Investigation of Type 2 Diabetes Risk, its Symptoms and Knowledge Levels in Society
Yıl 2021,
Cilt: 14 Sayı: 4, 348 - 356, 15.10.2021
Eylem Topbaş
,
Gülay Bingöl
,
Özgen Çeler
,
Erdinç Ergöktaş
,
Cansu Şahin
,
Tuğçe Koçboğa
,
Merve Erkul
,
Nuriye Özer
,
Hülya Büyük
Öz
Background: The risk of Type 2 diabetes is increasing. Objectives: The study aims to identify Type 2 Diabetes risk, its symptoms and knowledge levels of the adults living in city centres. Methods: The population of this descriptive study consisted of individuals living in a city centre (30 neighborhoods) in 2015, and the sample consisted of individuals living in six neighborhoods (n=1000) randomly selected from the numbers table. The data were obtained by “Personal Information Form, Diabetes Risk Diagnosis Form (DRDF), Diabetes Symptom Diagnosis Form (DSDF) and Diabetes Knowledge Level Form (DKLF)” prepared by the researchers after a literature search. Results: Ages of participants were 33±30, 51.3% of them were male, 35.3% of them were high school graduates and 51.6% of them were married. DRDF=18.50±2.0, DSDF=25.14±4.22 DKLF=25.28±5.68, which were below the mean score. There was a statistically significant difference between DRDF, DSDF and DKLF scores and age, gender, marital status, educational status, body mass index and waist circumference (p<0.05). There was a statistically significant difference between the number of meals consumed per day and the scores of DM symptoms and knowledge level (p<.05), however, there was no statistically significant difference between the number of meals consumed per day and the score of DM risk. It was detected that as the waist circumference of the articipants enlargened, DM risk and symptom scores increased and DM knowledge scores decreased. Conclusion: The risk of diabetes, the incidence of symptoms and diabetes knowledge level were low in the sample group. It is recommended that awareness training sessions and risk screenings are carried out about diabetes.
Kaynakça
- 1. Lotfy M, Adeghate J, Kalasz H, Singh J, Adeghate E. Chronic complications of diabetes mellitus: A mini review. Curr Diabetes Rev 2017; 13(1): 3–10.
- 2. Khlid AA, Abbas Al M, Nisha S. Risk factors associated with diabetes mellitus in a Saudi community: A cross-sectional study. J Prim Health Care 2017; 7(2): 1–4.
- 3. Misra R, Fitch C, Roberts D, Wright D. Community-based diabetes screening and risk assessment in rural West Virginia. J Diabetes Res 2016; 1–9.
- 4. Marinho NBP, de Vasconcelos HCA, Alencar AMP, de Almeida GPC, Damasceno MMC. Risk for type 2 diabetes mellitus and associated factors. Acta Paulista de Enfermagem 2013; 26(6): 569-574.
- 5. Luo S, Han L, Zeng P, Chen F, Pan L, Wang S et al. A risk assessment model for type 2 Diabetes in Chinese. PLoS One 2014; 9(8): 1–7.
6. Ahmed SS, Laila RT, Thamilselvam P, Subramaniam K. Knowledge of risk factors and complications of diabetes in the Indian ethnic population of Malaysia undiagnosed to have diabetes. Int J Diabetes Res 2019; 8(1): 4-8.
- 7. Karakurt P, Hacıhasanoğlu Aşılar R, Yıldırım A, Sevinç H. Diyabetli hastaların hastalıkları hakkındaki bilgi düzeyleri ve tutumları, Eur J Ther 2017; 23: 165-72.
- 8. Kassahun CW, Mekonen AG. Knowledge, attitude, practices and their associated factors towards diabetes mellitus among nondiabetes community members of Bale Zone administrative towns, South East Ethiopia. A cross-sectional study. PloS one, 2017; 12(2): e0170040.
- 9. Demaio AR, Otgontuya D, Courten M De, Bygbjerg IC, Enkhtuya P, Oyunbileg J, et al. Exploring knowledge, attitudes and practices related to diabetes in Mongolia: a national population-based survey. BMC Public Health. 2013; 236: 2–8.
- 10. Gillani AH, Amirul Islam FM, Hayat K, Atif N, Yang C, Chang J et al. Knowledge, attitudes and practices regarding diabetes in the general population: A cross-sectional study from Pakistan. Int J Environ Res Public Health 2018; 15: 1906.
