Assessing diabetes knowledge and barriers to health services among patients with diabetes: a qualitative study in Delhi, India

Khan, Farah; Agne, April A.; Buttan, Sandeep; Cherrington, Andrea

doi:10.1080/14635240.2013.825420

Cited by 4 publications

(8 citation statements)

References 14 publications

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“…Such results indicate that even among the most educated individuals in the study population, general knowledge of diabetes is low. Although these ndings are consistent with other studies [12,14,17,19,24,25], this rural region of Tamil Nadu demonstrated one of the lowest levels of knowledge in India reported to date, with 66% of participants being unaware of diabetes altogether. A study conducted in another area of rural Tamil Nadu assessed knowledge and self-care practices among patients with diabetes and showed that even among those with diabetes, knowledge of the disease was low.…”

Section: Discussionsupporting

confidence: 92%

“…Such ndings suggest that diabetes awareness and knowledge may be better in urban regions, where information, messaging, and resources for diabetes may be more accessible. The association between higher wealth, education, and lower rurality and diabetes knowledge is consistent with other studies in India [12,13,17], and other low-and middle-income countries, including Jordan [28], Bangladesh [29],…”

Section: Discussionsupporting

confidence: 90%

“…A common perception in India is that consuming excess sugar is a direct cause of diabetes [14,16,17,19,24]. Additionally, 'tension' or mental stress are often also cited as direct causes of diabetes [14,17], and herbal or religious remedies are often recognized as effective treatments for diabetes [12,14]. Such patterns are consistent with the present study, as the most common perceived risk factor of diabetes was consuming sweets (16.5% of the study population).…”

Section: Discussionmentioning

confidence: 99%

“…The low awareness of diabetes and prediabetes in India has been highlighted in several studies [12][13][14][15][16][17]. Low awareness can lead to high prevalence of undiagnosed diabetes, which is a serious public health concern; indeed, estimates suggest that approximately half of diabetes cases are undiagnosed in India [18].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Sociodemographic Factors Associated With Knowledge of Type 2 Diabetes in Rural Tamil Nadu, India: a Cross-sectional Study

MacDonald

Papadopoulos

Dewey

et al. 2021

Preprint

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Background: This study aimed to investigate the overall awareness of type 2 diabetes as well as how sociodemographic factors influence diabetes knowledge. With India having the second highest prevalence of diabetes globally, it is increasingly important to assess how diabetes can be addressed in rural Indian populations. Methods: Systematic random sampling was used to gather study participants in 17 villages within the Krishnagiri district of Tamil Nadu, India. Associations between sociodemographic factors and composite diabetes knowledge score were assessed using a multinomial logistic gllamm model.Results: A total of 753 individuals participated in the study. Overall knowledge on diabetes was low, with 66% of individuals having no knowledge regarding diabetes. Achieving a moderate knowledge score was significantly positively associated with education, wealth, participation in MGNREGA (Mahatma Gandhi National Rural Employment Guarantee Act), and business ownership as a source of income. Achieving a good knowledge score was significantly positively associated with education, wealth, rurality, participation in MGNREGA, business ownership as a source of income, as well as frequency of healthcare typically received. Rurality was significantly negatively associated [Relative Risk Ratio (95% CI)] with both moderate knowledge score [0.34 (0.19, 0.59)], and good knowledge score [0.43 (0.24, 0.74)]. The strongest predictor of having a good knowledge score was having a high school graduate or post-secondary education [11.07 (4.44, 27.61)]. Enrolment in MGNREGA employment was the strongest predictor for having a moderate knowledge score [3.27 (1.93, 5.54)], as well as strongly associated with having a good knowledge score [2.39 (1.31, 4.36)].Conclusion: The low awareness of diabetes seen in this study raises serious concerns for public health in India. Public health efforts must prioritize health equity to lessen the impacts of diabetes in rural populations, where individuals face systemic barriers to receiving prevention and treatment for conditions such as diabetes.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Sociodemographic Factors Associated With Knowledge of Type 2 Diabetes in Rural Tamil Nadu, India: a Cross-sectional Study

