Knowledge and Perception of Diabetes and Available Services among Diabetic Patients in the State of Qatar

Al-Anoud Al-Thani, Aiman Farghaly, Hammad Akram, ShamsEldin Khalifa, Benjamin Vinodson, Alma Loares, Abdul-Badi Abou-Samra

Abstract


Introduction: Diabetes is a major public health concern in Qatar. This study examined diabetes knowledge and perception of available services for diabetes control among diabetic patients in Qatar.

Methods: Data from 300 diabetic patients were collected through face-to-face interviews using a semi-structured questionnaire between February and May 2015 at Hamad Medical Corporation healthcare facilities in Qatar. Survey responses were represented as frequencies, and Chi-square tests were used to compare proportions across gender. A p-value of 0.05 was considered statistically significant.

Results: 31% of patients had Type 1 Diabetes (T1D) (females 36.6%, males 26.5%) and 54% had Type 2 Diabetes (T2D) (males 56.6%, females 50%). Knowledge about diabetes types did not differ by sex (P=0.16). 32.3% of patients were treated for diabetes-related complications including: high cholesterol (39.2%), vision problems (33.1%), hypertension (30.0%), and foot problems (25.1 %). Most patients were diagnosed at primary care clinics (41.7%). During visits, 78.3% of patients reported that they were fully advised about different diabetes tests. 57.0% of patients had ≥4 visits for diabetes checkups in the past 12 months. 66.7% of patients reported that they were confident or very confident in managing their diabetes as a result of their healthcare visits in the past year. The majority of patients reported receiving diabetes-related guidance from physicians (89.7%).

Conclusions: Study participants had variable knowledge of diabetes, its complications and risk factors, and services available to diabetics. More comprehensive education and awareness about diabetes is recommended for both patients and family members. At the provider level, further improvement in patient counseling and promotion of available services can be beneficial.


Keywords


Diabetes; Diabetes Knowledge; Diabetes Health Services; Diabetic Patient Survey; Qatar

Full Text:

PDF

References


Badran M, Laher I. Obesity in Arabic-Speaking Countries. J Obes. 2011;686430.

Al-Thani MH, Al-Thani AA, Al-Chetachi WF, Khalifa SAH, Akram H, Poovelil B, et al. Dietary and Nutritional Factors Influencing Obesity in Qatari Adults and the Modifying Effect of Physical Activity. J Obes Weight-Loss Medic. 2015;1(1).

Qatar STEPwise report for chronic disease risk factor surveillance. 2012. https://www.mdps.gov.qa/en/statistics/Surveys/STEPwise_Report.pdf. Accessed 23 January 2019.

Ali FM, Nikoloski Z, Reka H, Gjebrea O, Mossialos E. The diabetes-obesity-hypertension nexus in Qatar: evidence from the World Health Survey. Popul Health Metr. 2014;12(1):1–10.

Al-Thani M, Al-Thani AA, Al-Chetachi W, Khalifa SE, Vinodson B, Al-Malki B, et.al. Situation of Diabetes and Related Factors Among Qatari Adults: Findings From a Community-Based Survey. JMIR Diabetes. 2017; 2(1):e7.

National Health Strategy. Qatar National Health Strategy 2011–2016. https://www.moph.gov.qa/health-strategies/pages/national-health-strategy.aspx. Accessed 23 January 2019.

Qatar National Diabetes Strategy 2018-2022. Ministry of Public Health. https://www.moph.gov.qa/HSF/Documents/short%20report%20eng%2020.03.2018.pdf. Accessed 23 January 2019.

Hamad Medical Corporation, Our organization. https://www.hamad.qa/EN/About-Us/Our-Organization/Pages/default.aspx. Accessed 23 January 2019.

Hukoomi, Health Insurance, Health Card. 2018. http://portal.www.gov.qa/wps/portal/topics/Health/healthinsurance. Accessed 23 January 2019.

Annual Report - Hamad Medical Corporation (2012/2013). https://www.hamad.qa/EN/Our-Publications/Annual-Reports/Annual%20Report%202016/en/pdf/HMC_Download_Full_Report_12.pdf. Accessed 23 January 2019.

