Knowledge of diabetes and associated factors in rural Eastern Cape, South Africa: A cross sectional study
Background Diabetes management is complex and requires several lifestyle modifications and engagement in self-management behaviours to prevent complications and to improve health outcomes. Adequate disease knowledge is required in order to engage in appropriate self-management behaviours. Yet, patie...
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| description | Background Diabetes management is complex and requires several lifestyle modifications and engagement in self-management behaviours to prevent complications and to improve health outcomes. Adequate disease knowledge is required in order to engage in appropriate self-management behaviours. Yet, patients' knowledge of diabetes and associated factors are scarcely investigated. Context-specific data on diabetes knowledge are crucial for designing appropriate interventions for improving knowledge and treatment outcomes. This study examined the level of diabetes knowledge and its associated factors among persons with diabetes in Eastern Cape Province, South Africa. Methods We conducted a cross-sectional study among 399 individuals attending diabetes care at six randomly selected primary healthcare facilities in Eastern Cape. Demographic data were obtained through questionnaire interviews while diabetes knowledge was assessed using the validated Michigan Diabetes Knowledge Test questionnaire. Descriptive and inferential statistics were used to assess the mean diabetes knowledge and its associated factors. Results Participants' median age was 63 (IQR: 54-70) years, and the median diabetes duration was 6 (IQR: 3-13) years. From a total score of 20, participants' knowledge of diabetes ranged from 0 to 17 with an average score of 7.5 (SD±2.2). After controlling for relevant covariates, being employed was positively associated with higher diabetes knowledge (p |
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Adequate disease knowledge is required in order to engage in appropriate self-management behaviours. Yet, patients' knowledge of diabetes and associated factors are scarcely investigated. Context-specific data on diabetes knowledge are crucial for designing appropriate interventions for improving knowledge and treatment outcomes. This study examined the level of diabetes knowledge and its associated factors among persons with diabetes in Eastern Cape Province, South Africa. Methods We conducted a cross-sectional study among 399 individuals attending diabetes care at six randomly selected primary healthcare facilities in Eastern Cape. Demographic data were obtained through questionnaire interviews while diabetes knowledge was assessed using the validated Michigan Diabetes Knowledge Test questionnaire. Descriptive and inferential statistics were used to assess the mean diabetes knowledge and its associated factors. Results Participants' median age was 63 (IQR: 54-70) years, and the median diabetes duration was 6 (IQR: 3-13) years. From a total score of 20, participants' knowledge of diabetes ranged from 0 to 17 with an average score of 7.5 (SD±2.2). After controlling for relevant covariates, being employed was positively associated with higher diabetes knowledge (p<0.001). However, health facility level was negatively associated with diabetes knowledge (p = 0.001). Participants receiving care at the community healthcare centres had a lower level of diabetes knowledge compared to those receiving care at the primary healthcare clinics. Conclusion There was a low level of knowledge on the various components of diabetes management among individuals with diabetes in this setting. Therefore, context-specific interventions to improve the knowledge of diabetes is required and should target unemployed individuals and the community health centres in the region.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0269811</identifier><identifier>PMID: 35839178</identifier><language>eng</language><publisher>San Francisco: Public Library of Science</publisher><subject>Biology and Life Sciences ; Care and treatment ; Clinics ; Community health care ; Complications ; Context ; Cross-sectional studies ; Data collection ; Diabetes ; Diabetes mellitus ; Education ; Glucose ; Health care ; Health care facilities ; Hemoglobin ; Knowledge ; Low level ; Median (statistics) ; Medicine and Health Sciences ; Patient outcomes ; Population ; Provinces ; Questionnaires ; Social Sciences</subject><ispartof>PloS one, 2022-07, Vol.17 (7), p.e0269811-e0269811</ispartof><rights>COPYRIGHT 2022 Public Library of Science</rights><rights>2022 Owolabi et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 Owolabi et al 2022 Owolabi et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c562t-aa4fa869feed47016140d1a496dbfc09a8869722792c0459ced8c34e9f74b8e43</citedby><cites>FETCH-LOGICAL-c562t-aa4fa869feed47016140d1a496dbfc09a8869722792c0459ced8c34e9f74b8e43</cites><orcidid>0000-0001-5575-7842 ; 0000-0001-9070-7875 ; 0000-0002-6004-3972</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9286222/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9286222/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79569,79570</link.rule.ids></links><search><creatorcontrib>Owolabi, Eyitayo Omolara</creatorcontrib><creatorcontrib>Goon, Daniel Ter</creatorcontrib><creatorcontrib>Ajayi, Anthony Idowu</creatorcontrib><creatorcontrib>Adeniyi, Oladele Vincent</creatorcontrib><title>Knowledge of diabetes and associated factors in rural Eastern Cape, South Africa: A cross sectional study</title><title>PloS one</title><description>Background Diabetes management is complex and requires several lifestyle modifications and engagement in self-management behaviours to prevent complications and to improve health outcomes. Adequate disease knowledge is required in order to engage in appropriate self-management behaviours. Yet, patients' knowledge of diabetes and associated factors are scarcely investigated. Context-specific