The Prevalence and Management of Diabetes Mellitus Among Educated and Uneducated Populations in Pakistan. A comparative study
Diabetes Awareness and Control
DOI:
https://doi.org/10.69750/dmls.01.05.049Keywords:
Diabetes mellitus, prevalence, management, education, glycemic control, awareness, Pakistan, biomarkers, lifestyle modifications, public healthAbstract
Background: Diabetes mellitus (DM) is a growing public health challenge globally, particularly in developing countries like Pakistan. Education plays a crucial role in DM management and awareness.
Objective: The aim of this work was to compare the rate and the treatment of diabetes mellitus (DM) in educated and uneducated people of Pakistan.
Methodology: This comparative study was conducted on 500 participants out of which 300 has been given formal education that is at least secondary education whereas 200 has no formal education that is they have dropped out at least at primary level. Diabetes prevalence, awareness, and management and lifestyle practices data were collected using structured questionnaires and blood glucose measurements. Data analysis was done with SPSS v 25.0, where chi-squared tests and logistic regression were used to assess the relationship of educational status with DM prevalence and its management.
Results: The result showed that DM was higher among the uneducated group which was 32% compare to the educated group which was 18%. The participants who were educated had better understanding of DM, better compliance with the prescribed drug regimen and improved life style changes. On the other hand, the uneducated group had poor disease knowledge and worst management hence poor management of their disease condition.
Conclusion: Education has a great effect on the incidence and control of DM. The study implies that there is a significant lack of knowledge about DM among the uneducated population hence the need to conduct health education to create awareness and ensure proper management of DM.
Downloads
References
Akash MSH, Rehman K, Jabeen K, Fiayyaz F, Sabir S, Haq MEu. Assessment of knowledge, attitude and practice of Pakistani population about the risk factors, causes, complications and management of diabetes mellitus. Journal of Pakistan Medical Association. 2021 2021/01/31/:286.
Abdul Basit K, Fawwad A, Mustafa N, Davey T, Tahir B, Basit A. Changes in the prevalence of diabetes, prediabetes and associated risk factors in rural Baluchistan; a secondary analysis from repeated surveys (2002–2017). PLOS ONE. 2023;18(4):e0284441.doi: 10.1371/journal.pone.0284441
Akhtar S, Nasir JA, Javed A, Saleem M, Sajjad S, Khan M, et al. The prevalence of diabetes in Afghanistan: a systematic review and meta-analysis. BMC Public Health. 2021;21(1):941.doi: 10.1186/s12889-021-10993-5
Siddique K, Malik Ra, Usman A, Ishfaq K, Nadeem MS, Qadir M, et al. Self-care behaviors and glycemic control among older Type 2 diabetes mellitus patients in low-income families in Southern Punjab, Pakistan. Journal of Human Behavior in the Social Environment. 2022;32(1):67-76.doi: 10.1080/10911359.2020. 1851843
Basit A, Sabir S, Riaz M, Fawwad A, Abro MUR, Ahmed KI, et al. NDSP 05: Prevalence and pattern of dyslipidemia in urban and rural areas of Pakistan; a sub analysis from second National Diabetes Survey of Pakistan (NDSP) 2016–2017. Journal of Diabetes & Metabolic Disorders. 2020;19(2):1215-25.doi: 10.1007/s40200-020-00631-z
Sana S, Hina S, Junaid R, Zoya F. Is a sedentary lifestyle a leading causal factor of obesity and distress in type 2 diabetes? A cross-sectional study in low-socioeconomic areas of Karachi, Pakistan. BMJ Public Health. 2023;1(1):e000149.doi: 10.1136/bmjph-2023-000149
