Articles Information
International Journal of Biomedical and Clinical Sciences, Vol.5, No.4, Dec. 2020, Pub. Date: Nov. 23, 2020
The Knowledge and Awareness Towards Diabetes Mellitus, Among Undergraduate Medical Students
Pages: 366-381 Views: 1248 Downloads: 507
Authors
[01]
Elvin Liaw Yee Fan, Faculty of Medicine, Melaka-Manipal Medical College, Manipal Academy of Higher Education (MAHE), Melaka, Malaysia.
[02]
Chung Jing Sy, Faculty of Medicine, Melaka-Manipal Medical College, Manipal Academy of Higher Education (MAHE), Melaka, Malaysia.
[03]
Lavven Rao Ram Babu, Faculty of Medicine, Melaka-Manipal Medical College, Manipal Academy of Higher Education (MAHE), Melaka, Malaysia.
[04]
Soenia Singam, Faculty of Medicine, Melaka-Manipal Medical College, Manipal Academy of Higher Education (MAHE), Melaka, Malaysia.
[05]
Thadshiney Nair Sasidaran, Faculty of Medicine, Melaka-Manipal Medical College, Manipal Academy of Higher Education (MAHE), Melaka, Malaysia.
Abstract
The prevalence of diabetes mellitus in Malaysia has become a growing concern in recent years. A contributing factor to the rise in the number of diabetics would be the lack of knowledge and awareness of the population towards diabetes. Hence, we conducted a study aimed at assessing the knowledge and awareness towards diabetes mellitus amongst Malaysian undergraduate medical students. A cross-sectional study was conducted from June to July 2020 amongst students of the Malaysian campuses of MMMC, and purposive sampling was used to enrol them into our study. The data was collected using an online administered questionnaire comprised of open and close ended as well as multiple-choice questions. The questionnaire consisted of 3 parts: sociodemographic information, awareness, and knowledge towards diabetes. The data was then calculated using statistical tests such as ANOVA and unpaired T-test using the Epi Info software. 183 students of MMMC took part in this study. 33.88%, 58.47% and 7.56% of students displayed good, moderate and poor knowledge respectively. In the attitude assessment, the participants scored a mean of 25.6 out of 30, indicating positive attitudes toward diabetes. In our study, significant association was found between age groups and knowledge. Those aged 25-27 scored highest knowledge percentage mean, followed by those aged 22-24, while those aged 19-21 had the lowest knowledge percentage mean. The fact that older participants had a more refined level of understanding of the disease was found to be the most likely reason for this. However, there were no significant association between gender, ethnicity, family history of diabetes and knowledge about the disease. There was significant association between family history and attitude towards diabetes. Those with family history of diabetes scored higher attitude percentage mean compared to those without. There was significant association between knowledge of diabetes and the students’ attitudes towards it. Those who had better knowledge demonstrated higher attitude scores whereas students who had poor knowledge displayed the lowest attitude scores. However, there was no association between age, gender, ethnicity and attitudes towards diabetes. In conclusion, majority of the students of MMMC displayed knowledge and awareness of diabetes.
Keywords
Diabetes Mellitus, Knowledge, Attitude, Cross-Sectional, Medical Students
References
[01]
The BMJ, BMJ Best Practice. Overview of diabetes. Accessed at: https://bestpractice.bmj.com/topics/en-gb/534
[02]
American Diabetes Association. Diabetes Care. Diagnosis and Classification of Diabetes Mellitus. 2010 Jan; 33(Supplement 1): S62-S69.
[03]
Vieira-Potter VJ, Karamichos D, Lee DJ. Ocular Complications of Diabetes and Therapeutic Approaches. Accessed at: https://doi.org/10.1155/2016/3801570
[04]
Min TZ, Stephens MW, Kumar P, Chudleigh RA. Renal Complications of Diabetes. British Medical Bulletin, Volume 104, Issue 1, December 2012, Pages 113–127. Accessed at: https://doi.org/10.1093/bmb/lds030
[05]
Watkins PJ, Thomas PK. Diabetes Mellitus and the Nervous System. Journal of Neurology, Neurosurgery & Psychiatry. 1998;65:620-632.
[06]
Dokken BD. American Diabetes Association. Diabetes Spectrum 2008; 21(3): 160-165.
