Diabetes knowledge and utilization of healthcare services among patients with type 2 diabetes mellitus in Dhaka, Bangladesh.

Authors:
Dr Sheikh Mohammed Shariful Islam, MBBS, MPH, PhD
Dr Sheikh Mohammed Shariful Islam, MBBS, MPH, PhD
Deakin University
Senior Research Fellow
Digital Medicine
Burwood, VIC | Australia
Palash Chandra Banik, MPhil in NCD
Palash Chandra Banik, MPhil in NCD
BANGLADESH UNIVERSITY OF HEALTH SCIENCES
ASSISTANT PROFESSOR
Dhaka | Bangladesh
Lal B Rawal
Lal B Rawal
International Centre for Diarrhoeal Disease Research
Dhaka | Bangladesh

BMC Health Serv Res 2017 Aug 22;17(1):586. Epub 2017 Aug 22.

James P. Grant School of Public Health (JPGSPH), BRAC University, Dhaka, Bangladesh.

Background: Diabetes is a significant global public health concern. Poor knowledge of disease and healthcare utilization is associated with worse health outcomes, leading to increasing burden of diabetes in many developing countries. This study aimed to determine diabetes related knowledge and factors affecting utilization of healthcare services among patients with type 2 diabetes mellitus in Bangladesh.

Methods: This analytical study was conducted among 318 patients with type 2 diabetes (T2DM) attending two large tertiary hospitals in Dhaka, Bangladesh between August 2014 and January 2015. Interviewer assisted semi-structured survey questionnaire was used to collect data on diabetes knowledge (measured by a validated Likert scale) and self-reported utilization of service for diabetes. Univariate and bivariate analyses were conducted to determine the factors associated with diabetes knowledge and healthcare utilization.

Results: The mean (±SD) age of participants was 52 (±10) years. Majority of the participants were females (58%) and urban residents (74%). Almost two-third (66%) of the participants had an average level of knowledge of T2DM. One-fifth (21%) of the participants had poor knowledge which was significantly associated with gender (P < 0.002), education (P < 0 .001) and income (P < 0.001). The median travel and waiting time at the facility was 30 and 45 min respectively. More than one-third (37%) of the participants checked their blood glucose monthly. Most patients were satisfied regarding the family (55%) and hospital (67%) support.

Conclusion: T2DM patients had average knowledge of diabetes which might affect the utilization of healthcare services for diabetes management. Innovations in increasing diabetes knowledge and health behavior change are recommended specially for females, those with lower education and less income.

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Source
http://dx.doi.org/10.1186/s12913-017-2542-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5567438PMC
August 2017
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