Bukhsh A, Goh B-H, Zimbudzi E, Lo C, Zoungas S, Chan K-G, et al. Type 2 Diabetes Patients' Perspectives, Experiences, and Barriers Toward Diabetes-Related Self-Care: A Qualitative Study From Pakistan. Frontiers in Endocrinology. 2020;11.doi: 10.3389/fendo.2020.534873
Majeed A, Rehman M, Hussain I, Imran I, Saleem MU, Saeed H, et al. The Impact of Treatment Adherence on Quality of Life Among Type 2 Diabetes Mellitus Patients – Findings from a Cross-Sectional Study. Patient Preference and Adherence. 2021;15(null):475-81.doi: 10.2147/ PPA.S295012
Arshad MS, Alqahtani F, Rasool MF. The Economic Burden of Type 2 Diabetes Mellitus in Pakistan: A Cost of Illness Study. Healthcare. 2024;12(18):1826.doi: 10.3390/healthcare1218 1826
Moradpour F, Rezaei S, Piroozi B, Moradi G, Moradi Y, Piri N, et al. Prevalence of prediabetes, diabetes, diabetes awareness, treatment, and its socioeconomic inequality in west of Iran. Scientific Reports. 2022;12(1):17892.doi: 10.1038/s41598-022-22779-9
Sharif H, Jan SS, Sharif S, Seemi T, Naeem H, Jawed Z. Depression and suicidal ideation among individuals with type-2 diabetes mellitus, a cross-sectional study from an urban slum area of Karachi, Pakistan. Frontiers in Public Health. 2023;11.doi: 10.3389/fpubh.2023.1135964
Haq MEU, Akash MSH, Sabir S, Mahmood MH, Rehman K. Human exposure to bisphenol A through dietary sources and development of diabetes mellitus: a cross-sectional study in Pakistani population. Environmental Science and Pollution Research. 2020;27(21):26262-75.doi: 10.1007/s11356-020-09044-013. Moradi F, Ziapour A, Abbas J, Najafi S, Rezaeian S, Faraji O, et al. Comparing the Associated Factors on Lifestyle Between Type 2 Diabetic Patients and Healthy People: A Case-Control Study. Community Health Equity Research & Policy. 2023;43(3):293-9.doi: 10.1177/0272684x211022158
Khalid N, Ahmad F, Qureshi FM. Association amid the comorbidity of Diabetes Mellitus in patients of Active Tuberculosis in Pakistan: A matched case control study. Pak J Med Sci. 2021;37(3):816-20.doi: 10.12669/pjms.37.3.3274
Tabatabaei-Malazy O, Saeedi Moghaddam S, Rezaei N, Sheidaei A, Hajipour MJ, Mahmoudi N, et al. A nationwide study of metabolic syndrome prevalence in Iran; a comparative analysis of six definitions. PLOS ONE. 2021;16(3):e0241926.doi: 10.1371/journal.pone.0241926
Riaz M, Shah G, Asif M, Shah A, Adhikari K, Abu-Shaheen A. Factors associated with hypertension in Pakistan: A systematic review and meta-analysis. PLOS ONE. 2021;16(1):e0246 085.doi: 10.1371/journal.pone. 0246085
Ahmad H, Ahmed Z, Kashif S, Liaqat S, Afreen A. Study of metabolic syndrome indicators in newly diagnosed diabetes mellitus type 2 patients in Pakistani population. Nutrition and Health.0(0):02601060221144140.doi: 10.1177/02601060221144140
Rahman S, Asif A, Iftikhar M, Rizvi A, Hussain A. Self-Reported Treatment Adherence in Patients of Diabetes Mellitus Type 2: A Cross-Sectional Study in Lahore, Pakistan. Esculapio Journal of SIMS. 2023;16(4):22-8.doi: 10.51273/esc20.251645
Ashraf S, Afzal M, Yaqoob A, Khan S. Effects of Health Education Guidelines on Selfcare Knowledge among Women with Gestational Diabetes Mellitus. Annals of Punjab Medical College. 2023;17(1):45-9.doi: 10.29054/apmc/ 2023.1302
Haq Z, Zaidi SUS, Shahid MN, Waseem AB, Tahir I, Munir M, et al. The Impact of High BMI on Cholesterol Levels and Type-2 Diabetes Control. A Cross-Sectional Study: High BMI: Effects on Cholesterol and Type-2 Diabetes Control. DEVELOPMENTAL MEDICO-LIFE-SCIENCES. 2024;1(1):7-12.doi: 10.69750/dmls. 01.01.018
Downloads
Published
Issue
Section
License
Copyright (c) 2024 DEVELOPMENTAL MEDICO-LIFE-SCIENCES
This work is licensed under a Creative Commons Attribution 4.0 International License.
The Author(s) 2024. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/public domain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.