MacDonald

Papadopoulos

Dewey

et al. 2021

Preprint

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show abstract

“…Little is currently known, however, about levels of awareness and barriers to care facing young patients with diabetes and their parents. 20 The purpose of this qualitative study was to investigate young patients’ perceptions and knowledge of diabetes and its complications, as well as any barriers to care. Specific objectives included assessing the young patients and the available parents’ perceptions of the socioeconomic consequences of diabetes on their family.…”

Section: Introductionmentioning

confidence: 99%

A qualitative study of perceptions of determinants of disease burden among young patients with type 1 diabetes and their parents in South India

Verloo¹,

Meenakumari²,

Abraham³

et al. 2016

DMSO

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BackgroundDiabetes is a leading threat to public health in India. A huge prevalence of type 1 diabetes among young patients is documented in literature; India is one of the countries with the highest number of new cases per year (10,900), of which 3–4 million face poverty along with diabetes.ObjectiveThe aim of this study was to explore the perceptions of determinants of the disease burden among young patients with type 1 diabetes and their parents.MethodsIn June 2014, perceptions were collected from eleven young patients and five available parents using the critical incident technique.ResultsDisease burdens associated with the management of type 1 diabetes can vary significantly according to the different social and economic determinants facing each household. Determinants associated with good practices in the management of childhood type 1 diabetes included socioeconomic status, unawareness of health complications, and beliefs about nutrition. Coping strategies applied via lifestyle changes included monitoring glycemia and regular checkups by diabetologists. A general lack of awareness about type 1 diabetes in Indian society, stigmatization, and limited access and systematic barriers to the delivery of optimal health care were all perceived to be factors hindering the successful management of chronic type 1 diabetes by young patients and their parents.ConclusionStigmatization, a lack of therapeutic adherence, and the financial strains placed on families, particularly on poor ones, are critical. More emphasis must be put on the prevention of acute and long-term complications and education.

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Knowledge of metabolic syndrome in Chinese adults: Implications for health education

Lee

2016

Health Education Journal

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Objective: The objective of this study was to assess knowledge of metabolic syndrome (MS) among Chinese adults and provide directions for designing healthcare promotion schemes for improving MS awareness in the community. Design: The study adopted a cross-sectional design and a convenience sampling method. Method: Chinese adults aged 18–65 years and living in the community completed a self-administered questionnaire, providing socio-demographic information and indicating their knowledge of MS using a validated knowledge of MS (K-MS) scale comprising 10 multiple-choice questions. The scores of K-MS can range from 0 to 100. Results: A total of 297 participants were recruited (mean age = 51.3 ± 8.9 years), 66.7% of whom were women. More than half of all participants ( n = 154) were identified as having MS and numerous participants were obese ( n = 158). The mean K-MS score was 44.9 out of 100; most participants (61%) scored below 50, indicating a poor level of MS knowledge. Participants who were older, had a lower level of education or were unemployed scored the lowest. Conclusion: Acquiring knowledge of MS is crucial for preventing the development of type 2 diabetes and cardiovascular diseases. However, Chinese adults in a community setting exhibited poor understanding of MS. Public health efforts regarding primary prevention of cardiovascular diseases should be targeted at improving MS knowledge. Additional measures are needed to assist people in the low socioeconomic classes.

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Assessing diabetes knowledge and barriers to health services among patients with diabetes: a qualitative study in Delhi, India

Cited by 4 publications

References 14 publications

Sociodemographic Factors Associated With Knowledge of Type 2 Diabetes in Rural Tamil Nadu, India: a Cross-sectional Study

Sociodemographic Factors Associated With Knowledge of Type 2 Diabetes in Rural Tamil Nadu, India: a Cross-sectional Study

A qualitative study of perceptions of determinants of disease burden among young patients with type 1 diabetes and their parents in South India

Knowledge of metabolic syndrome in Chinese adults: Implications for health education

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