- 11. Gezer C, Ulusan D. Tip 2 diyabetli bireylerde hastalık bilgi düzeyi, sağlıklı yaşam biçimi ve yaşam kalitesi ilişkili mi? Türk Hijyen ve Deneysel Biyoloji 2020; 77(2):157-166.
- 12. Kayyali R, Slater N, Sahi A, Mepani D, Lalji K, Abdallah A. Type 2 Diabetes: how informed are the general public? A cross-sectional study investigating disease awareness and barriers to communicating knowledge in high-risk populations in London. BMC Public Health 2019; 19(1): 138.
- 13. https://idf.org/52-about-diabetes/451-diabetes-risk-factors.html. 01.Ocak 2015
- 14. https://www.cdc.gov/tobacco/data_statistics/sgr/50th-anniversary/index.html. 01.Ocak 2015
- 15. https://www.cdc.gov/tobacco/campaign/tips/diseases/diabetes.html#three. 01.Ocak 2015
- 16. https://www.turkdiab.org/diyabet-hakkinda-hersey.asp?lang=TR&id=48. 01.Ocak 2015.
- 17. Giovannucci E, Harlan DM, Archer MC, Bergenstal RM, Gapstur SM, Habel LA, et al. Diabetes and cancer: a consensus report. Diabetes Care. 2010; 33(7): 1674-1685.
- 18. World Health Organization. Obesity: Preventing and Managing the Global Epidemic: Report of a WHO Consultation on Obesity. Geneva, Switzerland: World Health Organization; 2000. World Health Organization Technical Report Series 894. https://www.who.int/nutrition/publications/obesity/WHO_TRS_894/en/. 01.Ocak 2015.
- 19. http://temd.org.tr/admin/uploads/tbl_yayinlar/metabolik_sendrom.pdf. 01.05.2015.
- 20. Satman I, Omer B, Tutuncu Y, Kalaca S, Gedik S, Dinccag N et al. Twelve-year trends in the prevalence and risk factors of diabetes and prediabetes in Turkish adults. Eur J Epidemiol 2013;28(2):169-80.).
- 21. AlShayban DM, Naqvi AA, Alhumaid O, AlQahtani AS, Islam MA, Ghori SA et al. Association of disease knowledge and medication adherence among out-patients with type 2 diabetes mellitus in Khobar, Saudi Arabia. Front Pharmacol 2020; 11: 60.
- 22. Ahn CH, Yoon JW, Hahn S, Moon MK, Park KS, Cho YM. Evaluation of non-laboratory and laboratory prediction models for current and future diabetes mellitus: A cross-sectional and retrospective cohort study. PLoS One 2016; 11(5): 1–14.
- 23. Rahmanian K, Mohammad Shojaei M, Jahromi AS. Relation of type 2 diabetes mellitus with gender, education, and marital status in an Iranian urban population. Rep Biochem Mol Biol 2013; 1(2): 64–68.
- 24. Bittencourt A, Vinholes DB. Assessing the risk for type 2 diabetes mellitus in bank employees from the city of Tubarao, Santa Catarina state, Brazil. Scientia Medica 2013; 23(2): 82–89.
- 25. Doğan B, Yörük N, Öner C, Yavuz G, Oğuz A. Üniversite öğrenci ve çalışanlarının diyabet riski ve beslenme alışkanlıklarının değerlendirilmesi. Türkiye Aile Hekimliği Dergisi 2017; 21(2): 50–55.
- 26. Tripati JP, Thakur JS, Jeet G, Chawla S, Jain S, Pal A et al. Prevalence and risk factors of diabetes in a large community-based study in North India: results from a STEPS survey in Punjab, India. Diabetol Metab Syndr 2017; 9(8): 2–8.
- 27. Liu Y, Zhang X, He L, Wang S. Prevalence and the relevant factors of type 2 diabetes mellitus among adults in Guizhou province in 2010-2012. Journal of Hygiene Research 2019; 48(5): 723-727.
- 28. Davidson MB, Duran P, Lee ML. Community screening for pre-diabetes and diabetes using HbA1c levels in high-risk African Americans and Latinos. Ethn Dis 2014; 24(2):195–199.
- 29. https://diabetesed.net/wp-content/uploads/2017/12/2018-ADA-Standards-of-Care.pdf Access Date: 08 Mayıs 2018.
