Al-Saeedi Mohammed, Elzubier Ahmed G, Al-Dawood Kasim M, Bahnasi Ahmed A
Directorate of Health Affairs, Holy Makkah, Saudi Arabia.
J Family Community Med. 2002 May;9(2):41-7.
To assess the prevalence of some dietary misconceptions among primary health care center-registered diabetic patients in Makka City, Saudi Arabia.
A sample of 1039 primary health care center- registered diabetic patients was interviewed using a structured questionnaire on diabetic diet -related misconceptions. A scoring system was used to document the frequency of misconceptions. The relationship of the misconceptions to socio-demographic and diabetes-related variables was assessed using chi-squared tests.
Most patients (68.7%) had a high diet misconception score. More than half of the sample had the misconception that carbohydrates were to be completely eliminated from the diet, and only dried bread and bitter foods were to be consumed. Data included the belief in the consumption of honey and dates; the omission of snacks; belief in the carcinogenicity of the sugar substitutes; and obesity as a sign of good health. The score was significantly higher among males (p<0.01), patients older than 35 years (p<0.02), and among patients whose level of education was low (p<0.01).
It is important to note that the rate of diet-related misconceptions among diabetics in Makka city is high. The study pointed to the target fraction of diabetic patients among whom these misconceptions prevailed. There is a need for constant motivation and appropriate education at frequent intervals to encourage better knowledge of the disease so that there is compliance to treatment.
评估沙特阿拉伯麦加市初级卫生保健中心登记的糖尿病患者中一些饮食误区的流行情况。
采用一份关于糖尿病饮食相关误区的结构化问卷，对1039名初级卫生保健中心登记的糖尿病患者进行访谈。使用评分系统记录误区的出现频率。采用卡方检验评估这些误区与社会人口统计学及糖尿病相关变量之间的关系。
大多数患者（68.7%）的饮食误区得分较高。超过半数的样本存在这样的误区，即认为应从饮食中完全剔除碳水化合物，只能食用干面包和苦味食物。数据还包括对食用蜂蜜和枣的看法；不吃零食；认为代糖具有致癌性；以及将肥胖视为健康的标志。男性患者（p<0.01）、35岁以上患者（p<0.02）以及受教育程度低的患者（p<0.01）的得分显著更高。
需要注意的是，麦加市糖尿病患者中与饮食相关的误区发生率较高。该研究指出了存在这些误区的糖尿病患者目标群体。需要持续给予激励并定期进行适当教育，以促进对该疾病有更好的了解，从而使患者能够遵医嘱治疗。
