Effect of COVID-19 on control of T1DM patients in Aseer region of Saudi Arabia

Alqahtani, Mohammad A.; Othman, Abdullah; Alqahtani, Amal Mohammed; Alqahtani, Abdullah M.; Asiri, Fatimah Abdullah Mohammad; Mesfer, Alqahtani Mohammed; Alshehri, Sahar Dahman; Al-Fifi, Suliman H.

doi:10.4103/jfmpc.jfmpc_2333_20

Cited by 5 publications

(3 citation statements)

References 16 publications

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“…Women living in Southern regions are signi cantly less likely to be screened for cervical and breast cancer. In Southern regions such as Jazan and Aseer, religious and traditional beliefs and lack of knowledge are among the factors that may in uence pap smear utilization (33,34). Similar factors might also explain what we found in Northern regions where women experienced lower likelihood of utilizing breast cancer screening.…”

Section: Discussionsupporting

confidence: 64%

WITHDRAWN: Assessing Equity in Unmet Needs for Non-Communicable Diseases Services in Saudi Arabia Using a National Household Survey (2019)

Al-Attas

Gordon

Sabin

et al. 2023

Preprint

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Background: Saudi Arabia is implementing a comprehensive health system transformation in health services provision, governance, and financing that was announced in 2016. Given the high burden of non-communicable diseases (NCDs), a key objective of the transformation is to integrate NCD prevention and treatment into primary care. The study objectives are to assess primary care service use for treatment of NCDs, to quantify existing inequities in preventive services utilization, and to identify regional and socioeconomic factors associated with these inequities. Methods: Using the 2019 Kingdom of Saudi Arabia World Health Survey, multivariable logistic regression models were conducted to identify significant predictors of utilization of primary care services for prevention and treatment of NCDs, unmet health care needs among those who reported a diagnosis of diabetes, hypertension, or dyslipidemia, and breast and cervical cancer screenings. Results: Among those who reported having an NCD diagnosis, living in a high-income household was associated with a lower probability of having an unmet need in comparison to those living in lower-income households. Furthermore, adults residing in rural areas were less likely to have an unmet need compared to residents in urban areas (OR 0.58, p=0.029). Not perceiving a need for healthcare within the last 12 months was associated with three times the probability of unmet need in comparison to those with a subjective need for healthcare (p<0.001). All regions had lower probability of ever having a mammogram when compared to the central regions around Riyadh. Women who had more than a secondary level of education had five times the odds of undergoing cervical cancer screening and three times the likelihood of ever having a mammogram (P=0.012, p=0.02). Middle (OR 1.99, P=0.026), upper middle (OR 3.47, p<0.001), and high-income households (OR 2.59, p<0.001) had increased probability of having a cervical cancer screening compared to lower-income households. Conclusions: Inequities in NCD treatment and prevention services’ utilization in Saudi Arabia are strongly associated with region of living, population density, wealth, income, education and perceived need for health care. More research is needed to better understand the extent of unmet primary care needs for NCD and how to address the underlying contributing factors to access inequities.

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Section: Discussionsupporting

confidence: 64%

WITHDRAWN: Assessing Equity in Unmet Needs for Non-Communicable Diseases Services in Saudi Arabia Using a National Household Survey (2019)

Al-Attas

Gordon

Sabin

et al. 2023

Preprint

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“…In this lockdown, the emergency services were prioritized, and routine care services, which form the core of managing chronic diseases like diabetes, were jeopardized, increasing the risk of associated complications. Furthermore, the COVID-19 lockdown affected other aspects of the pharmacological and non-pharmacological management of DM, including access to doctor consultation, counseling services, availability of recommended dietary items, social interaction, restricted physical activity, amongst others (40,41).…”

Section: Discussionmentioning

confidence: 99%

COVID-19 Lockdown and Lifestyle Changes in Saudi Adults With Types 1 and 2 Diabetes

Al‐Daghri

Almiman

Wani

et al. 2022

Front. Public Health

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ObjectiveWe aimed to evaluate and compare the impact of COVID-19 lockdown on lifestyle changes and other common related effects of the lockdown in Saudi adults with diabetes mellitus (DM), both type 1 (T1D) and type 2 diabetes (T2D).Methods265 T1D and 285 T2D individuals were included in this cross-sectional survey during lockdown using an online questionnaire and compared with 297 participants without DM. Variables included demographics, treatment changes, use of supplements, change in sleeping habits and physical activity, dietary changes, social and mental health, and education and awareness during COVID-19 lockdown.ResultsThe COVID-19 lockdown was associated with more treatment doses in people with T1D but not in those with T2D (p = 0.003). More participants with T1D and T2D than the control group reported that they felt symptoms of depression during lockdown (ORs of 1.83, p = 0.008 and 2.2, p = 0.001, respectively) and that lockdown affected them psychologically (ORs of 1.64, p = 0.019 and 1.85, p = 0.005, respectively). More participants with T1D than controls reported that their physical activity decreased during lockdown (OR of 2.70, p = 0.024). Furthermore, significantly lesser participants in both DM groups than controls agreed that the health education regarding COVID-19 covered everything (ORs of 0.41, p < 0.001 and 0.56, p < 0.001, respectively for T1D and T2D groups). Regarding dietary habits, the DM groups reported more changes in either the number of daily meals, meal content, or mealtimes than the control group.ConclusionsCOVID-19 lockdown-associated lifestyle changes were more prevalent in individuals with T1D and T2D compared to control. Findings may assist public health authorities in outlining their responses in pandemics and promote healthy lifestyle adaptations in this high-risk cohort to limit adverse effects in future lockdowns.

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“…Indeed, living under lockdown, people with diabetes may experience barriers to self-management. Alqahtani et al [ 6 ], Alshareef et al [ 4 ] and Banerjee et al [ 7 ] demonstrated that inaccessibility to medical services, reduced physical activity and a sedentary lifestyle, change in eating habits, anxiety and sleep disturbance have all posed challenges to adequate diabetes management.…”

Section: Introductionmentioning

confidence: 99%

The Experiences of People with Diabetes during COVID-19 Pandemic Lockdown

Al‐Moteri

Plummer

Youssef

et al. 2021

IJERPH

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Little is known about the theoretical foundation underling the response of people with diabetes managing their everyday routines during COVID-19 pandemic lockdown. Aim: To explore the experience of people with diabetes during COVID-19 pandemic lockdown in light of the risk perception, response and behavioral change theories. Method: A qualitative descriptive design was employed, and Braun and Clark’s six step analysis were used for thematic analysis. Semi-structured interviews were conducted online using Zoom Videos Communication. Result: Five themes were defined as follows: (1) perceived the threat and faced their fears, (2) appraised the damage, (3) identified the challenges, (4) modified their routine, and (5) identified the strengths that facilitate the efficacy of their response. There were eight sub-themes within the themes. Conclusion: The results of this study may provide an opportunity for nurses to reflect on issues highlighted by the patients regarding more effective communication, knowledge and skill development for people to support self-care during national emergencies.

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Effect of COVID-19 on control of T1DM patients in Aseer region of Saudi Arabia

Cited by 5 publications

References 16 publications

WITHDRAWN: Assessing Equity in Unmet Needs for Non-Communicable Diseases Services in Saudi Arabia Using a National Household Survey (2019)

WITHDRAWN: Assessing Equity in Unmet Needs for Non-Communicable Diseases Services in Saudi Arabia Using a National Household Survey (2019)

COVID-19 Lockdown and Lifestyle Changes in Saudi Adults With Types 1 and 2 Diabetes

The Experiences of People with Diabetes during COVID-19 Pandemic Lockdown

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