DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20174957

Social factors influencing diabetes mellitus in adults attending a tertiary care hospital in Nagpur: a cross sectional study

Sneha D. Patil, Jyotsna S. Deshmukh, Chaitanya R. Patil

Abstract


Background: Social determinants of the health are the conditions in which individuals are born, grow, live and age. Increasingly, these are being recognized for their relationship to the soaring incidence of diabetes mellitus. So, we conducted a study to find the social factors of diabetes mellitus.

Methods: A cross sectional study was conducted in adults having type 2 diabetes in outpatient department of tertiary care institute in Nagpur from July to September 2015. Socio demographic factors, health care access factors, stress related factors and self-care behavior of these patients were studied. Data was analyzed using Epi Info 7.1 software.

Results: Out of 140 diabetic patients studied females were predominant (55.71%). Most of them were married (92.85%), were Muslim by religion (47.14%), were from nuclear families, (53.57%) and lower middle class (40%). 50% said that they have health care facilities nearby their house and 50.71% do not get drugs regularly in that health care facility. and only (27.14%) were insured. 64.28% of study subjects said that they were accompanied by relatives to hospital. The financial stress (73.57%) and family stress (72.85%) was more in the patients than work stress (49.28 %). 75.72% and 71.42 % checked their blood sugar levels every 6 monthly and blood pressure every monthly and very less patients kept follow up for complications.

Conclusions: Our study showed that in spite of having health care facility nearby, the irregularity of drugs was a major concern. Very less study subjects were insured for their health, this implicates higher stress related factors. They had less compliance towards follow-up of complications of diabetes mellitus.


Keywords


Diabetes mellitus, Health access, Self-care behaviour factors, Social factors

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References


Agyei-Mensah S, de-Graft Aikins A. Epidemiological Transition and the Double Burden of Disease in Accra, Ghana. J Urban Health. 2010;87(5):879–97.

Hu FB. Globalization of Diabetes: The role of diet, lifestyle, and genes. Diabetes Care. 2011;34(6):1249–57.

Adogu POU, Ubajaka CF, Emelumadu OF, Alutu COC. Epidemiologic Transition of diseases and health-related events in Developing Countries: A Review. Am J Med Med Sci. 2015;5(4):150–7.

Diabetes Fact sheet [Internet]. [cited 2016 Apr 1]. Available from: http://www.who.int/mediacentre/factsheets/fs312/en/

Mehta SR, Kashyap AS, Das S. Diabetes Mellitus in India: The Modern Scourge. Med Journal, Armed Forces India. 2009;65(1):50–4.

Ramachandran A, Snehalatha C, Shetty AS, Nanditha A. Trends in prevalence of diabetes in Asian countries. World J Diabetes. 2012;3(6):110–7.

Javitt JC, Chiang Y-P. Economic impact of diabetes. Diabetes Am. 1995;2:601–12.

Azuamah Y, Imaseun A, Onoseta O, Onuoha P. A Review of Sociological factors associated with Diabetes Mellitus. Int J Soc Sci. 2013;11(1):131–7.

Mohan V, Sandeep S, Deepa R, Shah B, Varghese C. Epidemiology of type 2 diabetes: Indian scenario. Indian J Med Res. 2007;125(3):217–30.

Khairnar M, Wadgave U, Shimpi P. Updated BG Prasad socioeconomic classification for 2016. J Indian Assoc Public Heal Dent.; 2016;14(4):469.

Social determinants of health [Internet]. [cited 2016 Feb 1]. Available from: http://www.who.int/social_determinants/en/

Silva AP De, Hennadige S, Silva P De, Liyanage IK, Rajapakse LC, Saroj K, et al. Social , cultural and economical determinants of diabetes mellitus in Kalutara district , Sri Lanka : a cross sectional descriptive study. Int J Equity Health. 2012;11:76.

Tol A, Sharifirad G, Shojaezadeh D, Tavasoli E, Azadbakht L. Socio ­economic factors and diabetes consequences among patients with type 2 diabetes. J Educ Heal Promot. 2013;2:12.

Selvaraj K, Ramaswamy G, Radhakrishnan S, Thekkur P, Chinnakali P. Self-care practices among diabetes patients registered in a chronic disease clinic in Puducherry , South India. J Soc Heal Diabetes. 2016;4:25–9.

Ahmad S, Ahmad T. Assessment of knowledge , attitude and practice among diabetic patients attending a health care facility in North India. Indian J Basic Appl Med Res. 2015;4(3):501–9.

Hackett RA, Steptoe A. Psychosocial Factors in Diabetes and Cardiovascular Risk. Curr Cardiol Rep. 2016;18(10):95.

Harris ML, Oldmeadow C, Hure A, Luu J, Loxton D, Attia J. Stress increases the risk of type 2 diabetes onset in women: A 12-year longitudinal study using causal modelling. Samocha-Bonet D, editor. PLoS One. 2017;12(2):e0172126.

Hackett RA, Steptoe A. Type 2 diabetes mellitus and psychological stress [mdash] a modifiable risk factor. Nat Rev Endocrinol. 2017;

Grover S, Avasthi A, Bhansali A, Chakrabarti S, Kulhara P. Cost of ambulatory care of diabetes mellitus: a study from north India. Postgrad Med J. 2005;81:391–6.

Ramachandran A. Socio-Economic Burden of Diabetes in India. J Assoc Physicians India. 2007;55:9–12.