Alaofè Halimatou, Hounkpatin Waliou Amoussa, Djrolo Francois, Ehiri John, Rosales Cecilia
Health Promotion Sciences Department, University of Arizona, P.O. Box 245209, 1295 N. Martin Ave., Tucson, AZ, 85724, USA.
School of Nutrition and Food Science and Technology, Faculty of Agricultural Sciences of the University of Abomey-Calavi (FSA-UAC) Campus d'Abomey-Calavi, 01 BP 526, Calavi, Benin.
BMC Public Health. 2021 Feb 12;21(1):339. doi: 10.1186/s12889-021-10289-8.
Type 2 diabetes (T2D) is becoming an epidemic with significant disability and premature death in Sub-Saharan Africa, including Benin. However, little is known about the level of knowledge, attitude, and practice (KAP) necessary for diabetic patients to enhance therapeutic outcomes and prevent diabetes complications. The study aimed to assess patients' KAP levels and identify the factors associated in Cotonou, southern Benin.
A cross-sectional study was conducted from July to August 2019 among 300 diabetic patients from four health centers. Data was collected using validated questionnaires. KAP levels were determined by calculating the scores, and multivariate logistic regression was used to explore factors influencing KAP scores.
About 53, 52, and 47% of all patients had good knowledge, attitude, and practice towards diabetes. In logistic regression, factors such as being female, married, educated, government/non-government employee, and longer duration of diabetes were significantly associated with good knowledge. Being married, having a longer duration of diabetes, and good knowledge were significantly associated with a good attitude while being educated, having a longer duration of diabetes, and good knowledge with good practice.
Lack of knowledge, poor attitude, and inadequate practice were found in this surveyed community, suggesting a need for structured educational programs to assist diabetic patients. However, education should be considered a priority for male, newly diagnosed, and uneducated patients.
2型糖尿病（T2D）在包括贝宁在内的撒哈拉以南非洲地区正成为一种流行病，导致严重残疾和过早死亡。然而，对于糖尿病患者提高治疗效果和预防糖尿病并发症所需的知识、态度和实践（KAP）水平知之甚少。本研究旨在评估贝宁南部科托努患者的KAP水平，并确定相关因素。
2019年7月至8月，对来自四个健康中心的300名糖尿病患者进行了一项横断面研究。使用经过验证的问卷收集数据。通过计算得分来确定KAP水平，并使用多变量逻辑回归来探索影响KAP得分的因素。
所有患者中，分别约有53%、52%和47%对糖尿病有良好的知识、态度和实践。在逻辑回归中，女性、已婚、受过教育、政府/非政府雇员以及糖尿病病程较长等因素与良好的知识显著相关。已婚、糖尿病病程较长和良好的知识与良好的态度显著相关，而受过教育、糖尿病病程较长和良好的知识与良好的实践显著相关。
在这个被调查的社区中发现了知识缺乏、态度不佳和实践不足的情况，这表明需要制定结构化教育计划来帮助糖尿病患者。然而，对于男性、新诊断的患者和未受过教育的患者，教育应被视为优先事项。
