孟加拉国农村地区糖尿病的知识、态度和实践：基于孟加拉国人口的糖尿病与眼病研究（BPDES）
Knowledge, attitudes and practice of diabetes in rural Bangladesh: the Bangladesh Population based Diabetes and Eye Study (BPDES).
作者信息
Islam Fakir M Amirul, Chakrabarti Rahul, Dirani Mohamed, Islam M Tauhidul, Ormsby Gail, Wahab Mohamed, Critchley Christine, Finger Robert P
机构信息
Department of Statistics, Data Science and Epidemiology, Faculty of Health, Arts and Design, Swinburne University of Technology, Melbourne, Australia; Organisation for Rural Community Development, Dariapur, Narail, Bangladesh.
Organisation for Rural Community Development, Dariapur, Narail, Bangladesh; Centre for Eye Research Australia, Royal Victorian Eye and Ear Hospital, University of Melbourne, Melbourne, Australia.
出版信息
PLoS One. 2014 Oct 14;9(10):e110368. doi: 10.1371/journal.pone.0110368. eCollection 2014.
BACKGROUND
To assess the Knowledge, Attitudes and Practice (KAP) amongst the general community regarding type 2 diabetes mellitus (DM) in rural Bangladesh.
METHODS
Data was collected using cluster random sampling from 3104 adults residing in a rural district in Bangladesh. Participants underwent a KAP questionnaire survey regarding assessing diabetes, socio-demographic and medical history. Descriptive, Chi-square and regression analyses were performed.
RESULTS
Participants were aged between 30 and 89 years (M = 51, SD= 11.8) and 65.5% were female. The prevalence of diabetes was found to be 8.3%. The majority (93%) reported to have heard of diabetes, yet only 4% knew what a glucose tolerance test was. Only 50% reported that they knew physical inactivity was a risk factor. Age, gender, level of education and socio-economic status (SES) were significantly associated with KAP. A lower proportion (41%) of older participants (aged ≥65 years) reported that they knew that dietary modifications assist in diabetes control compared to those aged less than 35 years (69%), p<0.001. Males (β = 0.393, 95% CI = 0.142-0.643), and any level of education compared to no schooling (β = 0.726, 95% CI = 0.596, 0.857) reported significantly more knowledge, after multivariate adjustments for covariates. Participants aged under 35 years, (odds ratio (OR)= 1.73, 95% CI = 1.22-2.43) had significantly higher positive attitudes towards treatments of diabetes compared to those aged ≥65 years. Of the 99 people with known diabetes, more than 50% (n = 52) never had their blood sugar levels checked since diagnosis.
CONCLUSIONS
Knowledge of diabetes and its risk factors is very limited in rural Bangladesh, even in persons diagnosed with type 2 DM. The development of public health programmes to increase knowledge of diabetes and its complications is required to assist people living in rural Bangladesh to control and management of diabetes.
背景
评估孟加拉国农村地区普通人群对2型糖尿病（DM）的知识、态度和实践情况。
方法
采用整群随机抽样方法，从孟加拉国一个农村地区的3104名成年人中收集数据。参与者接受了关于评估糖尿病、社会人口统计学和病史的知识、态度和实践问卷调查。进行了描述性分析、卡方分析和回归分析。
结果
参与者年龄在30至89岁之间（M = 51，SD = 11.8），65.5%为女性。糖尿病患病率为8.3%。大多数人（93%）报告听说过糖尿病，但只有4%知道什么是葡萄糖耐量试验。只有50%的人报告知道身体活动不足是一个危险因素。年龄、性别、教育程度和社会经济地位（SES）与知识、态度和实践情况显著相关。与年龄小于35岁的参与者（69%）相比，年龄较大的参与者（≥65岁）中报告知道饮食调整有助于控制糖尿病的比例较低（41%），p<0.001。在对协变量进行多变量调整后，男性（β = 0.393，95%CI = 0.142 - 0.643）以及任何教育程度的人（与未受过教育相比，β = 0.726，95%CI = 0.596，0.857）报告的知识明显更多。与年龄≥65岁的参与者相比，年龄在35岁以下的参与者对糖尿病治疗的积极态度明显更高（优势比（OR）= 1.73，95%CI = 1.22 - 2.43）。在99名已知患有糖尿病的人中，超过50%（n = 52）自诊断以来从未检查过血糖水平。
结论
在孟加拉国农村地区，即使是被诊断为2型糖尿病的患者，对糖尿病及其危险因素的了解也非常有限。需要制定公共卫生计划，以增加对糖尿病及其并发症的了解，帮助孟加拉国农村地区的人们控制和管理糖尿病。
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