- 30. Papier K, Jordan S, D‘Este C, Bain C, Peungson J, Banwell C et al. Incidence and risk factors for type 2 diabetes mellitus in transitional Thailand: results from the Thai cohort study. BMJ Open 2016; 6(12): e014102.
- 31. Cornelis MC, Chiuve SE, Glymour MM, Chang SC, Tchetgen Tchetgen EJ, Liang L et al. Bachelors, divorcees, and widowers: does marriage protect men from type 2 diabetes? PLoS One 2014; 9(9): 1–6.
- 32. Friedrich N, Schneider HJ, John U, Dorr M, Baumeister SE, Homuth G et al. Correlates of adverse outcomes in abdominally obese individuals: findings from the five-year followup of the population-based study of health in Pomerania. J Obes 2013; 1–7.
- 33. Veghari G, Sedaghat M, Joshaghani H, Hoseini SA, Niknezad F, Angizeh A. et al. Association between socio-demographic factors and diabetes mellitus in the north of Iran: A population-based study. International Journal of Diabetes Mellitus 2010; 2(3): 154–157.
- 34. Çayır A, Atak N, Köse SK. Assessment of obesity frequency and related factors on individuals attending to the department of nutrition and dietetics. Ankara Üniversitesi Tıp Fakültesi Mecmuası 2011; 64(1): 13–19.
- 35. Saydah S, Lochner K. Socioeconomic status and risk of diabetes-related mortality in the U.S. Public Health Rep 2010; 125(3): 377–388.
- 36. Tan M, Polat H, Kavurmacı M, Akgün Şahin Z, Dayapoğlu N. Kırsal kesimde yaşayan kadınların diyabet riskinin belirlenmesi. Diyabet, Obezite ve Hipertansiyonda Hemşirelik Forumu Dergisi 2015; 7(1): 48-54.
Toplumda Tip 2 Diyabet Riski, Belirtileri ve Bilgi Düzeylerinin Araştırılması
Yıl 2021,
Cilt: 14 Sayı: 4, 348 - 356, 15.10.2021
Eylem Topbaş
,
Gülay Bingöl
,
Özgen Çeler
,
Erdinç Ergöktaş
,
Cansu Şahin
,
Tuğçe Koçboğa
,
Merve Erkul
,
Nuriye Özer
,
Hülya Büyük
Öz
Giriş: Tip 2 diyabet riski giderek artmaktadır. Amaç: İl merkezinde yaşayan erişkin bireylerin Tip 2 diyabet riski, belirtileri ve bilgi düzeylerinin belirlenmesi amaçlanmıştır. Yöntem: Tanımlayıcı nitelikte olan bu çalışmanın evrenini bir il merkezindeki (30 mahalle) 2015 yılında yaşayan bireyler, örneklemini ise rastgele sayılar tablosundan seçilmiş altı mahallede oturan bireyler (n = 1000) oluşturdu. Veriler araştırmacılar tarafından ilgili literatür taranarak hazırlanan “Kişisel Bilgi Formu, Diyabet Risk Tanılama Formu (DRTF), Diyabet Belirti Tanılama Formu (DBTF) ve Diyabet Bilgi Düzeyi Formu (DBDF)” aracılığı ile elde edildi. Bulgular: Yaşları 33±30 olan katılımcıların; %51.3 erkek, %35.3 lise mezunu, %51.6’sı evliydi. DRTF:18.50±2.0, DBTF:25.14±4.22 DBDF:25.28±5.68 ile ortalama puanın altında idi. DRTF, DBTF ve DBDF toplam puanı ile yaş, cinsiyet, medeni durum, eğitim durumu, beden kitle indeksi ve bel çevresi arasında istatistiksel olarak anlamlı bir farklılık vardı (p<0.05). Günde tüketilen öğün sayısı ile DM belirti ve bilgi düzeyi toplam puanı arasında istatistiksel olarak anlamlı bir farklılık varken, DM riski toplam puanı arasında istatistiksel olarak anlamlı bir farklılık saptanmadı (p>0.05). Katılımcıların bel çevresi genişledikçe DM risk ve semptom puanlarının arttığı, DM bilgi puanlarının ise düştüğü saptandı. Sonuç: Örneklem grubunda diyabet riski, belirtilerin görülme sıklığı ve diyabet bilgi düzeyi düşükdü. Diyabet hakkında farkındalık eğitimleri ve risk taramalarının yapılması önerilir.
