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Knowledge, Attitude and Practices on Diabetes Among Type 2 Diabetic Patients in Iran: A Cross-Sectional Study

Received: 15 May 2015     Accepted: 20 May 2015     Published: 2 June 2015
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Abstract

Following fast increase in the incidence of type 2 diabetes among Iranians, diabetes self-care activities are important. This cross-sectional study was carried out to evaluate the knowledge, attitude and practices regarding diabetes among 100 Iranian type 2 diabetics (61 female, 39 male) aged between 37 to 66 years, attending the out-patient Diabetes Clinic at Golestan Hospital, Ahvaz, Iran. A face-to-face interview was done and a validated knowledge, attitude and practice (KAP) questionnaire was used to determine knowledge, attitude and practices of diabetes patients. The mean duration of diabetes among patients was 4.05 ± 1.4 years. Fifty three percent of patients had good glycemic control (HbA1c level (=<7%)). The results showed that attitude related to diabetes was acceptable in the majority; while knowledge and self-care practices were insufficient. The overall mean (± SD) score of the knowledge, attitude and practice of patients based on KAP questionnaire was in medium level (17.37± 2.23) in which total maximum possible score was 29. KAP score was low for 9 % of patients. There was significant association between low level of education (primary) or not having formal education with poor KAP score about diabetes compare to higher level of education [illiterate: OR=2.6, 95% CI= (0.23-30.80), primary: OR=0.23, 95% CI= (0.43-1.27), P<0.05]. While there was no significant association between the KAP scores and HbA1c level. As the consequence of low awareness of diabetes among patients affects their ability of self-care management and lead to negative impact on outcome of diabetes. Patients need to be educated on how to prevent diabetes complications. Health care providers should promote self-care activities in the process of diabetes education.

Published in Science Journal of Public Health (Volume 3, Issue 4)
DOI 10.11648/j.sjph.20150304.20
Page(s) 520-524
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Knowledge, Attitude, Practices, Type 2 Diabetes Patients, Iran

