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

Overview

Journal BMC Public Health

Publisher Biomed Central

Specialty Public Health

Date 2019 Feb 2

PMID 30704425

Citations 15

Authors

Reem Kayyali

Natasha Slater

Aisha Sahi

Deepa Mepani

Karima Lalji

Ako Abdallah

Affiliations

Soon will be listed here.

Abstract

Background: Preventing type 2 diabetes (T2DM) is one of the biggest health challenges currently facing the UK, with the NHS spending £14 billion each year on treating the disease and associated symptoms.

Aims: The aim of this study was to determine the public's awareness about the symptoms, risk factors and lifestyle choices, commonly associated with T2DM. This study also aimed to determine whether the level of awareness varies if the questions are asked in different languages, primarily those spoken by ethnic minorities.

Methods: This was a cross sectional, multisite study conducted in London, UK, involving 399 participants, who were non-diabetic, aged between 25 and 74 years old and living in one of four selected London boroughs. Descriptive statistics, Chi square and Fisher's Exact Tests were used to highlight and summarise the key findings of this study.

Results: A response rate of 23.7% (n = 399/1683) for the English questionnaire was achieved. Overall, 59.4% (n = 237/399) of the cohort were able to identify a minimum of three T2DM symptoms and thus, were considered to have adequate or good awareness. Whereas, 60.6% (n = 242/399) were able to identify a minimum of six T2DM risk factors and were considered to have adequate or good awareness. More participants could correctly identify that obesity was a risk factor of T2DM when they were asked the question in their spoken language, rather than English (p < 0.01). When participants were asked about their current lifestyle choices, there were high levels of inactivity, smoking and alcohol consumption reported.

Conclusion: Despite approximately half of participants demonstrating adequate or good awareness about the symptoms, risk factors and lifestyle choices commonly associated with T2DM, yet the study still highlights gaps in awareness among the remaining proportion of participants. Future prevention interventions should be tailored to address these existing gaps in awareness.

Citing Articles

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References

Connolly V, Unwin N, Sherriff P, Bilous R, Kelly W . Diabetes prevalence and socioeconomic status: a population based study showing increased prevalence of type 2 diabetes mellitus in deprived areas. J Epidemiol Community Health. 2000; 54(3):173-7. PMC: 1731634. DOI: 10.1136/jech.54.3.173. View

Garcia A, Villagomez E, Brown S, Kouzekanani K, Hanis C . The Starr County Diabetes Education Study: development of the Spanish-language diabetes knowledge questionnaire. Diabetes Care. 2001; 24(1):16-21. DOI: 10.2337/diacare.24.1.16. View

Ford S, Mai F, Manson A, Rukin N, Dunne F . Diabetes knowledge--are patients getting the message?. Int J Clin Pract. 2001; 54(8):535-6. View

Rankin J, Bhopal R . Understanding of heart disease and diabetes in a South Asian community: cross-sectional study testing the 'snowball' sample method. Public Health. 2001; 115(4):253-60. DOI: 10.1038/sj.ph.1900777. View

Rhodes P, Nocon A . A problem of communication? Diabetes care among Bangladeshi people in Bradford. Health Soc Care Community. 2003; 11(1):45-54. DOI: 10.1046/j.1365-2524.2003.00398.x. View

Lindstrom J, Louheranta A, Mannelin M, Rastas M, Salminen V, Eriksson J . The Finnish Diabetes Prevention Study (DPS): Lifestyle intervention and 3-year results on diet and physical activity. Diabetes Care. 2003; 26(12):3230-6. DOI: 10.2337/diacare.26.12.3230. View

Yamaoka K, Tango T . Efficacy of lifestyle education to prevent type 2 diabetes: a meta-analysis of randomized controlled trials. Diabetes Care. 2005; 28(11):2780-6. DOI: 10.2337/diacare.28.11.2780. View

Gillies C, Abrams K, Lambert P, Cooper N, Sutton A, Hsu R . Pharmacological and lifestyle interventions to prevent or delay type 2 diabetes in people with impaired glucose tolerance: systematic review and meta-analysis. BMJ. 2007; 334(7588):299. PMC: 1796695. DOI: 10.1136/bmj.39063.689375.55. View

Raynor D, Blenkinsopp A, Knapp P, Grime J, Nicolson D, Pollock K . A systematic review of quantitative and qualitative research on the role and effectiveness of written information available to patients about individual medicines. Health Technol Assess. 2007; 11(5):iii, 1-160. DOI: 10.3310/hta11050. View

10.

Balady G, Williams M, Ades P, Bittner V, Comoss P, Foody J . Core components of cardiac rehabilitation/secondary prevention programs: 2007 update: a scientific statement from the American Heart Association Exercise, Cardiac Rehabilitation, and Prevention Committee, the Council on Clinical Cardiology; the.... Circulation. 2007; 115(20):2675-82. DOI: 10.1161/CIRCULATIONAHA.106.180945. View

11.

HARRIS C, Bradlyn A, Coffman J, Gunel E, Cottrell L . BMI-based body size guides for women and men: development and validation of a novel pictorial method to assess weight-related concepts. Int J Obes (Lond). 2007; 32(2):336-42. DOI: 10.1038/sj.ijo.0803704. View

12.

Fukuoka Y, Gay C, Joiner K, Vittinghoff E . A Novel Diabetes Prevention Intervention Using a Mobile App: A Randomized Controlled Trial With Overweight Adults at Risk. Am J Prev Med. 2015; 49(2):223-37. PMC: 4509889. DOI: 10.1016/j.amepre.2015.01.003. View

13.

Clark B, Boghani S, Grullon C, Batista M . The Impact of a Worksite-Based Diabetes Prevention Intervention: A Pilot Study. Popul Health Manag. 2016; 20(3):233-238. DOI: 10.1089/pop.2016.0055. View

14.

Mathur R, Bhaskaran K, Edwards E, Lee H, Chaturvedi N, Smeeth L . Population trends in the 10-year incidence and prevalence of diabetic retinopathy in the UK: a cohort study in the Clinical Practice Research Datalink 2004-2014. BMJ Open. 2017; 7(2):e014444. PMC: 5337737. DOI: 10.1136/bmjopen-2016-014444. View

15.

Nguyen V, Huynh T, Chavannes N . Knowledge on self-management and levels of asthma control among adult patients in Ho Chi Minh City, Vietnam. Int J Gen Med. 2018; 11:81-89. PMC: 5833772. DOI: 10.2147/IJGM.S157050. View

16.

Sawyer S, Azzopardi P, Wickremarathne D, Patton G . The age of adolescence. Lancet Child Adolesc Health. 2018; 2(3):223-228. DOI: 10.1016/S2352-4642(18)30022-1. View

17.

Sitzia J, Wood N . Response rate in patient satisfaction research: an analysis of 210 published studies. Int J Qual Health Care. 1998; 10(4):311-7. DOI: 10.1093/intqhc/10.4.311. View