[07]
American Diabetes Association. Diabetes Care. Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes—2020. 2020 Jan; 43(Supplement 1): S14-S31.
[08]
Khardori R. 2020 Jun. Medscape. Type 1 Diabetes Mellitus. Accessed at: https://emedicine.medscape.com/article/117739-overview
[09]
Goyal R, Jialal I. Diabetes Mellitus Type 2. Treasure Island (FL): StatPearls Publishing; 2020 Jan. Accessed at: https://www.ncbi.nlm.nih.gov/books/NBK513253/
[10]
Hussein Z, Taher SW, Singh HKG, Chee WSS. Icahn School of Medicine at Mount Sinai. Diabetes Care in Malaysia: Problems, New Models, and Solutions. Annals of Global Health, Vol. 81, No. 6; 2015. Accessed at: http://dx.doi.org/10.1016/j.aogh.2015.12.016
[11]
Plows JF, Stanley JL, Baker PN, Reynolds CM, Vickers MH. The Pathophysiology of Gestational Diabetes Mellitus. International journal of molecular sciences. 2018;19(11), 3342. Accessed at: https://doi.org/10.3390/ijms19113342
[12]
Alfadhli EM. Gestational Diabetes Mellitus. Saudi Medical Journal. 2015;36(4), 399–406.
[13]
Fayfman M, Pasquel FJ, Umpierrez GE. Management of Hyperglycemic Crises: Diabetic Ketoacidosis and Hyperglycemic Hyperosmolar State. The Medical clinics of North America. 2017;101(3), 587–606. Accessed at: https://doi.org/10.1016/j.mcna.2016.12.011
[14]
International Diabetes Federation. IDF Diabetes Atlas, 4th edition. Demographic and Geographic Outline. Brussels, Belgium: 2009. Accessed at: https://www.diabetesatlas.org
[15]
International Diabetes Federation. IDF Diabetes Atlas, 5th edition. Demographic and Geographic Outline. Brussels, Belgium: 2011. Accessed at: https://www.diabetesatlas.org
[16]
International Diabetes Federation. IDF Diabetes Atlas, 6th edition. Demographic and Geographic Outline. Brussels, Belgium: 2013. Accessed at: https://www.diabetesatlas.org
[17]
International Diabetes Federation. IDF Diabetes Atlas, 7th edition. Demographic and Geographic Outline. Brussels, Belgium: 2015. Accessed at: https://www.diabetesatlas.org
[18]
International Diabetes Federation. IDF Diabetes Atlas, 8th edition. Demographic and Geographic Outline. Brussels, Belgium: 2017. Accessed at: https://www.diabetesatlas.org
[19]
International Diabetes Federation. IDF Diabetes Atlas, 9th edition. Demographic and Geographic Outline. Brussels, Belgium: 2019. Accessed at: https://www.diabetesatlas.org
[20]
Saeedi P, Petersohn I, Salpea P, Malanda B, Karuranga S, Unwin N, et al. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th edition. Diabetes Research and Clinical Practice, Volume 157, 2019;107843
[21]
Abuobaida EEA, AlGhamdi H. Diabetes Mellitus Knowledge And Awareness Among Albaha University Students: An Observational Study. International Journal of Scientific Research. 2017;8(1):15284-1528
[22]
Letchuman GR, Wan Nazaimoon WM, Wan Mohamad WB, Chandran LR, Tee GH, Jamaiyah H, et al. Prevalence of Diabetes in the Malaysian National Health Morbidity Survey III 2006. Med J Malaysia. 2010;65(3):180-186
[23]
Ministry of Health Malaysia. Institute for Public Health (IPH) 2008. The Third National Health and Morbidity Survey (NHMS III), Diabetes Mellitus. Accessed at: http://www.iku.gov.my/nhms-2006
[24]
Ministry of Health Malaysia. Institute for Public Health (IPH) 2011. National Health and Morbidity Survey 2011 (NHMS 2011), Vol. II: Non-Communicable Diseases; 2011. Accessed at: http://www.iku.gov.my/nhms-2011
[25]
Ministry of Health Malaysia. Institute for Public Health (IPH) 2015. National Health and Morbidity Survey 2015 (NHMS 2015), Vol. II: Non-Communicable Diseases, Risk Factors & Other Health Problems; 2015. Accessed at http://www.iku.gov.my/nhms-2015
[26]
Ministry of Health Malaysia. Institute for Public Health (IPH) 2019. National Health and Morbidity Survey 2019 (NHMS 2019). Non-Communicable Diseases, Healthcare Demand, and Health Literacy: Key Findings. Accessed at: http://bit.ly/NHMS2019
[27]
Ministry of Health Malaysia. Malaysian Healthcare Performance Unit. Malaysia Diabetes Care Performance Report 2016. Kuala Lumpur, Malaysia: 2017.
