Datta Bibhash, Datta Bhawna C, Dubey Shubhra, Das Abhijit, Manohar Ravindra, Mandarwal Dharmendra
Department of Community Medicine, Tripura Medical College and Dr. BRAM Teaching Hospital, Agartala, IND.
Department of Occupational Therapy, Shantha College of Allied Health Sciences, Bangalore, IND.
Cureus. 2024 Oct 4;16(10):e70806. doi: 10.7759/cureus.70806. eCollection 2024 Oct.
Background Type 2 diabetes mellitus (T2DM) is a major public health concern, affecting millions worldwide and placing a significant burden. This study aimed to assess the health-seeking behaviors and the economic burden of T2DM patients in Jaipur, Rajasthan. Methodology This cross-sectional observational study was conducted from January 2019 to June 2020 at the Community Health Centre (CHC) in Jaipur, India. A total of 400 T2DM patients, aged 18 years or older and diagnosed for at least six months, were included in the study. Data were collected through a semi-structured questionnaire, focusing on sociodemographic characteristics, health-seeking behaviors, and the economic impact of T2DM. IBM SPSS Statistics for Windows, Version 23 (Released 2015; IBM Corp., Armonk, New York, United States) was used for data analysis. Results The study revealed that 50.5% of the participants sought treatment from government hospitals, while 28.7% preferred private healthcare. Allopathic medicine was the most common treatment approach (96.5%). Affordability was the main factor influencing healthcare choices (57.0%). The average annual expenditure on diabetes care was Indian rupees (INR) 15,204, with patients spending INR 1,267 monthly on treatment. About 73.5% of the participants spent between INR 10,001 and 20,000 annually on diabetes care, and 39.8% of patients allocated 0-10% of their monthly income to healthcare expenses. Conclusion The results suggest that affordability plays a crucial role in determining health-seeking behaviors. The findings call for policy interventions to improve access to affordable care and mitigate the financial impact of diabetes. Further research is recommended to explore the long-term economic consequences of managing T2DM in similar settings.
背景 2 型糖尿病（T2DM）是一个重大的公共卫生问题，影响着全球数百万人，并带来了沉重负担。本研究旨在评估拉贾斯坦邦斋浦尔市 T2DM 患者的就医行为和经济负担。方法 本横断面观察性研究于 2019 年 1 月至 2020 年 6 月在印度斋浦尔的社区卫生中心（CHC）进行。共有 400 名年龄在 18 岁及以上且确诊至少六个月的 T2DM 患者纳入研究。通过半结构化问卷收集数据，重点关注社会人口学特征、就医行为以及 T2DM 的经济影响。使用 IBM SPSS Statistics for Windows，版本 23（2015 年发布；IBM 公司，美国纽约州阿蒙克）进行数据分析。结果 研究显示，50.5%的参与者在政府医院寻求治疗，而 28.7%的人更喜欢私立医疗保健。西医是最常见的治疗方法（96.5%）。可负担性是影响医疗保健选择的主要因素（57.0%）。糖尿病护理的年均支出为印度卢比（INR）15,204，患者每月花费 INR 1,267 用于治疗。约 73.5%的参与者每年在糖尿病护理上花费 10,001 至 20,000 INR，3
