Al-Balhan Eisa, Khabbache Hicham, Laaziz Abdelhadi, Watfa Ali, Mhamdi Abdelkader, Del Puente Giovanni, Bragazzi Nicola Luigi
Department of Educational Psychology, College of Education, Kuwait University, Kuwait City, Kuwait.
Faculty of Literature and Humanistic Studies, Sais, Sidi Mohamed Ben Abdellah University, Fez, Morocco.
Diabetes Metab Syndr Obes. 2018 Oct 16;11:633-640. doi: 10.2147/DMSO.S171990. eCollection 2018.
Diabetes represents a major public health concern. According to the International Diabetes Federation, about 8%-9% of the population have diabetes, and rates are even higher among Muslim communities. Despite the risks, about half (43%) with type 1 diabetes and most (86%) of those with type 2 diabetes fast during Ramadan. However, there is a dearth of information concerning the determinants that drive diabetic people to fast. Therefore, the present study was designed to fill this gap in knowledge.
A sample of 201 subjects volunteered to take part in this study. Mean age was 45.39±15.74 years. Most participants were female, married and had received at least primary education. They fasted for 22.98±8.53 days.
For the overall questionnaire, the Cronbach's alpha coefficient was found to be excellent (α=0.910). The coefficient was good, yielding a value of 0.879, for the items concerning Ramadan fasting beliefs and practices, whereas the subscale for religious beliefs and practices obtained a score of 0.847. At the univariate analysis, patients with complicated diabetes (n=66, 32.8% of the sample) fasted for 20.77±9.21 days vs subjects with diabetes (n=135, 67.2% of the interviewees), who fasted for 24.05±7.99 days. The difference was statistically significant (=0.014). The multivariate analysis indicated that religious beliefs and practices influenced the number of fasting days in a statistically significant way, after adjusting for confounders (beta coefficient =-0.199, =-2.917, =0.004). Another variable that impacted on the number of fasting days was the presence of complications (beta coefficient=-0.194, =-2.775, =0.006).
Our results warrant further studies in the field.
糖尿病是一个重大的公共卫生问题。根据国际糖尿病联合会的数据，约8%-9%的人口患有糖尿病，在穆斯林社区中这一比例甚至更高。尽管存在风险，但约一半（43%）的1型糖尿病患者和大多数（86%）的2型糖尿病患者在斋月期间禁食。然而，关于促使糖尿病患者禁食的决定因素的信息匮乏。因此，本研究旨在填补这一知识空白。
201名受试者自愿参与本研究。平均年龄为45.39±15.74岁。大多数参与者为女性，已婚，至少接受过小学教育。他们禁食了22.98±8.53天。
对于整个问卷，发现克朗巴哈系数极佳（α=0.910）。关于斋月禁食信仰和做法的项目系数良好，值为0.879，而宗教信仰和做法子量表得分为0.847。在单因素分析中，患有复杂糖尿病的患者（n=66，占样本的32.8%）禁食20.77±9.21天，而糖尿病患者（n=135，占受访者的67.2%）禁食24.05±7.99天。差异具有统计学意义（P=0.014）。多因素分析表明，在调整混杂因素后，宗教信仰和做法以统计学显著方式影响禁食天数（β系数=-0.199，P=-2.917，P=0.004）。另一个影响禁食天数的变量是并发症的存在（β系数=-0.194，P=-2.775，P=0.006）。
我们的结果值得该领域进一步研究。