[28]
Bernama. Malaysia Has 3.6 Million Diabetics, Says Dzulkefly. The Star. 2019 March 27. Accessed at: https://www.thestar.com.my/news/nation/2019/03/27/malaysia-has-36-million-diabeticssays-dzulkefly
[29]
Yasir Faraz Abbasi, Ooi Guat See, Ng Yen Ping, et al. (2018) Diabetes knowledge, attitude, and practice among type 2 diabetes mellitus patients in Kuala Muda District, Malaysia – A cross-sectional study. Accessed at: https://doi.org/10.1016/j.dsx.2018.06.025.
[30]
Humaira’ Abdul Latif, Mohd Rashid Ab Hamid, Noor Azlinda Zainal Abidin. (2018). Awareness Of Diabetes Mellitus Among Public Attending The Primary Health Centres In Malaysia. Accessed at http://www.ukm.my/jqma/v14_2/jqma-14-2-paper2.pdf
[31]
Redhwan A Al-Naggar, Muhamed T Osman, Nurhuda Ismail, et al. (2017). Diabetes Mellitus among Selected Malaysian Population: A Cross-Sectional Study. Accessed at https://www.ijmrhs.com/medical-research/diabetes-mellitus-among-selected-malaysian-population-a-crosssectional-study.pdf
[32]
Manu G., Narasimhamurthy K. M. (2018). Awareness About Diabetes Mellitus And Diabetic Ketoacidosis (DKA) Among Medical Students: An Observational Study. Accessed at https://www.ijbcp.com/index.php/ijbcp/article/view/2977/2222
[33]
Ahmad R., Younis B. B.. Masood M., Noor W., Diabetes awareness. Knowledge attitude and practice of diabetes patients in a tertiary care setting, Esculapio. 2011; 7 (4): 24-27. Accessed at https://vlibrary.emro.who.int/imemr/diabetes-awareness%C2%B7-knowledge-attitude-and-practice-of-diabetic-patients-in-a-tertiary-gare-setting/
[34]
Nadia Saeed, Tara Jaffery, Fawwad Alam Ansari, et al. (2019). Knowledge And Perceptions About Pre-Diabetes Amongst Doctors, Medical Students, And Patients In A Tertiary Care Hospital Of Islamabad. Accessed at https://pdfs.semanticscholar.org/d348/f03d4179275651c2933a8b49c3d5e7f4309b.pdf
[35]
Halimic, A., Gage, H., Vrikki, M., & Peter, W. (n.d.). Diabetes Awareness and Behavioural Risk Factors among University Students in Saudi Arabia. Retrieved July 06, 2020, from https://platform.almanhal.com/Files/2/22628
[36]
Deepa, Mohan & Raj, Deepa & Shanthirani, C & Datta, Manjula & Unwin, N & Kapur, Anil & Mohan, Viswanathan. (2005). Awareness and knowledge of diabetes in Chennai – The Chennai Urban Rural Epidemiology Study [CURES-9]. The Journal of the Association of Physicians of India. 53. 283-7.
[37]
Alsaryra, Latifeh. (2019). Awareness and knowledge about Diabetes Mellitus among Students at Al–Balqa Applied University.
[38]
Kassahun CW, Mekonen AG (2017) Knowledge, attitude, practices and their associated factors towards diabetes mellitus among non diabetes community members of Bale Zone administrative towns, South East Ethiopia. A cross-sectional study. PLoS ONE 12(2): e0170040. https://doi.org/10.1371/journal.pone.0170040
[39]
Feisul MI, Azmi S; Ministry of Health Malaysia. National Diabetes Registry Report, Volume 1, 2009-2012. Kuala Lumpur, Malaysia: 2013. Accessed at: https://www.moh.gov.my
[40]
Abdul Lathif H, Ab Hamid M, Zainal Abidin N. Awareness Of Diabetes Mellitus Among Public Attending The Primary Health Centres In Malaysia. Accessed at: http://www.ukm.my/jqma/v14_2/jqma-14-2-paper2.pdf
[41]
Alanazi F, Alotaibi J, Paliadelis P, Alqarawi N, Alsharari A, Albagawi B. Knowledge and Awareness of Diabetes Mellitus and its Risk Factors in Saudi Arabia. Saudi Medical Journal, 2018; 39(10):981-989.
