PMID- 28446194
OWN - NLM
STAT- MEDLINE
DCOM- 20170925
LR  - 20240325
IS  - 1471-2458 (Electronic)
IS  - 1471-2458 (Linking)
VI  - 17
IP  - 1
DP  - 2017 Apr 26
TI  - Knowledge attitude and practice regarding diabetes mellitus among Nondiabetic and 
      diabetic study participants in Bangladesh.
PG  - 364
LID - 10.1186/s12889-017-4285-9 [doi]
LID - 364
AB  - BACKGROUND: Increased awareness amongst large population groups is a major 
      determinant for the prevention of diabetes and its complications as well as 
      related metabolic disorders. Knowledge and attitude are the principal markers of 
      awareness that need to be studied in various population groups in specific racial 
      and cultural contexts. The present study was undertaken to explore knowledge, 
      attitude and practice (KAP) regarding -diabetes mellitus (DM) among nondiabetic 
      (nonDM) and type 2 diabetes mellitus (T2DM) patients in Bangladesh. METHODS: A 
      cross-sectional study was conducted among 18,697 adults (aged 18 years and above; 
      7796 male and 10,901 female; 6780 nonDM and 11,917 T2DM) selected purposively 
      from the OPD of 19 healthcare centres in and around Dhaka and in northern parts 
      of Bangladesh. KAP were assessed by a pre-structured, interviewer-administered 
      questionnaire and categorised using predefined scores of poor (<mean - 1 SD), 
      average (mean +/- 1 SD) and good (>mean + 1 SD). Univariate and bivariate 
      statistical analysis were done as appropriate. Multivariate linear regression was 
      done to examine the association between diabetes related KAP and other 
      covariates. RESULTS: The mean (+/-SD) age (years) of all the study participants was 
      46 +/- 14, mean BMI 24.4 +/- 4.1 and mean waist-hip ratio (WHR) was 0.93 +/- 0.07. The 
      proportion of poor, average and good knowledge scores among T2DM subjects were 
      17%, 68% and 15% respectively. The corresponding values for attitude score were 
      23%, 67% and 10% respectively. The KAP regarding diabetes was found to be better 
      among people who were living with diabetes compared to their counterparts. DM 
      males showed better knowledge and practice regarding diabetes, compared to nonDM 
      counterparts (M +/- SD; 44.18 +/- 16.13 vs 40.88 +/- 15.62, p = <0.001; 66.00 +/- 29.68 
      vs 64.21 +/- 31.79, p < 0.001, respectively). Females showed better attitude score 
      compared to males. Overall KAP were found to be significantly higher (p < 0.001) 
      in middle aged (31-50 years) participants in each group. Participants from urban 
      residents, higher educational background and upper socio-economic class 
      demonstrated significantly greater score in terms of KAP in both nonDM and T2DM 
      groups (p < 0.001). On linear regression analysis, knowledge scores correlated 
      strongly with education, income, residence, diabetic state, BMI and attitude. 
      CONCLUSIONS: The overall level of knowledge and practice concerning diabetes 
      among Bangladeshi population is average, but the overall level of attitude is 
      good both in nonDM and T2DM subjects. To prevent diabetes and its complications 
      there is an urgent need for coordinated educational campaigns with a prioritized 
      focus on poorer, rural and less educated groups.
FAU - Fatema, Kaniz
AU  - Fatema K
AUID- ORCID: 0000-0002-2560-6506
AD  - Department of Epidemiology, Bangladesh University of Health Sciences (BUHS), 
      125/1 Darus Salam, Mirpur, Dhaka, 1216, Bangladesh. kaniz_dina@yahoo.com.
AD  - Present address: Faculty of Medicine, University of New South Wales (UNSW), 
      Sydney, NSW, 2052, Australia. kaniz_dina@yahoo.com.
FAU - Hossain, Sharmin
AU  - Hossain S
AD  - Department of Health Promotion and Health Education, BUHS, 125/1 Darus Salam, 
      Mirpur, Dhaka, 1216, Bangladesh.
FAU - Natasha, Khurshid
AU  - Natasha K
AD  - Department of Health Promotion and Health Education, BUHS, 125/1 Darus Salam, 
      Mirpur, Dhaka, 1216, Bangladesh.
FAU - Chowdhury, Hasina Akhter
AU  - Chowdhury HA
AD  - Department of Biostatistics, BUHS, 125/1 Darus Salam, Mirpur, Dhaka, 1216, 
      Bangladesh.
FAU - Akter, Jesmin
AU  - Akter J
AD  - Department of Reproductive and Child Health, BUHS, 125/1 Darus Salam, Mirpur, 
      Dhaka, 1216, Bangladesh.
FAU - Khan, Tahmina
AU  - Khan T
AD  - Department of Health Promotion and Health Education, BUHS, 125/1 Darus Salam, 
      Mirpur, Dhaka, 1216, Bangladesh.
FAU - Ali, Liaquat
AU  - Ali L
AD  - Department of Biochemistry and Cell Biology, BUHS, 125/1 Darus Salam, Mirpur, 
      Dhaka, 1216, Bangladesh.
LA  - eng
PT  - Journal Article
DEP - 20170426
PL  - England
TA  - BMC Public Health
JT  - BMC public health
JID - 100968562
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Age Factors
MH  - Aged
MH  - *Awareness
MH  - Bangladesh/epidemiology
MH  - Cross-Sectional Studies
MH  - Diabetes Mellitus, Type 2/*epidemiology
MH  - Female
MH  - *Health Knowledge, Attitudes, Practice
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Sex Factors
PMC - PMC5406895
OTO - NOTNLM
OT  - Attitude
OT  - Bangladesh
OT  - Knowledge
OT  - Practice
OT  - Type 2 diabetes
EDAT- 2017/04/28 06:00
MHDA- 2017/09/26 06:00
PMCR- 2017/04/26
CRDT- 2017/04/28 06:00
PHST- 2015/09/07 00:00 [received]
PHST- 2017/04/22 00:00 [accepted]
PHST- 2017/04/28 06:00 [entrez]
PHST- 2017/04/28 06:00 [pubmed]
PHST- 2017/09/26 06:00 [medline]
PHST- 2017/04/26 00:00 [pmc-release]
AID - 10.1186/s12889-017-4285-9 [pii]
AID - 4285 [pii]
AID - 10.1186/s12889-017-4285-9 [doi]
PST - epublish
SO  - BMC Public Health. 2017 Apr 26;17(1):364. doi: 10.1186/s12889-017-4285-9.