidi
Kianoosh Nasseh
author_facet Sahar Ashrafzadeh
Hadi Tohidi
Kianoosh Nasseh
author_sort Sahar Ashrafzadeh
collection DOAJ
description To determine the challenges that residents of rural Kentucky face regarding diabetes self-management and to identify methods that may promote diabetes management based on a population’s needs, semistructured questionnaires were used to interview 71 adults with diabetes (40 food pantry customers and 31 grocery store customers). Although 70.1% reported following healthy diets, only 43.3% could correctly choose between pairs of healthy/unhealthy food options. Only 21% of food pantry customers (assumed low-income participants) ate healthy. Lower income participants had a 7.79 times greater chance of having a family history of diabetes and had lower perception of having proper weight than grocery store customer participants ( p = .036). Of all participants, 85.5% were motivated to manage their diabetes through diet, and 73.8% were interested in attending free healthy cooking classes. Participants who believed that diet is important in controlling diabetes revealed greater interest in attending cooking classes ( p = .017). To promote healthy diets, offering free healthy cooking classes may be an effective way of communication with patients with diabetes from lower socioeconomic and educational status.
first_indexed 2024-12-14T00:14:08Z
format Article
id doaj.art-c1c4bde08fe64102a3fc40af0f8feb97
institution Directory Open Access Journal
issn 2158-2440
language English
last_indexed 2024-12-14T00:14:08Z
publishDate 2017-10-01
publisher SAGE Publishing
record_format Article
series SAGE Open
spelling doaj.art-c1c4bde08fe64102a3fc40af0f8feb972022-12-21T23:25:38ZengSAGE PublishingSAGE Open2158-24402017-10-01710.1177/2158244017738553Evaluating Dietary Knowledge and Barriers to Self-Management of Type 2 Diabetes in Rural Kentucky: Cross-Sectional Interview SurveySahar Ashrafzadeh0Hadi Tohidi1Kianoosh Nasseh2Harvard University, Cambridge, MA, USAMashhad University of Medical Sciences, Mashhad, IranWestern Kentucky University, Bowling Green, KY, USATo determine the challenges that residents of rural Kentucky face regarding diabetes self-management and to identify methods that may promote diabetes management based on a population’s needs, semistructured questionnaires were used to interview 71 adults with diabetes (40 food pantry customers and 31 grocery store customers). Although 70.1% reported following healthy diets, only 43.3% could correctly choose between pairs of healthy/unhealthy food options. Only 21% of food pantry customers (assumed low-income participants) ate healthy. Lower income participants had a 7.79 times greater chance of having a family history of diabetes and had lower perception of having proper weight than grocery store customer participants ( p = .036). Of all participants, 85.5% were motivated to manage their diabetes through diet, and 73.8% were interested in attending free healthy cooking classes. Participants who believed that diet is important in controlling diabetes revealed greater interest in attending cooking classes ( p = .017). To promote healthy diets, offering free healthy cooking classes may be an effective way of communication with patients with diabetes from lower socioeconomic and educational status.https://doi.org/10.1177/2158244017738553
spellingShingle Sahar Ashrafzadeh
Hadi Tohidi
Kianoosh Nasseh
Evaluating Dietary Knowledge and Barriers to Self-Management of Type 2 Diabetes in Rural Kentucky: Cross-Sectional Interview Survey
SAGE Open
title Evaluating Dietary Knowledge and Barriers to Self-Management of Type 2 Diabetes in Rural Kentucky: Cross-Sectional Interview Survey
title_full Evaluating Dietary Knowledge and Barriers to Self-Management of Type 2 Diabetes in Rural Kentucky: Cross-Sectional Interview Survey
title_fullStr Evaluating Dietary Knowledge and Barriers to Self-Management of Type 2 Diabetes in Rural Kentucky: Cross-Sectional Interview Survey
title_full_unstemmed Evaluating Dietary Knowledge and Barriers to Self-Management of Type 2 Diabetes in Rural Kentucky: Cross-Sectional Interview Survey
title_short Evaluating Dietary Knowledge and Barriers to Self-Management of Type 2 Diabetes in Rural Kentucky: Cross-Sectional Interview Survey
title_sort evaluating dietary knowledge and barriers to self management of type 2 diabetes in rural kentucky cross sectional interview survey
url https://doi.org/10.1177/2158244017738553
work_keys_str_mv AT saharashrafzadeh evaluatingdietaryknowledgeandbarrierstoselfmanagementoftype2diabetesinruralkentuckycrosssectionalinterviewsurvey
AT haditohidi evaluatingdietaryknowledgeandbarrierstoselfmanagementoftype2diabetesinruralkentuckycrosssectionalinterviewsurvey
AT kianooshnasseh evaluatingdietaryknowledgeandbarrierstoselfmanagementoftype2diabetesinruralkentuckycrosssectionalinterviewsurvey