Abstract
Background: Diabetes Mellitus currently is expected to affect 642 million people by the year 2040. There are 69.1 million adults with diabetes in India at present. Diabetes has thus become a great economic challenge as it drains between 5 – 25 % of the family income of an average Indian. Most of the diagnosed cases have poor glycemic control due to lack of awareness. Assessing the level of awareness is of utmost importance as increased awareness is the key to prevention of the disease and its complications.
Methods: Questionnaire based cross sectional study was conducted at General Medicine outpatient department. Newly diagnosed and known cases of diabetes for 5 years who were within the age group of 20 years to 80 years were included. 24-item Diabetes Knowledge Questionnaire (DKQ-24) from the Starr County Texas diabetes education study was used for this study.
Results: A total of 201 patients were included in the study. Knowledge scores were categorized into three levels indicated by poor, moderate and good level of knowledge. 32% had good knowledge, 45% had moderate knowledge and 23% had poor knowledge about diabetes. In this study we found that age of the patient, duration of diabetes, educational status and occupational status significantly influence the awareness levels.
Conclusion: Awareness of diabetes plays an important role in the diagnosis and control of the disease. In our study we were able to identify certain areas where lack of knowledge was critical. The findings could be used in an integrated programme to improve patient self-management.
Keywords: Diabetes mellitus, Diabetes knowledge questionnaire, Disease status, Knowledge.
References
- Ismaeil FM, Ali N. Diabetic patients knowledge, attitude and practice toward oral health. JEP. 2013;4(20):19-25.
- Alberti KG, Zimmet PZ. Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: diagnosis and classification of diabetes mellitus. Provisional report of a WHO consultation. Diabetic medicine. 1998 Jul;15(7):539-53.
- Sahoo K, Sahoo B, Choudhury AK, Sofi NY, Kumar R, Bhadoria AS. Childhood obesity: causes and consequences. Journal of family medicine and primary care. 2015 Apr;4(2):187.
- Atlas D. International diabetes federation. IDF diabetes atlas. Brussels: International Diabetes Federation. 2015.
- Shobhana R, Rao PR, Lavanya A, Williams R, Vijay V, Ramachandran A. Expenditure on health care incurred by diabetic subjects in a developing country—a study from southern India. Diabetes research and clinical practice. 2000 Apr 1;48(1):37-42.
- Garcia AA, Villagomez ET, Brown SA, Kouzekanani K, Hanis CL. The Starr County Diabetes Education Study: development of the Spanish-language diabetes knowledge questionnaire. Diabetes care. 2001 Jan 1;24(1):16-21.
- Abegunde DO, Mathers CD, Adam T, Ortegon M, Strong K. The burden and costs of chronic diseases in low-income and middle-income countries. The Lancet. 2007 Dec 8;370(9603):1929-38.
- Hjelm K, Mufunda E, Nambozi G, Kemp J. Preparing nurses to face the pandemic of diabetes mellitus: a literature review. Journal of advanced nursing. 2003 Mar;41(5):424-34.
- Heisler M, Smith DM, Hayward RA, Krein SL, Kerr EA. How well do patients’ assessments of their diabetes self-management correlate with actual glycemic control and receipt of recommended diabetes services?. Diabetes care. 2003 Mar 1;26(3):738-43.
- Chiu CJ, Wray LA. Peer reviewed: factors predicting glycemic control in middle-aged and older adults with type 2 diabetes. Preventing chronic disease. 2010 Jan;7(1).
- Karter AJ, Stevens MR, Brown AF, Duru OK, Gregg EW, Gary TL, Beckles GL, Tseng CW, Marrero DG, Waitzfelder B, Herman WH. Educational disparities in health behaviors among patients with diabetes: the Translating Research Into Action for Diabetes (TRIAD) Study. BMC Public Health. 2007 Dec;7(1):1-9.
- Schillinger D, Grumbach K, Piette J, Wang F, Osmond D, Daher C, Palacios J, Sullivan GD, Bindman AB. Association of health literacy with diabetes outcomes. Jama. 2002 Jul 24;288(4):475-82.
- Shrestha N, Yadav SB, Joshi AM, Patel BD, Shrestha J, Bharkher DL. Diabetes knowledge and associated factors among diabetes patients in Central Nepal. International Journal of Collaborative Research on Internal Medicine & Public Health. 2015;7(5):0-.
- Arora S, Marzec K, Gates C, Menchine M. Diabetes knowledge in predominantly Latino patients and family caregivers in an urban emergency department. Ethnicity & disease. 2011 Jan 1;21(1):1-6.
- Al-Adsani AM, Moussa MA, Al-Jasem LI, Abdella NA, Al-Hamad NM. The level and determinants of diabetes knowledge in Kuwaiti adults with type 2 diabetes. Diabetes & metabolism. 2009 Apr 1;35(2):121-8.
- Jasper US, Ogundunmade BG, Opara MC, Akinrolie O, Pyiki EB, Umar A. Determinants of diabetes knowledge in a cohort of Nigerian diabetics. Journal of Diabetes & Metabolic Disorders. 2014 Dec;13(1):1-8.
- Feleke SA, Alemayehu CM, Adane HT, Onigbinde A, Akindoyi O, Faremi F. Assessment of the level and associated factors with knowledge and practice of diabetes mellitus among diabetic patients attending at FelegeHiwot hospital, Northwest Ethiopia. Clin Med Res. 2013 Sep 30;2(6):110.
Corresponding Author
Dr Swetha Devi Geddam
Post Graduate, Dept of General Medicine, Sri Manakula Vinayagar Medical College and Hospital, Puducherry, India