PMID- 38051697 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231207 IS - 2767-3375 (Electronic) IS - 2767-3375 (Linking) VI - 3 IP - 12 DP - 2023 TI - Community perception of causes of death using verbal autopsy for diabetes mellitus in Saudi Arabia. PG - e0001690 LID - 10.1371/journal.pgph.0001690 [doi] LID - e0001690 AB - Diabetes mellitus is a serious global health issue which significantly impacts public health and socioeconomic development. Exploring how the community perceives the causes of death and their associated risk factors is crucial for public health. This study combines verbal autopsy (VA) with the Type 2 Diabetes Mellitus (T2DM) register to explore community perceptions of causes of death and associated influential factors in Makkah province, Saudi Arabia. 302 VA interviews were conducted with relatives or caregivers of deceased who died between 2018 and 2021 based on T2DM medical register from Alnoor Specialist Hospital in Makkah City, Saudi Arabia. Cause-specific mortality fractions (CSMFs) obtained from the VA using the InterVA-5 model were utilized to assess community perception. We used a multivariable logistic regression model to determine factors influencing community perceptions of causes of death. Lin's CCC with 95% CI was used to analyze the concordance for the CSMFs from verbal autopsy causes of death (VACoD) as a presumed reference standard and family-reported causes of death (FRCoD). The outcomes of this study demonstrate a generally broad spectrum of community perceived mortalities, with some critical misconceptions based on the type of death and other vital events like marital status, with an overall CCC of 0.60 (95% CI: 0.20-1.00; p = 003). The study findings demonstrate that community perception is weak if the deceased was male compared to female (aOR: 0.52; 95% CI: 0.26-1.03) and if the deceased was > = 80 years compared to 34-59 years (aOR: 0.48; 95% CI: 0.16-1.38), but it significantly improves among married compared to single (aOR: 2.13; 95% CI: 1.02-4.42). Exploring community perception of causes of death is crucial as it provides valuable insights into the community's understanding, beliefs, and concerns regarding mortality. Higher or lower community perception is attributed to how people may perceive risk factors associated with the causes of death, which can guide public health planning and interventional programs. The study findings further emphasize the need to employ robust and standardized VA methods within the routine medical services for a systemized assessment of families' reported causes of death. CI - Copyright: (c) 2023 Alyazidi 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 - Alyazidi, Faleh AU - Alyazidi F AUID- ORCID: 0000-0001-6823-2375 AD - School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. AD - Department of Public Health, College of Health Sciences at Al-Leith, Umm Al-Qura University, Al-Leith, Kingdom of Saudi Arabia. FAU - Shakely, Deler AU - Shakely D AUID- ORCID: 0000-0002-5259-6200 AD - School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. FAU - Petzold, Max AU - Petzold M AD - School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. FAU - Alyazidi, Fawaz AU - Alyazidi F AD - Infectious Diseases Control Department, Executive Directorate of Preventive Medicine, Makkah Healthcare Cluster, Makkah, Kingdom of Saudi Arabia. FAU - Hussain-Alkhateeb, Laith AU - Hussain-Alkhateeb L AUID- ORCID: 0000-0001-9607-110X AD - School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. AD - Population Health Research Section, King Abdullah International Medical Research Centre, Riyadh, Saudi Arabia. LA - eng PT - Journal Article DEP - 20231205 PL - United States TA - PLOS Glob Public Health JT - PLOS global public health JID - 9918283779606676 PMC - PMC10697554 COIS- The authors have declared that no competing interests exist. EDAT- 2023/12/06 03:42 MHDA- 2023/12/06 03:43 PMCR- 2023/12/05 CRDT- 2023/12/05 13:23 PHST- 2023/02/14 00:00 [received] PHST- 2023/11/06 00:00 [accepted] PHST- 2023/12/06 03:43 [medline] PHST- 2023/12/06 03:42 [pubmed] PHST- 2023/12/05 13:23 [entrez] PHST- 2023/12/05 00:00 [pmc-release] AID - PGPH-D-23-00222 [pii] AID - 10.1371/journal.pgph.0001690 [doi] PST - epublish SO - PLOS Glob Public Health. 2023 Dec 5;3(12):e0001690. doi: 10.1371/journal.pgph.0001690. eCollection 2023.