Meyrowitsch Dan Wolf, Nielsen Jannie, Bygbjerg Ib Christian, Søndergaard Jens, Thi Diep Khong, Huyen Dieu Bui Thi, Gammeltoft Tine, Duc Thanh Nguyen
Global Health Section, Department of Public Health, University of Copenhagen, Øster Farimagsgade 5, DK-1353, Copenhagen K, Denmark.
Emory Global Diabetes Research Center, Hubert Department of Global Health, Rollins school of Public Health, Emory University, 1518 Clifton Rd, Atlanta, GA, 30322, USA.
Public Health Pract (Oxf). 2023 Feb 2;5:100364. doi: 10.1016/j.puhip.2023.100364. eCollection 2023 Jun.
The objective of this study was to identify determinants associated with unmet needs for informal support among people with type-2 diabetes in rural communities of Vietnam in order to inform development of effective interventions aimed at bridging the gap between community members and resource constrained health systems.
A cross-sectional survey was conducted from December 2018 to February 2019 in a rural area of northern Vietnam.
From 2 districts in northern Vietnam, 806 people with type-2 diabetes participated in a survey to assess who were their most important informal caregivers (ICGs) and to measure the association between demographic and socio-economic predictors and unmet needs of informal support of relevance for diabetes self-care using bivariate and multivariate analyses.
The spouse was reported as the most important ICG (62.9%) followed by a daughter or son (28.4%). 32.0% reported at least one type of unmet need for informal support. The most commonly reported unmet needs of informal care were: transport to health facilities and company when seeking formal care (20.5%), financial support related to costs of diabetes self-management (18.5%), and reminders to engage in physical exercise (14.5%). People living alone reported the highest odds ratio (OR) for unmet need of informal care (OR = 4.41; CI95%: 2.19-8.88), followed by those being poor (OR = 3.79; CI95%: 1.25-11.52) and those being unemployed (OR = 2.85; CI95%: 1.61-5.05).
Almost one-third of people with type-2 diabetes reported at least one type of unmet need for informal care. These findings provide a basis for development of new modalities for strengthening support provided by ICGs in rural communities in Vietnam and in other low- and middle-income countries.
本研究旨在确定越南农村社区2型糖尿病患者未得到满足的非正式支持需求的相关决定因素，以便为制定有效干预措施提供依据，这些措施旨在弥合社区成员与资源有限的卫生系统之间的差距。
2018年12月至2019年2月在越南北部农村地区进行了一项横断面调查。
从越南北部的2个地区，806名2型糖尿病患者参与了一项调查，以评估谁是他们最重要的非正式照顾者（ICG），并使用双变量和多变量分析来衡量人口统计学和社会经济预测因素与糖尿病自我护理相关的非正式支持未满足需求之间的关联。
配偶被报告为最重要的ICG（62.9%），其次是女儿或儿子（28.4%）。32.0%的人报告至少有一种类型的非正式支持未得到满足。最常报告的非正式护理未满足需求是：前往医疗机构的交通以及寻求正规护理时的陪伴（20.5%）、与糖尿病自我管理费用相关的经济支持（18.5%）以及进行体育锻炼的提醒（14.5%）。独居者报告非正式护理未满足需求的比值比（OR）最高（OR = 4.41；95%CI：2.19 - 8.88），其次是贫困者（OR = 3.79；95%CI：1.25 - 11.52）和失业者（OR = 2.85；95%CI：1.61 - 5.05）。
近三分之一的2型糖尿病患者报告至少有一种类型的非正式护理未得到满足。这些发现为开发新的模式提供了基础，以加强越南农村社区以及其他低收入和中等收入国家的ICG提供的支持。