[42]
Mafauzy MB, Hussein Z, Chan SP. The status of diabetes control in Malaysia: results of DiabCare 2008. Med J Malaysia. 2011;66(3):175-181.
[43]
Nakanishi S, Okubo M, Yoneda M, Jitsuiki K, Yamane K, Kohno N. A Comparison Between Japanese-Americans living in Hawaii and Los Angeles and Native Japanese: the Impact of Lifestyle Westernization on Diabetes Mellitus. Biomedicine & Pharmacotherapy; Volume 58, Issue 10, 2004, Pages 571-577. Accessed at: https://doi.org/10.1016/j.biopha.2004.10.001
[44]
Yoneda M, Ohno H, Oki K. Westernization of Lifestyle Causes Obesity-Associated Metabolic Disorders in the Japanese Population. Obesity and Eating Disorders; Volume 2, No.2:24, 2016. DOI: 10.4172/2471-8203.100024
[45]
Mungreiphy NK, Dhall M, Tyagi R, Saluja K, Kumar A, Tungdim MG, et al. Ethnicity, Obesity and Health Pattern Among Indian Population. Journal of Natural Science, Biology, and Medicine. 2012;3(1), 52–59.
[46]
Abate N, Chandalia M. Ethnicity, Type 2 Diabetes & Migrant Asian Indians. Indian J Med Res 125; 2007 March, pp 251-258. PMID: 17496354.
[47]
Yun LS, Hassan Y, Aziz NA, Awaisu A, Ghazali R. A Comparison of Knowledge of Diabetes Mellitus Between Patients with Diabetes and Healthy Adults: A Survey from North Malaysia. 2007 Dec;69(1-3):47-54.
[48]
Sibounheuang P, Olson SP, Kittiboonyakun P. Patients' and healthcare providers’ perspectives on diabetes management: A systematic review of qualitative studies. Research in Social and Administrative Pharmacy; Volume 16, Issue 7, July 2020, Pages 854-874. Accessed at: https://doi.org/10.1016/j.sapharm.2019.09.001
[49]
Ramachandran A, Snehalatha C, Ching RWM. Diabetes in South-East Asia: An Update. IDF Diabetes Atlas; Volume 103, Issue 2, P231-237, February 2014. Accessed at: https://doi.org/10.1016/j.diabres.2013.11.011
[50]
Khamaiseh AM, Alshoul MN. Diabetes Knowledge among Health Sciences Students in Saudi Arabia and Jordan. J Med J 2019; March, Volume 53, (1):37-48) Accessed at: http:∕∕ journals.ju.edu.jo∕jmj
[51]
Mumtaz S, Ashfaq T, Siddiqui H. Knowledge of medical students regarding diabetes mellitus at Ziauddin University, Karachi. J Pak Med Assoc. 2009; 59(3):163-166.
[52]
Al Wadaani FA. The Knowledge, Attitude and Practice Regarding Diabetes and Diabetic Retinopathy Among the Final Year Medical Students of King Faisal University Medical College of Al Hasa region of Saudi Arabia: a Cross Sectional Survey. Niger J Clin Pract. 2013;16(2):164-168. doi:10.4103/1119-3077.110133
[53]
Alsous M, Jalil MA, Odeh M, Al Kurdi R, Alnan M. Public knowledge, attitudes and practices toward diabetes mellitus: A cross-sectional study from Jordan. PLoS ONE 14(3): e0214479. Accessed at: https://doi.org/10.1371/journal.pone.0214479
[54]
54. Khan N, Gomathi KG, Shehnaz SI, Muttappallymyalil J. 2012. Diabetes Mellitus-Related Knowledge among University Students in Ajman, United Arab Emirates. Sultan Qaboos University medical journal, 12(3), 306–314. Accessed at: https://doi.org/10.12816/0003144