Challenges of diabetes care in India: Results from a Family Cohort Study.
India
diabetes
health management: public health
prevalence
Journal
Public health nursing (Boston, Mass.)
ISSN: 1525-1446
Titre abrégé: Public Health Nurs
Pays: United States
ID NLM: 8501498
Informations de publication
Date de publication:
09 2022
09 2022
Historique:
revised:
01
03
2022
received:
25
01
2022
accepted:
06
03
2022
pubmed:
29
3
2022
medline:
14
9
2022
entrez:
28
3
2022
Statut:
ppublish
Résumé
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. A cross-sectional study was conducted on a geographically defined cohort population in Ernakulam. This paper presents diabetes data of adults ≥30 years enrolled from the community cohort. The interviews were conducted with 997 participants at their residence. Random blood glucose was assessed for each participant using a finger prick test. 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. 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.
Substances chimiques
Blood Glucose
0
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
933-939Informations de copyright
© 2022 Wiley Periodicals LLC.
Références
American Diabetes Association. (2013). Standards of medical care in diabetes. Diabetes Care, 28(Suppl 1), S4-S36. https://doi.org/10.2337/diacare.28.suppl_1.S4
Atun, R., Davies, J. I., Gale, E. A. M., Bärnighausen, T., Beran, D., Kengne, A. P., Levitt, N. S., Mangugu, F. W., Nyirenda, M. J., & Ogle, G. D. (2017). Diabetes in sub-Saharan Africa: From clinical care to health policy. Lancet Diabetes Endocrinology, 5(8), 622-667. https://doi.org/10.1016/S2213-8587(17)30181-X
Ghosh, K., Dhillon, P., Agrawal, G. (2019). Prevalence and detecting spatial clustering of diabetes at the district level in India. Journal of Public Health, 28, 535-545; https://doi.org/10.1007/s10389-019-01072-6
Government of Kerala (2019). Annual vital statistics report. Government of Kerala; http://www.ecostat.kerala.gov.in/images/pdf/publications/Vital_Statistics/data/vital_statistics_2019.pdf
India State-Level Disease Burden Initiative Diabetes Collaborators (2018). The increasing burden of diabetes and variations among the states of India: The Global Burden of Disease Study 1990-2016. The Lancet Global Health, 6(12), e1352-e1362. https://doi.org/10.1016/S2214-109X(18)30387-5
International Diabetes Federation (2019). IDF diabetes atlas (9th ed.). International Diabetes Federation; https://www.diabetesatlas.org/data/en/
International Institute for Population Sciences (IIPS) and ICF (2017). National family health survey (NFHS-4). International Institute for Population Sciences (IIPS) and ICF, 2015-2016. http://rchiips.org/nfhs/NFHS-4Reports/India.pdf
Manne-Goehler, J., Geldsetzer, P., Agoudavi, K., Andall-Brereton, G., Aryal, K. K., Bicaba, B. W., Bovet, P., Brian, G., Dorobantu, M., Gathecha, G., Singh Gurung, M., Guwatudde, D., Msaidie, M., Houehanou, C., Houinato, D., Jorgensen, J., Kagaruki, G. B., Karki, K. B., Labadarios, D. & Jaacks, L. M. (2019). Health system performance for people with diabetes in 28 low- and middle-income countries: A cross-sectional study of nationally representative surveys. PLoS Medicine, 16(3), e1002751. https://doi.org/10.1371/journal.pmed.1002751
Mini, G. K., & Thankappan, K. R. (2017). Pattern, correlates and implications of non-communicable disease multimorbidity among older adults in selected Indian states: A cross-sectional study. BMJ Open, 7(3), e013529. https://doi.org/10.1136/bmjopen-2016-013529
Ministry of Health and Family Welfare, Government of India. (2017). National health policy. Ministry of Health and Family Welfare, Government of India; https://main.mohfw.gov.in/sites/default/files/9147562941489753121.pdf
Mohan, V., & Pradeepa, R. (2009). Epidemiology of diabetes in different regions of India. Health Administrator, 22, 1-18.
Prenissl, J., Jaacks, L. M., Mohan, V., Manne-Goehler, J., Davies, J. I., Awasthi, A., Bischops, A. C., Atun, R., Bärnighausen, T., Vollmer, S., & Geldsetzer, P. (2019). Variation in health system performance for managing diabetes among states in India: A cross-sectional study of individuals aged 15 to 49 years. BMC Medicine, 17(1), 92. https://doi.org/10.1186/s12916-019-1325-6
Scaria, L.M. (2016). Unmet need for screening and treatment of non-communicable diseases; a cross-sectional study among older adults in Kottayam District, Kerala. Masters of Public Health Dissertation. Achutha Menon centre for health sciences studies. Trivandrum: Sree Chitra Tirunal Institute for Medical Sciences and Technology. http://dspace.sctimst.ac.in/jspui/bitstream/123456789/10788/1/6765.pdf
Soman, C. R., Kutty, V. R., Safraj, S., Vijayakumar, K., Rajamohanan, K., & Ajayan, K. (2011). PROLIFE Study Group. All-cause mortality and cardiovascular mortality in Kerala state of India: Results from a 5-year follow-up of 161,942 rural community dwelling adults. Asia-Pacific Journal of Public Health, 23(6), 896-903. https://doi.org/10.1177/1010539510365100
Thankappan, K. R., Shah, B., Mathur, P., Sarma, P. S., Srinivas, G., Mini, G. K., Daivadanam, M., Soman, B., & Vasan, R. S. (2010). Risk factor profile for chronic non-communicable diseases: Results of a community-based study in Kerala, India. The Indian Journal of Medical Research, 131, 53-63.
Times of India (2017). Diabetic patients: Kerala tops the list of Indian states. Times of India; https://timesofindia.indiatimes.com/city/kochi/diabetic-patients-kerala-tops-list-of-indian-states/articleshow/61974164.cms
Vijayakumar, G., Arun, R., & Kutty, V. R. (2009). High prevalence of type 2 diabetes mellitus and other metabolic disorders in rural Central Kerala. The Journal of the Association of Physicians of India, 57, 563-567.
Vijayakumar, G., Manghat, S., Vijayakumar, R., Simon, L., Scaria, L. M., Vijayakumar, A., Sreehari, G. K., Kutty, V. R., Rachana, A., & Jaleel, A. (2019). Incidence of type 2 diabetes mellitus and prediabetes in Kerala, India: Results from a 10-year prospective cohort. BMC Public Health, 19(1), 140. https://doi.org/10.1186/s12889-019-6445-6