Kaynakça
- 1. Lotfy M, Adeghate J, Kalasz H, Singh J, Adeghate E. Chronic complications of diabetes mellitus: A mini review. Curr Diabetes Rev 2017; 13(1): 3–10.
- 2. Khlid AA, Abbas Al M, Nisha S. Risk factors associated with diabetes mellitus in a Saudi community: A cross-sectional study. J Prim Health Care 2017; 7(2): 1–4.
- 3. Misra R, Fitch C, Roberts D, Wright D. Community-based diabetes screening and risk assessment in rural West Virginia. J Diabetes Res 2016; 1–9.
- 4. Marinho NBP, de Vasconcelos HCA, Alencar AMP, de Almeida GPC, Damasceno MMC. Risk for type 2 diabetes mellitus and associated factors. Acta Paulista de Enfermagem 2013; 26(6): 569-574.
- 5. Luo S, Han L, Zeng P, Chen F, Pan L, Wang S et al. A risk assessment model for type 2 Diabetes in Chinese. PLoS One 2014; 9(8): 1–7.
6. Ahmed SS, Laila RT, Thamilselvam P, Subramaniam K. Knowledge of risk factors and complications of diabetes in the Indian ethnic population of Malaysia undiagnosed to have diabetes. Int J Diabetes Res 2019; 8(1): 4-8.
- 7. Karakurt P, Hacıhasanoğlu Aşılar R, Yıldırım A, Sevinç H. Diyabetli hastaların hastalıkları hakkındaki bilgi düzeyleri ve tutumları, Eur J Ther 2017; 23: 165-72.
- 8. Kassahun CW, Mekonen AG. Knowledge, attitude, practices and their associated factors towards diabetes mellitus among nondiabetes community members of Bale Zone administrative towns, South East Ethiopia. A cross-sectional study. PloS one, 2017; 12(2): e0170040.
- 9. Demaio AR, Otgontuya D, Courten M De, Bygbjerg IC, Enkhtuya P, Oyunbileg J, et al. Exploring knowledge, attitudes and practices related to diabetes in Mongolia: a national population-based survey. BMC Public Health. 2013; 236: 2–8.
- 10. Gillani AH, Amirul Islam FM, Hayat K, Atif N, Yang C, Chang J et al. Knowledge, attitudes and practices regarding diabetes in the general population: A cross-sectional study from Pakistan. Int J Environ Res Public Health 2018; 15: 1906.
- 11. Gezer C, Ulusan D. Tip 2 diyabetli bireylerde hastalık bilgi düzeyi, sağlıklı yaşam biçimi ve yaşam kalitesi ilişkili mi? Türk Hijyen ve Deneysel Biyoloji 2020; 77(2):157-166.
- 12. Kayyali R, Slater N, Sahi A, Mepani D, Lalji K, Abdallah A. Type 2 Diabetes: how informed are the general public? A cross-sectional study investigating disease awareness and barriers to communicating knowledge in high-risk populations in London. BMC Public Health 2019; 19(1): 138.
- 13. https://idf.org/52-about-diabetes/451-diabetes-risk-factors.html. 01.Ocak 2015
- 14. https://www.cdc.gov/tobacco/data_statistics/sgr/50th-anniversary/index.html. 01.Ocak 2015
- 15. https://www.cdc.gov/tobacco/campaign/tips/diseases/diabetes.html#three. 01.Ocak 2015
- 16. https://www.turkdiab.org/diyabet-hakkinda-hersey.asp?lang=TR&id=48. 01.Ocak 2015.
- 17. Giovannucci E, Harlan DM, Archer MC, Bergenstal RM, Gapstur SM, Habel LA, et al. Diabetes and cancer: a consensus report. Diabetes Care. 2010; 33(7): 1674-1685.
- 18. World Health Organization. Obesity: Preventing and Managing the Global Epidemic: Report of a WHO Consultation on Obesity. Geneva, Switzerland: World Health Organization; 2000. World Health Organization Technical Report Series 894. https://www.who.int/nutrition/publications/obesity/WHO_TRS_894/en/. 01.Ocak 2015.
- 19. http://temd.org.tr/admin/uploads/tbl_yayinlar/metabolik_sendrom.pdf. 01.05.2015.