data on diabetes knowledge are crucial for designing appropriate interventions for improving knowledge and treatment outcomes. This study examined the level of diabetes knowledge and its associated factors among persons with diabetes in Eastern Cape Province, South Africa. Methods We conducted a cross-sectional study among 399 individuals attending diabetes care at six randomly selected primary healthcare facilities in Eastern Cape. Demographic data were obtained through questionnaire interviews while diabetes knowledge was assessed using the validated Michigan Diabetes Knowledge Test questionnaire. Descriptive and inferential statistics were used to assess the mean diabetes knowledge and its associated factors. Results Participants' median age was 63 (IQR: 54-70) years, and the median diabetes duration was 6 (IQR: 3-13) years. From a total score of 20, participants' knowledge of diabetes ranged from 0 to 17 with an average score of 7.5 (SD±2.2). After controlling for relevant covariates, being employed was positively associated with higher diabetes knowledge (p<0.001). However, health facility level was negatively associated with diabetes knowledge (p = 0.001). Participants receiving care at the community healthcare centres had a lower level of diabetes knowledge compared to those receiving care at the primary healthcare clinics. Conclusion There was a low level of knowledge on the various components of diabetes management among individuals with diabetes in this setting. Therefore, context-specific interventions to improve the knowledge of diabetes is required and should target unemployed individuals and the community health centres in the region.</description><subject>Biology and Life Sciences</subject><subject>Care and treatment</subject><subject>Clinics</subject><subject>Community health care</subject><subject>Complications</subject><subject>Context</subject><subject>Cross-sectional studies</subject><subject>Data collection</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Education</subject><subject>Glucose</subject><subject>Health care</subject><subject>Health care facilities</subject><subject>Hemoglobin</subject><subject>Knowledge</subject><subject>Low level</subject><subject>Median (statistics)</subject><subject>Medicine and Health Sciences</subject><subject>Patient outcomes</subject><subject>Population</subject><subject>Provinces</subject><subject>Questionnaires</subject><subject>Social 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Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Owolabi, Eyitayo Omolara</au><au>Goon, Daniel Ter</au><au>Ajayi, Anthony Idowu</au><au>Adeniyi, Oladele Vincent</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Knowledge of diabetes and associated factors in rural Eastern Cape, South Africa: A cross sectional study</atitle><jtitle>PloS one</jtitle><date>2022-07-15</date><risdate>2022</risdate><volume>17</volume><issue>7</issue><spage>e0269811</spage><epage>e0269811</epage><pages>e0269811-e0269811</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Background Diabetes management is complex and requires several lifestyle modifications and engagement in self-management behaviours to prevent complications and to improve health outcomes. Adequate disease knowledge is required in order to engage in appropriate self-management behaviours. Yet, patients' knowledge of diabetes and associated factors are scarcely investigated. Context-specific data on diabetes knowledge are crucial for designing appropriate interventions for improving knowledge and treatment outcomes. This study examined the level of diabetes knowledge and its associated factors among persons with diabetes in Eastern Cape Province, South Africa. Methods We conducted a cross-sectional study among 399 individuals attending diabetes care at six randomly selected primary healthcare facilities in Eastern Cape. Demographic data were obtained through questionnaire interviews while diabetes knowledge was assessed using the validated Michigan Diabetes Knowledge Test questionnaire. Descriptive and inferential statistics were used to assess the mean diabetes knowledge and its associated factors. Results Participants' median age was 63 (IQR: 54-70) years, and the median diabetes duration was 6 (IQR: 3-13) years. From a total score of 20, participants' knowledge of diabetes ranged from 0 to 17 with an average score of 7.5 (SD±2.2). After controlling for relevant covariates, being employed was positively associated with higher diabetes knowledge (p<0.001). However, health facility level was negatively associated with diabetes knowledge (p = 0.001). Participants receiving care at the community healthcare centres had a lower level of diabetes knowledge compared to those receiving care at the primary healthcare clinics. Conclusion There was a low level of knowledge on the various components of diabetes management among individuals with diabetes in this setting. Therefore, context-specific interventions to improve the knowledge of diabetes is required and should target unemployed individuals and the community health centres in the region.</abstract><cop>San Francisco</cop><pub>Public Library of Science</pub><pmid>35839178</pmid><doi>10.1371/journal.pone.0269811</doi><orcidid>https://orcid.org/0000-0001-5575-7842</orcidid><orcidid>https://orcid.org/0000-0001-9070-7875</orcidid><orcidid>https://orcid.org/0000-0002-6004-3972</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Biology and Life Sciences Care and treatment Clinics Community health care Complications Context Cross-sectional studies Data collection Diabetes Diabetes mellitus Education Glucose Health care Health care facilities Hemoglobin Knowledge Low level Median (statistics) Medicine and Health Sciences Patient outcomes Population Provinces Questionnaires Social Sciences |
| title | Knowledge of diabetes and associated factors in rural Eastern Cape, South Africa: A cross sectional study |
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