References
[1] Shaw J, Sicree R, Zimmet P. Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Research and Clinical Practice. 2010; 87 (1): 4-14.
[2] Adeghate E, Schattner P, Dunn E. An Update on the Etiology and Epidemiology of Diabetes Mellitus. Annals of the New York academy of sciences. 2006; 1084 (1): 1-29.
[3] World health organization: Diabetes-Factsheet; 2012. Available from: http://www.who.int/mediacentre/factsheets/fs312/en/index.html.
[4] Zimmet P, Alberti K, Shaw J. Global and societal implications of the diabetes epidemic. Nature. 2001; 414 (6865): 782-787.
[5] Esteghamati A, Gouya MM, Abbasi M, et al. Prevalence of diabetes and impaired fasting glucose in the adult population of Iran national survey of risk factors for non-communicable diseases of Iran. Diabetes Care. 2008; 31 (1): 96-98.
[6] Abdoli S, Mardanian L, Mirzaei M. How public perceive diabetes: A qualitative study. Iranian Journal of Nursing and Midwifery Research. 2012; 17(5): 370.
[7] Diamond J. The double puzzle of diabetes. Nature. 2003; 423 (6940): 599-602.
[8] Al-Moosa S, Allin S, Jemiai N, Al-Lawati J, Mossialos E. Diabetes and urbanization in the Omani population: An Analysis of National Survey Data. Population Health Metrics. 2006; 4 (1): 5.
[9] Shetty P, Schmidhuber J. Introductory lecture the epidemiology and determinants of obesity in developed and developing countries. International Journal for Vitamin and Nutrition Research. 2006; 76 (4): 157-162.
[10] Wild S, Roglic G, Green A, Sicree R, King H. Global prevalence of diabetes estimates for the year 2000 and projections for 2030. Diabetes care. 2004; 27 (5): 1047-1053.
[11] Schramm TK, Gislason GH, Køber L et al. Diabetes patients requiring glucose-lowering therapy and non-diabetics with a prior myocardial infarction carry the same cardiovascular risk a population study of 3.3 million people. Circulation. 2008; 117(15): 1945-1954.
[12] Rhee MK, Slocum W, Ziemer DC, Culler SD, Cook CB, El-Kebbi IM, Phillips L S. Patient adherence improves glycemic control. The Diabetes Educator. 2005; 31(2): 240-250.
[13] Spann SJ, Nutting, PA, Galliher JM, et al. Management of type 2 diabetes in the primary care setting: a practice-based research network study. The Annals of Family Medicine.2006; 4(1): 23-31.
[14] Amani R, Mostafavi A (2006). Nutritional Related Lifestyle of Type 2 Diabetic Patients in Ahvaz-IR Iran. International Journal of Endocrinology and Metabolism. 2006; 3: 123-129.
[15] Abolghasemi R, Sedaghat M (2014). The Patient’s attitude toward type 2 diabetes mellitus, a qualitative Study. Journal of Religion and Health. 2014;1-15.
[16] Mukhopadhyay P, Paul B, Das D, Sengupta N, Majumder R. Perceptions and practices of type 2 diabetics: A cross-sectional study in a tertiary care hospital in Kolkata. Int J Diabetes Dev Ctries. 2010; 30: 143-9.
[17] Ambigapathy R, Ambigapathy S, Ling H. A knowledge, attitude and practice (KAP) study of diabetes mellitus among patients attending Klinik Kesihatan Seri Manjung. NCD Malaysia. 2003; 2 (2): 6-16.
[18] Suppapitiporn S, Chindavijak B, Onsanit S. Effect of diabetes drug counselling by pharmacist, diabetic disease booklet and special medication containers on glycemic control of type 2 diabetes mellitus: a randomized controlled trial. Journal of the Medical Association of Thailand Chotmaihet thangphaet. 2005; 88: 134-41.
[19] Upadhyay DK, Palaian S, Shankar P. R, Mishra P, Pokhara, N. Knowledge, attitude and practice about diabetes among diabetes patients in Western Nepal. Rawal Med J. 2008; 33 (1) : 8-11.
[20] Gul N. Knowledge, attitudes and practices of type 2 diabetic patients. J Ayub Med Coll Abbottabad .2010; 22: 128-31.
[21] Gunay T, Ulusel B, Velipasaoglu S, Unal B, Ucku R, Ozgener N. Factors affecting adult knowledge of diabetes in Narlidere Health District, Turkey. Acta Diabetologica. 2006; 43:142- 147.
[22] Baradaran H, Knill-Jones R. Assessing the knowledge, attitudes and understanding of type 2 diabetes amongst ethnic groups in Glasgow, Scotland. Practical Diabetes Int. 2004; 21 (4): 143–148.
[23] Ajlouni K, Khader YS, Batieha A, Ajlouni H, El-Khateeb M. An increase in prevalence of diabetes mellitus in Jordan over 10 years. Journal of Diabetes and its Complications. 2008; 22 (5): 317-324.
[24] Farmer A, Kinmonth AL, Sutton S. Measuring beliefs about taking hypoglycaemic medication among people with Type 2 diabetes. Diabetic Medicine. 2006; 23(3): 265-270.
[25] Kapur A. Influence of socio-economic factors on diabetes care. Int J Diab Dev Countries. 2001; 21:77-85.
[26] Castillo EC. The effects of diabetes education intervention package with the knowledge, beliefs, attitudes, and practices, and FBS values of persons with Type 2 diabetes mellitus. University of the Philippines Manila College of Public Health. 2003; 125.
[27] Delavari A, Alikhani S, Nili S, Birjandi RH, Birjandi F. Quality of care of diabetes mellitus type II patients in Iran. Archives of Iranian Medicine (AIM) .2009; 12(5): 492-495.
[28] Badrudin N, Basit A, Hydrie MZI, Hakeem R. Knowledge, Attitude and Practices of patient visiting a diabetes care unit. Pak J Nutrition. 2002; 1(2):99-102.
[29] Maina WK, Ndegwa ZM, Njenga EW, Muchemi EW. Knowledge, Attitude and Practices related to Diabetes among Community Members in Four Provinces in Kenya: A Cross-sectional study. Journal of Pan African Medical. 2011; 7 (2): 1-9.
[30] Khanna A, Bush AL, Swint JM, Peskin MF, Street Jr RL, Naik AD. Hemoglobin A1c improvements and better diabetes-specific quality of life among participants completing diabetes self-management programs: a nested cohort study. Health and Quality of Life Outcomes.2012; 10 (1): 48:1-7.
Cite This Article
  • APA Style

    Shooka Mohammadi, Norimah A. Karim, Ruzita Abd Talib, Reza Amani. (2015). Knowledge, Attitude and Practices on Diabetes Among Type 2 Diabetic Patients in Iran: A Cross-Sectional Study. Science Journal of Public Health, 3(4), 520-524. https://doi.org/10.11648/j.sjph.20150304.20

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    ACS Style

    Shooka Mohammadi; Norimah A. Karim; Ruzita Abd Talib; Reza Amani. Knowledge, Attitude and Practices on Diabetes Among Type 2 Diabetic Patients in Iran: A Cross-Sectional Study. Sci. J. Public Health 2015, 3(4), 520-524. doi: 10.11648/j.sjph.20150304.20

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    AMA Style

    Shooka Mohammadi, Norimah A. Karim, Ruzita Abd Talib, Reza Amani. Knowledge, Attitude and Practices on Diabetes Among Type 2 Diabetic Patients in Iran: A Cross-Sectional Study. Sci J Public Health. 2015;3(4):520-524. doi: 10.11648/j.sjph.20150304.20