- 20. Satman I, Omer B, Tutuncu Y, Kalaca S, Gedik S, Dinccag N et al. Twelve-year trends in the prevalence and risk factors of diabetes and prediabetes in Turkish adults. Eur J Epidemiol 2013;28(2):169-80.).
- 21. AlShayban DM, Naqvi AA, Alhumaid O, AlQahtani AS, Islam MA, Ghori SA et al. Association of disease knowledge and medication adherence among out-patients with type 2 diabetes mellitus in Khobar, Saudi Arabia. Front Pharmacol 2020; 11: 60.
- 22. Ahn CH, Yoon JW, Hahn S, Moon MK, Park KS, Cho YM. Evaluation of non-laboratory and laboratory prediction models for current and future diabetes mellitus: A cross-sectional and retrospective cohort study. PLoS One 2016; 11(5): 1–14.
- 23. Rahmanian K, Mohammad Shojaei M, Jahromi AS. Relation of type 2 diabetes mellitus with gender, education, and marital status in an Iranian urban population. Rep Biochem Mol Biol 2013; 1(2): 64–68.
- 24. Bittencourt A, Vinholes DB. Assessing the risk for type 2 diabetes mellitus in bank employees from the city of Tubarao, Santa Catarina state, Brazil. Scientia Medica 2013; 23(2): 82–89.
- 25. Doğan B, Yörük N, Öner C, Yavuz G, Oğuz A. Üniversite öğrenci ve çalışanlarının diyabet riski ve beslenme alışkanlıklarının değerlendirilmesi. Türkiye Aile Hekimliği Dergisi 2017; 21(2): 50–55.
- 26. Tripati JP, Thakur JS, Jeet G, Chawla S, Jain S, Pal A et al. Prevalence and risk factors of diabetes in a large community-based study in North India: results from a STEPS survey in Punjab, India. Diabetol Metab Syndr 2017; 9(8): 2–8.
- 27. Liu Y, Zhang X, He L, Wang S. Prevalence and the relevant factors of type 2 diabetes mellitus among adults in Guizhou province in 2010-2012. Journal of Hygiene Research 2019; 48(5): 723-727.
- 28. Davidson MB, Duran P, Lee ML. Community screening for pre-diabetes and diabetes using HbA1c levels in high-risk African Americans and Latinos. Ethn Dis 2014; 24(2):195–199.
- 29. https://diabetesed.net/wp-content/uploads/2017/12/2018-ADA-Standards-of-Care.pdf Access Date: 08 Mayıs 2018.
- 30. Papier K, Jordan S, D‘Este C, Bain C, Peungson J, Banwell C et al. Incidence and risk factors for type 2 diabetes mellitus in transitional Thailand: results from the Thai cohort study. BMJ Open 2016; 6(12): e014102.
- 31. Cornelis MC, Chiuve SE, Glymour MM, Chang SC, Tchetgen Tchetgen EJ, Liang L et al. Bachelors, divorcees, and widowers: does marriage protect men from type 2 diabetes? PLoS One 2014; 9(9): 1–6.
- 32. Friedrich N, Schneider HJ, John U, Dorr M, Baumeister SE, Homuth G et al. Correlates of adverse outcomes in abdominally obese individuals: findings from the five-year followup of the population-based study of health in Pomerania. J Obes 2013; 1–7.
- 33. Veghari G, Sedaghat M, Joshaghani H, Hoseini SA, Niknezad F, Angizeh A. et al. Association between socio-demographic factors and diabetes mellitus in the north of Iran: A population-based study. International Journal of Diabetes Mellitus 2010; 2(3): 154–157.
- 34. Çayır A, Atak N, Köse SK. Assessment of obesity frequency and related factors on individuals attending to the department of nutrition and dietetics. Ankara Üniversitesi Tıp Fakültesi Mecmuası 2011; 64(1): 13–19.
- 35. Saydah S, Lochner K. Socioeconomic status and risk of diabetes-related mortality in the U.S. Public Health Rep 2010; 125(3): 377–388.
- 36. Tan M, Polat H, Kavurmacı M, Akgün Şahin Z, Dayapoğlu N. Kırsal kesimde yaşayan kadınların diyabet riskinin belirlenmesi. Diyabet, Obezite ve Hipertansiyonda Hemşirelik Forumu Dergisi 2015; 7(1): 48-54.