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Knowledge and self-care practice regarding diabetes among type 2diabetics: experience from a non-profit hospital chain in Bangladesh

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Abstract

Diabetes mellitus (DM) is generally being perceived as a problem of the developed world, but currently, people from develo** countries like Bangladesh are suffering from chronic diseases of which diabetes is a major one. The aim of the study was to assess knowledge and self-care practice regarding diabetes among type 2 diabetes mellitus (T2DM) subjects. A cross-sectional study was conducted among 11,917 (age ≥ 18 years, 4418 males and 7499 females) T2DM subjects attending the health care centers and hospitals in Dhaka (Capital) and also in the northern part of Bangladesh operated by the local diabetic association. Data were collected through interviewer-administered questionnaire. The levels of knowledge and self-care practice were measured by predefined scores, categorized as poor (<mean – 1 SD), average (mean ± 1 SD), and good (>mean + 1 SD). Independent samples t test, ANOVA, and Pearson’s correlation were used to determine the association between different variables considering p value < 0.05. The mean (± SD) age (years) of the T2DM was 50 ± 12. The proportion of “poor,” “average,” and “good” score for knowledge were 34%, 51%, and 15% and for that practice were 16%, 72%, and 12%, respectively. Knowledge was significantly associated with practice (r = 0.299, p = 0.001). The study reveals a difference between knowledge and self-care practice related to T2DM. T2DM health literacy program needs to be developed for better health promotion.

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Acknowledgements

We are grateful to all the subjects who participated in the study despite their time constraints.

Funding

The author(s) received financial support from World Diabetes Foundation (WDF Grant no. 05-131) and Biomedical Research Group (BMRG), BIRDEM.

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Authors and Affiliations

  1. Department of Biostatistics, Bangladesh University of Health Sciences (BUHS), 125/1 Darus Salam, Mirpur, Dhaka, 1216, Bangladesh

    Hasina Akhter Chowdhury

  2. Department of Epidemiology, Bangladesh University of Health Sciences (BUHS), 125/1 Darus Salam, Mirpur, Dhaka, 1216, Bangladesh

    Kaniz Fatema

  3. Centre for Health Equity Training, Research & Evaluation (CHETRE), University of New South Wales (UNSW), Sydney, NSW, 2052, Australia

    Kaniz Fatema

  4. Department of Health Promotion and Health Education, BUHS, 125/1 Darus Salam, Mirpur, Dhaka, 1216, Bangladesh

    Sharmin Hossain, Khurshid Natasha & Tahmina Khan

  5. Department of Reproductive and Child Health, BUHS, 125/1 Darus Salam, Mirpur, Dhaka, 1216, Bangladesh

    Jesmin Akter & Ummy Salma Munni

  6. Department of Biochemistry and Cell Biology, BUHS, 125/1 Darus Salam, Mirpur, Dhaka, 1216, Bangladesh

    Liaquat Ali

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  1. Hasina Akhter Chowdhury
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Contributions

KF conceptualized the project design, analyzed statistical data, interpreted data, drafted the article and revised it critically for important intellectual content, and finally approved the version to be published; HAC and SH developed the idea, designed the project, interpreted data, and prepared and submitted the article; KN, TK, USM, and JA collected the data, performed statistical analysis, and interpreted the data; and LA supervised and monitored all aspects of this study. All authors contributed equally to the final version of the manuscript.

Corresponding author

Correspondence to Kaniz Fatema.

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Conflict of interest

The authors (HAC, KF, SH, KN, TK, JA, USM, LA) report no relationship or financial interest with any entity that would pose a conflict of interest with the subject matter of this article.

Ethical approval

was obtained from the ethics and research review committee of the Diabetic Association of Bangladesh. Informed written/thumb print consent was obtained from all respondents after a full explanation of the nature, purpose, and procedures used for the study. Participants were informed about their right to withdraw from the study at any stage of the study.

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Chowdhury, H.A., Fatema, K., Hossain, S. et al. Knowledge and self-care practice regarding diabetes among type 2diabetics: experience from a non-profit hospital chain in Bangladesh. Int J Diabetes Dev Ctries 38, 478–485 (2018). https://doi.org/10.1007/s13410-017-0597-7

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  • DOI: https://doi.org/10.1007/s13410-017-0597-7

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