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  • @article{10.11648/j.sjph.20150304.20,
      author = {Shooka Mohammadi and Norimah A. Karim and Ruzita Abd Talib and Reza Amani},
      title = {Knowledge, Attitude and Practices on Diabetes Among Type 2 Diabetic Patients in Iran: A Cross-Sectional Study},
      journal = {Science Journal of Public Health},
      volume = {3},
      number = {4},
      pages = {520-524},
      doi = {10.11648/j.sjph.20150304.20},
      url = {https://doi.org/10.11648/j.sjph.20150304.20},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20150304.20},
      abstract = {Following fast increase in the incidence of type 2 diabetes among Iranians, diabetes self-care activities are important. This cross-sectional study was carried out to evaluate the knowledge, attitude and practices regarding diabetes among 100 Iranian type 2 diabetics (61 female, 39 male) aged between 37 to 66 years, attending the out-patient Diabetes Clinic at Golestan Hospital, Ahvaz, Iran. A face-to-face interview was done and a validated knowledge, attitude and practice (KAP) questionnaire was used to determine knowledge, attitude and practices of diabetes patients. The mean duration of diabetes among patients was 4.05 ± 1.4 years. Fifty three percent of patients had good glycemic control (HbA1c level (=<7%)). The results showed that attitude related to diabetes was acceptable in the majority; while knowledge and self-care practices were insufficient. The overall mean (± SD) score of the knowledge, attitude and practice of patients based on KAP questionnaire was in medium level (17.37± 2.23) in which total maximum possible score was 29. KAP score was low for 9 % of patients. There was significant association between low level of education (primary) or not having formal education with poor KAP score about diabetes compare to higher level of education [illiterate: OR=2.6, 95% CI= (0.23-30.80), primary: OR=0.23, 95% CI= (0.43-1.27), P<0.05]. While there was no significant association between the KAP scores and HbA1c level. As the consequence of low awareness of diabetes among patients affects their ability of self-care management and lead to negative impact on outcome of diabetes. Patients need to be educated on how to prevent diabetes complications. Health care providers should promote self-care activities in the process of diabetes education.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - Knowledge, Attitude and Practices on Diabetes Among Type 2 Diabetic Patients in Iran: A Cross-Sectional Study
    AU  - Shooka Mohammadi
    AU  - Norimah A. Karim
    AU  - Ruzita Abd Talib
    AU  - Reza Amani
    Y1  - 2015/06/02
    PY  - 2015
    N1  - https://doi.org/10.11648/j.sjph.20150304.20
    DO  - 10.11648/j.sjph.20150304.20
    T2  - Science Journal of Public Health
    JF  - Science Journal of Public Health
    JO  - Science Journal of Public Health
    SP  - 520
    EP  - 524
    PB  - Science Publishing Group
    SN  - 2328-7950
    UR  - https://doi.org/10.11648/j.sjph.20150304.20
    AB  - Following fast increase in the incidence of type 2 diabetes among Iranians, diabetes self-care activities are important. This cross-sectional study was carried out to evaluate the knowledge, attitude and practices regarding diabetes among 100 Iranian type 2 diabetics (61 female, 39 male) aged between 37 to 66 years, attending the out-patient Diabetes Clinic at Golestan Hospital, Ahvaz, Iran. A face-to-face interview was done and a validated knowledge, attitude and practice (KAP) questionnaire was used to determine knowledge, attitude and practices of diabetes patients. The mean duration of diabetes among patients was 4.05 ± 1.4 years. Fifty three percent of patients had good glycemic control (HbA1c level (=<7%)). The results showed that attitude related to diabetes was acceptable in the majority; while knowledge and self-care practices were insufficient. The overall mean (± SD) score of the knowledge, attitude and practice of patients based on KAP questionnaire was in medium level (17.37± 2.23) in which total maximum possible score was 29. KAP score was low for 9 % of patients. There was significant association between low level of education (primary) or not having formal education with poor KAP score about diabetes compare to higher level of education [illiterate: OR=2.6, 95% CI= (0.23-30.80), primary: OR=0.23, 95% CI= (0.43-1.27), P<0.05]. While there was no significant association between the KAP scores and HbA1c level. As the consequence of low awareness of diabetes among patients affects their ability of self-care management and lead to negative impact on outcome of diabetes. Patients need to be educated on how to prevent diabetes complications. Health care providers should promote self-care activities in the process of diabetes education.
    VL  - 3
    IS  - 4
    ER  - 

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Author Information
  • Nutritional Sciences Programme, School of Healthcare Sciences, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia

  • Nutritional Sciences Programme, School of Healthcare Sciences, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia

  • Nutritional Sciences Programme, School of Healthcare Sciences, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia

  • Department of Nutrition and Dietetics, Faculty of Para Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

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