Knowledge, Attitudes and Practice of Diabetes in Rural Bangladesh: The Bangladesh Population Based Diabetes and Eye Study (BPDES)
Article
Article Title | Knowledge, Attitudes and Practice of Diabetes in Rural Bangladesh: The Bangladesh Population Based Diabetes and Eye Study (BPDES) |
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ERA Journal ID | 39745 |
Article Category | Article |
Authors | Islam, Fakir M. Amirul, Chakrabarti, Rahul, Dirani, Mohamed, Islam, M. Tauhidul, Ormsby, Gail, Wahab, Mohamed, Critchley, Christine and Finger, Robert P. |
Journal Title | PLoS One |
Journal Citation | 9 (10), pp. 1-11 |
Article Number | e110368 |
Number of Pages | 11 |
Year | 2014 |
Publisher | Public Library of Science (PLoS) |
Place of Publication | United States |
ISSN | 1932-6203 |
Digital Object Identifier (DOI) | https://doi.org/10.1371/journal.pone.0110368 |
Web Address (URL) | https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0110368 |
Abstract | Background: To assess the Knowledge, Attitudes and Practice (KAP) amongst the general community regarding type 2 diabetes mellitus (DM) in rural Bangladesh. Methods: Data was collected using cluster random sampling from 3104 adults residing in a rural district in Bangladesh. Participants underwent a KAP questionnaire survey regarding assessing diabetes, socio-demographic and medical history. Descriptive, Chi-square and regression analyses were performed. Results: Participants were aged between 30 and 89 years (M = 51, SD = 11.8) and 65.5% were female. The prevalence of diabetes was found to be 8.3%. The majority (93%) reported to have heard of diabetes, yet only 4% knew what a glucose tolerance test was. Only 50% reported that they knew physical inactivity was a risk factor. Age, gender, level of education and socio-economic status (SES) were significantly associated with KAP. A lower proportion (41%) of older participants (aged ≥65 years) reported that they knew that dietary modifications assist in diabetes control compared to those aged less than 35 years (69%), p≤0.001. Males (β = 0.393, 95% CI = 0.142-0.643), and any level of education compared to no schooling (β = 0.726, 95% CI = 0.596, 0.857) reported significantly more knowledge, after multivariate adjustments for covariates. Participants aged under 35 years, (odds ratio (OR) = 1.73, 95% CI = 1.22-2.43) had significantly higher positive attitudes towards treatments of diabetes compared to those aged ≥65 years. Of the 99 people with known diabetes, more than 50% (n = 52) never had their blood sugar levels checked since diagnosis. Conclusions: Knowledge of diabetes and its risk factors is very limited in rural Bangladesh, even in persons diagnosed with type 2 DM. The development of public health programmes to increase knowledge of diabetes and its complications is required to assist people living in rural Bangladesh to control and management of diabetes. |
Keywords | Adult; Aged; Aged, 80 and over; Bangladesh; Diabetes Mellitus, Type 2; Female; Health Knowledge, Attitudes, Practice; Humans; Male; Middle Aged; Risk Factors; Rural Population; Surveys and Questionnaires |
Byline Affiliations | Swinburne University of Technology |
Organisation for Rural Community Development, Bangladesh | |
University of Melbourne | |
Avondale College of Higher Education, Australia | |
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https://research.usq.edu.au/item/wz4zy/knowledge-attitudes-and-practice-of-diabetes-in-rural-bangladesh-the-bangladesh-population-based-diabetes-and-eye-study-bpdes
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