Al-Thani AA, Farghaly AH, Akram H, Khalifa S, Vinodson B, Loares AM, Abou-Samra AB. Public Awareness and Perceptions about Diabetes in the State of Qatar. Cureus 10(5): e2671.

El Hajj MS, Abu Yousef SE, Basri MA. Diabetes care in Qatar: a survey of pharmacists’ activities, attitudes and knowledge. Int J Clin Pharm. 2017.

Bener A, Kim EJ, Mutlu F, Eliyan A, Delghan H, Nofal E, et.al. Burden of diabetes mellitus attributable to demographic levels in Qatar: an emerging public health problem. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2014 Oct 1;8(4):216-20.

Al-Hariri MT, Al-Enazi AS, Alshammari DM, Bahamdan AS, AL-Khtani SM, Al-Abdulwahab AA. Descriptive study on the knowledge, attitudes and practices regarding the diabetic foot. Journal of Taibah University Medical Sciences. 2017 Dec 1;12(6):492-6.

Al Bimani ZS, Khan SA, David P. Evaluation of T2DM related knowledge and practices of Omani patients. Saudi Pharmaceutical Journal. 2015 Jan 1;23(1):22-7.

Al-Adsani AM, Moussa MA, Al-Jasem LI, Abdella NA, Al-Hamad NM. The level and determinants of diabetes knowledge in Kuwaiti adults with type 2 diabetes. Diabetes & metabolism. 2009 Apr 1;35(2):121-8.

Al Shafaee MA, Al-Shukaili S, Rizvi SG, Al Farsi Y, Khan MA, Ganguly SS, et.al. Knowledge and perceptions of diabetes in a semi-urban Omani population. BMC Public Health. 2008 Dec;8(1):249.

Kheir N, Greer W, Yousif A, Al Geed H, et al. Knowledge, Attitude, and Practices of Qatari Patients with Type 2 Diabetes Mellitus. Int J Pharm Pract. 2011 Jun;19(3):185-91.

Al-Sarihin K, Bani-Khaled M, Haddad F, Althwabia I. Diabetes knowledge among patients with diabetes mellitus at King Hussein Hospital. JRMS. 2012 Mar;19(1):72-7.

Al-Bustan M, Majeed S, Bitar M, Al-Asousi A. Socio-Demographic Features and Knowledge of Diabetes Mellitus among Diabetic Patients in Kuwait International Quarterly of Community Health Education. 1997;17(1): 65–76

O’Beirne SL, Salit J, Rodriguez-Flores JL, Staudt MR, Khalil CA, Fakhro KA, Robay A, Ramstetter MD, Al-Azwani IK, Malek JA, Zirie M. Type 2 diabetes risk allele loci in the Qatari population. PloS one. 2016 Jul 6;11(7): e0156834.

Bener A, Zirie M, Janahi IM, Al-Hamaq AO, Musallam M, Wareham NJ. Prevalence of diagnosed and undiagnosed diabetes mellitus and its risk factors in a population-based study of Qatar. Diabetes research and clinical practice. 2009 Apr 1;84(1):99-106.

Diabetes in Qatar, Hamad Medical Corporation. https://www.hamad.qa/EN/All-Events/mefqsh2017/presentations/Documents/Sunday/D6E6_Diabetes.pdf. Accessed 23 January 2019.

Awad SF, O'Flaherty M, Critchley J, Abu-Raddad LJ. Forecasting the Burden of Type 2 Diabetes Mellitus in Qatar to 2050: A Novel Modeling Approach. Diabetes Res Clin Pract. 2017.

Badawi A, Arora P, Sadoun E, Al-Thani AA, Al Thani MH. Prevalence of vitamin D insufficiency in Qatar: a systematic review. Journal of public health research. 2012 Dec 28;1(3):229.

Bener A, Alsaied A, Al-Ali M, Hassan AS, Basha B, Al-Kubaisi A, Abraham A, Mian M, Guiter G, Tewfik I. Impact of lifestyle and dietary habits on hypovitaminosis D in type 1 diabetes mellitus and healthy children from Qatar, a sun-rich country. Annals of nutrition & metabolism. 2009 Feb 1;53(3-4):215.

