加纳一项基于机构的横断面研究：2型糖尿病患者家庭社会经济地位、社区支持系统与饮食建议依从性的关联
Association of household socioeconomic status, neighborhood support system and adherence to dietary recommendation among persons with T2DM, a facility-based cross-sectional study in Ghana.
作者信息
Doglikuu Be-Ikuu Dominic, Abubakari Abdulai, Yaseri Mehdi, Shakibazadeh Elham, Djazayery Abolghassem, Mirzaei Khadijeh
机构信息
International Campus, Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
Ministry of Health, Nursing and Midwifery Training College, Twifo Praso, Central Region, Ghana.
出版信息
BMC Public Health. 2021 May 13;21(1):911. doi: 10.1186/s12889-021-10963-x.
BACKGROUND
Dietary recommendation help persons with diabetes adopt to healthy eating habits to achieve optimal glycemic control. Socioeconomic-status and neighborhood support system can influence adherence to dietary recommendation. The purpose of our study is to assess the association of household-socioeconomic status and neighborhood-support system with adherence to dietary recommendation among persons with type 2 diabetes mellitus (T2DM).
METHODS
Facility-based cross-sectional-survey was conducted in Brong Ahafo region, Ghana. Six hospitals were randomly selected and 530 individuals with T2DM consecutively recruited from the selected hospitals for the study. Structured-questionnaires were used to collect socio-demographic variables. Adherence to dietary-recommendation was the outcome-variable, and was assessed using perceived dietary-adherence questionnaire.
RESULTS
Age (years) (P-value = 0.005), Physical-Activity level (P-value = 0.024) Receive-moderate Social-Support (P-value = 0.004) and High-Socioeconomic status (P-value = 0.046) were significantly correlated with adherence to dietary-recommendation. Age (years) regression coefficient (β) -0.089, 95%CI (- 0.12, - 0.001), Being married β0.103, 95%CI (0.002, 0.02), moderate and low-social support system β 0.309, 95%CI (0.17, 0.38) and β-0.192, 95%CI (- 0.26, - 0.06) respectively, and high-socioeconomic status β 0.197, 95%CI (0.06, 0.25) were significantly associated with adherence to dietary-recommendation.
CONCLUSION
Social-support system and socioeconomic-status could be associated with adherence to dietary-recommendation. Therefore, health workers should consider patients' social support system and socioeconomic status as modifiable factors for optimum adherence.
背景
饮食建议有助于糖尿病患者养成健康的饮食习惯，以实现最佳的血糖控制。社会经济地位和社区支持系统会影响对饮食建议的依从性。我们研究的目的是评估2型糖尿病（T2DM）患者的家庭社会经济地位和社区支持系统与对饮食建议的依从性之间的关联。
方法
在加纳的布朗阿哈福地区进行了基于机构的横断面调查。随机选择了六家医院，并从选定医院连续招募了530名T2DM患者进行研究。使用结构化问卷收集社会人口统计学变量。对饮食建议的依从性是结果变量，并使用感知饮食依从性问卷进行评估。
结果
年龄（岁）（P值=0.005）、身体活动水平（P值=0.024）、获得适度社会支持（P值=0.004）和高社会经济地位（P值=0.046）与对饮食建议的依从性显著相关。年龄（岁）回归系数（β）为-0.089，95%置信区间（-0.12，-0.001），已婚β为0.103，95%置信区间（0.002，0.02），适度和低社会支持系统β分别为0.309，95%置信区间（0.17，0.38）和β为-0.192，95%置信区间（-0.26，-0.06），高社会经济地位β为0.197，95%置信区间（0.06，0.
Zotero 插件