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Association of Household Socioeconomic Status, Neighborhood Support System and Adherence to Dietary Recommendation among Persons with T2DM, a Facility-based Cross-sectional Study in Ghana

Article scientifique 2020 Anglais

Résumé

Abstract Background: Dietary recommendation help persons with diabetes adopt healthy eating habits to achieve optimal glycemic control. Socioeconomic-status and neighborhood support system could influence adherence to dietary recommendation. The purpose of our study is to assess the association of household-socioeconomic status and neighborhood-support system with adherence to dietary recommendation among persons with type 2 diabetes mellitus (T2DM). Methods: Facility-based cross-sectional-survey was conducted among 530 individuals with T2DM in Brong Ahafo region, Ghana. Six hospitals were randomly selected and persons with T2DM consecutively recruited from the selected hospitals into the study. Structured-questionnaires were used to collect socio-demographic variables. Adherence to dietary recommendation was the outcome -variable, and was assessed using perceived dietary adherence questionnaire. Results: Age (years) (P-value=0.01), place of residence (P-value =0.01), educational level (P-value =0.01) and occupation (P-value =0.01) were significantly correlated with socioeconomic status (P-value 0.01). Age (years) regression coefficient (β) -0.089, 95%CI (-0.12, -0.001), Being married β0.103, 95%CI (0.002, 0.02), moderate and low-social support system β 0.309, 95%CI(0.17, 0.38) and β-0.192, 95%CI(-0.26, -0.06) respectively, and high-socioeconomic status β 0.197, 95%CI(0.06, 0.25) were significantly associated with adherence to dietary recommendation.Conclusion: We found that social-support system and socioeconomic-status could be associated with adherence to dietary recommendation. Therefore, health workers should consider that patients’ social support system and socioeconomic status could be modifiable factors for optimum adherence.

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Doglikuu, B., Abubakari, A., Yaseri, M., Shakibazadeh, E., Djazayery, A., Mirzaei, K. (2020). Association of Household Socioeconomic Status, Neighborhood Support System and Adherence to Dietary Recommendation among Persons with T2DM, a Facility-based Cross-sectional Study in Ghana. https://doi.org/10.21203/rs.3.rs-116519/v1

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Be‐Ikuu Dominic Doglikuu Abdulai Abubakari Mehdi Yaseri Elham Shakibazadeh Abolghassem Djazayery Khadijeh Mirzaei

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