PMID- 38039284
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20231205
IS  - 2767-3375 (Electronic)
IS  - 2767-3375 (Linking)
VI  - 3
IP  - 12
DP  - 2023
TI  - Determinants of knowledge, attitude, and practice among patients with type 2 
      diabetes mellitus: A cross-sectional multicenter study in Tanzania.
PG  - e0001351
LID - 10.1371/journal.pgph.0001351 [doi]
LID - e0001351
AB  - Improvement of primary care for patients with type 2 diabetes mellitus (T2DM) 
      through the promotion of good knowledge, attitude, and practice is of paramount 
      importance for preventing its related complications. This study aimed to assess 
      the levels of knowledge, attitude, and practice and associated factors among 
      patients with T2DM. This was a cross-sectional multicenter hospital-based study 
      that included 979 patients from 8 health facilities in Tanzania. A standardized 
      semi-structured interviewer-administered questionnaire was used to extract the 
      required data. Factor analysis was used to determine the level of knowledge, 
      attitude, and practice. Multivariable analysis under binary logistic regression 
      analysis was used to determine the predictors of knowledge, attitude, and 
      practice. P<0.05 was considered significant. The levels of adequate knowledge, 
      positive attitude, and appropriate practice were 62.1%, 54%, and 30.9%, 
      respectively. Being self-employed (AOR = 1.74, 95% CI = 0.28-0.91, p = 0.040) 
      predicted adequate knowledge. Being male (AOR = 1.46, 95% CI = 1.06-2.01, p = 
      0.021 and visiting regional hospitals (AOR = 2.17, 95% CI = 1.33-2.51, p = 0.013) 
      were predictors of positive attitude. Residing in rural areas and not having 
      adequate knowledge of diabetes were less likely associated with appropriate 
      practice. This study has shown a significantly low level of appropriate practice 
      among patients with T2DM towards general issues on diabetes, risk factors, and 
      related complications. Therefore, emphasis should be placed on improving good 
      practices that can help prevent related complications.
CI  - Copyright: (c) 2023 Joho et al. This is an open access article distributed under 
      the terms of the Creative Commons Attribution License, which permits unrestricted 
      use, distribution, and reproduction in any medium, provided the original author 
      and source are credited.
FAU - Joho, Angelina A
AU  - Joho AA
AUID- ORCID: 0000-0003-0142-6081
AD  - Department of Clinical Nursing, School of Nursing and Public Health, The 
      University of Dodoma, Dodoma, Tanzania.
FAU - Sandi, Frank
AU  - Sandi F
AUID- ORCID: 0000-0003-2073-2041
AD  - Department of Ophthalmology, School of Medicine and Dentistry, The University of 
      Dodoma, Dodoma, Tanzania.
FAU - Yahaya, James J
AU  - Yahaya JJ
AD  - Department of Pathology, School of Health Sciences, Soroti University, Soroti, 
      Uganda.
LA  - eng
PT  - Journal Article
DEP - 20231201
PL  - United States
TA  - PLOS Glob Public Health
JT  - PLOS global public health
JID - 9918283779606676
PMC - PMC10691713
COIS- The authors have declared that no competing interests exist.
EDAT- 2023/12/01 18:41
MHDA- 2023/12/01 18:42
PMCR- 2023/12/01
CRDT- 2023/12/01 13:33
PHST- 2022/10/19 00:00 [received]
PHST- 2023/10/31 00:00 [accepted]
PHST- 2023/12/01 18:42 [medline]
PHST- 2023/12/01 18:41 [pubmed]
PHST- 2023/12/01 13:33 [entrez]
PHST- 2023/12/01 00:00 [pmc-release]
AID - PGPH-D-22-01621 [pii]
AID - 10.1371/journal.pgph.0001351 [doi]
PST - epublish
SO  - PLOS Glob Public Health. 2023 Dec 1;3(12):e0001351. doi: 
      10.1371/journal.pgph.0001351. eCollection 2023.