Herath H M M, Weerasinghe N P, Dias H, Weerarathna T P
Department of Medicine, Faculty of Medicine, University of Ruhuna, P.O. Box 70, Galle, Sri Lanka.
Department of Microbiology, Faculty of Medicine, University of Ruhuna, P.O. Box 70, Galle, Sri Lanka.
BMC Public Health. 2017 Jun 1;17(1):535. doi: 10.1186/s12889-017-4459-5.
Type 2 diabetes mellitus (DM) has become a global epidemic with significant disability and premature death. Identification of the level of knowledge, attitude and practice (KAP) related to diabetes among the general public is important in strategies for prevention of diabetes mellitus.
This study was conducted as a community based cross sectional study in three Medical Officers of Health (MOH) areas in Galle district. Previously healthy literate individuals who have not attended any diabetes education program in the last two years were selected for this study.
A total of 277 participants were included in the study. The majority (77%) had either moderate (39%) or above moderate knowledge (38%) on diabetes mellitus. Even though, level of education was significantly and positively associated with knowledge (p = 0.001), the association of gender and age with knowledge was not significant. Unlike knowledge, the attitude towards diabetes was poor in majority (90%) and level of education had no significant effect on attitude. With regards to practices, more than half of study subjects never had their blood sugar checked and, about 65% used to take refined sugar liberally and a large majority (80%) had no regular exercise activity.
Even though the majority (77%) had moderate or above moderate knowledge on diabetes, their attitudes towards diabetes was poor (88%). It appears that the higher knowledge on diabetes did not translate into good practices as over 50% of study subjects did not involve with any preventive measures. Therefore, more emphasis should be given to address the issue of poor attitude and practices towards diabetes mellitus among general public in Sri Lanka.
2型糖尿病已成为一种全球性流行病,会导致严重残疾和过早死亡。在糖尿病预防策略中,了解普通公众对糖尿病的知识、态度和行为水平非常重要。
本研究是在加勒区的三个卫生医疗官(MOH)辖区开展的一项基于社区的横断面研究。选取过去两年未参加过任何糖尿病教育项目的既往健康且识字的个体作为研究对象。
共有277名参与者纳入本研究。大多数人(77%)对糖尿病有中等(39%)或以上中等水平的了解(38%)。尽管教育水平与知识水平呈显著正相关(p = 0.001),但性别和年龄与知识水平的相关性不显著。与知识情况不同,大多数人(90%)对糖尿病的态度较差,且教育水平对态度没有显著影响。在行为方面,超过一半的研究对象从未检查过血糖,约65%的人习惯大量食用精制糖,绝大多数人(80%)没有规律的运动。
尽管大多数人(77%)对糖尿病有中等或以上中等水平的了解,但他们对糖尿病的态度较差(88%)。似乎对糖尿病的较高认知并没有转化为良好的行为,因为超过50%的研究对象未采取任何预防措施。因此,应更加重视解决斯里兰卡普通公众对糖尿病态度和行为较差的问题。