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Challenges of diabetes care in India: Results from a Family Cohort Study.
- Source :
- Public Health Nursing; Sep/Oct2022, Vol. 39 Issue 5, p933-939, 7p
- Publication Year :
- 2022
-
Abstract
- Objectives: Diabetes is a significant public health concern in India, with Kerala being labeled as the diabetes capital of the country. The study aims to evaluate the prevalence, treatment, and management of diabetes to examine the unmet need for care to propose cost-effective strategies. Design: A cross-sectional study was conducted on a geographically defined cohort population in Ernakulam. Sample: This paper presents diabetes data of adults ≥30 years enrolled from the community cohort. The interviews were conducted with 997 participants at their residence. Measurement: Random blood glucose was assessed for each participant using a finger prick test. Results: The overall prevalence of diabetes was 30.1%, of which 4.1% of participants had undiagnosed diabetes. Among those with diabetes, 86.3% were aware of their diagnosis; among those aware, 86.5% were on treatment. Among those on treatment for diabetes, 54% achieved controlled blood sugar. Conclusion: The challenge in diabetes management is controlling the blood glucose levels of people who adhere to treatment. Younger employed females from lower-income quartiles have the highest risk. The study also raises questions about quality and strategies for medication compliance. The findings inspire future research on care needs, policies, and program responses to reduce the diabetes disease burden. [ABSTRACT FROM AUTHOR]
- Subjects :
- BLOOD sugar analysis
DIAGNOSIS of diabetes
DIABETES prevention
TREATMENT of diabetes
INSULIN therapy
SPORTS participation
CONFIDENCE intervals
CROSS-sectional method
SELF-evaluation
AGE distribution
DIABETES
MEDICAL care costs
INTERVIEWING
HYPOGLYCEMIC agents
CONTINUUM of care
HEALTH literacy
DESCRIPTIVE statistics
HEALTH behavior
RESEARCH funding
DISEASE prevalence
EXERCISE intensity
PATIENT compliance
DATA analysis software
STATISTICAL sampling
SOCIODEMOGRAPHIC factors
DISEASE management
MEDICAL needs assessment
LONGITUDINAL method
BEHAVIOR modification
EDUCATIONAL attainment
PREDIABETIC state
Subjects
Details
- Language :
- English
- ISSN :
- 07371209
- Volume :
- 39
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Public Health Nursing
- Publication Type :
- Academic Journal
- Accession number :
- 160768040
- Full Text :
- https://doi.org/10.1111/phn.13073