Di Cesar DJ, Ploutz-Snyder R, Weinstock RS, Moses AM: Vitamin D deficiency is more common in type 2 than in type 1 diabetes. Diabetes Care 2006; 29: 174.

Deshpande AD, Harris-Hayes M, Schootman M. 2008. Epidemiology of Diabetes and Diabetes-Related Complications. Physical Therapy 88(11):1254-1264. doi:10.2522/ptj.20080020.

Elhadd TA, Al-Amoudi AA, Alzahrani AS. Epidemiology, clinical and complications profile of diabetes in Saudi Arabia: a review. Annals of Saudi medicine. 2007 Jul 1;27(4):241.

Akbar DH, Mira SA, Zawawi TH, Malibary HM. Subclinical neuropathy a common complication in Saudi diabetics. Saudi Med J 2000; 21(5):433-37.

Cleary PD, McNeil BJ. Patient satisfaction as an indicator of quality care. Inquiry. 1988 Apr 1:25-36.

Al-Maskari F, El-Sadig M, Al-Kaabi JM, et al. Knowledge, Attitude and Practices of Diabetic Patients in the United Arab Emirates. PLoS ONE. 2013; 8(1): e52857.

Ciechanowski PS, Katon WJ, Russo JE, Walker EA. The patient-provider relationship: attachment theory and adherence to treatment in diabetes. American Journal of Psychiatry. 2001;158(1):29-35.

Nam S, Chesla C, Stotts NA, Kroon L, Janson SL. Barriers to diabetes management: patient and provider factors. Diabetes research and clinical practice. 2011 Jul 1;93(1):1-9.

Ayele K, Tesfa B, Abebe L, Tilahun T, Girma E. Self care behavior among patients with diabetes in Harari, Eastern Ethiopia: the health belief model perspective. PloS one. 2012;7(4):e35515.

Nagelkerk J, Reick K, Meengs L. Perceived barriers and effective strategies to diabetes self‐management. J Adv Nurs. 2006;54(2):151-8.

Mohamed H, A-Lenjawi B, Amouna P, Zotor F, El Mahdi H, Barakat N. Knowledge, attitude, and practice of type2 Arab diabetic patients in Qatar: a cross-sectional study. Int J Diabetes Dev Ctries. 2015; 35(2): 205.

Kheir N, Greer W, Yousif A, Al Geed H, Al Okkah R. Knowledge, attitude and practices of Qatari patients with type 2 diabetes mellitus. International journal of pharmacy practice. 2011 Jun 1;19(3):185-91.

Stone K, Horney JA. Methods: Surveillance. In: Horney JH, editor. Disaster Epidemiology: Methods and Applications; 2018. p. 11-23. https://doi.org/10.1016/B978-0-12-809318-4.00002-2

Akram H. Role of School-Based Absenteeism Data in Surveillance and Prediction of Flu Season. CJMB 2018; 5: 268–269. http://www.cjmb.org/text.php?id=213

Akram H. West Nile virus: epidemiological and surveillance approaches. Int J Basic Sci Med. 2017;2(3):111-112. doi: 10.15171/ijbsm.2017.21

Al-Thani M, Al-Thani A, Al-Chetachi W, Akram H. Obesity and related factors among children and adolescents in Qatar. Int J Basic Sci Med. 2017;2(4):161-165. doi:10.15171/ijbms.2017.30

Al-Thani M, Al-Thani AA, A-Mahdi N, Al-Kareem H, Barakat D, Al-Chetachi W, et.al. An Overview of Food Patterns and Diet Quality in Qatar: Findings from the National Household Income Expenditure Survey. Cureus 9(5): e1249.

Al-Thani M, Al-Thani A, Alyafei S, et al.: The prevalence and characteristics of overweight and obesity among students in Qatar [epub ahead of print]. Public Health. 2018, 10.1016/j.puhe.2018.03.020

Al-Thani M, Al-Thani A, Alyafei S, et al.: Prevalence of physical activity and sedentary-related behaviors among adolescents: data from the Qatar National School Survey [epub ahead of print]. Public Health. 2018.




DOI: https://doi.org/10.5195/cajgh.2019.333

Refbacks

  • There are currently no refbacks.




Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.