![]() ![]() Approximately 20 min daily moderate physical activity can reduce 27 % risk of diabetes and help to reduce weight. Most of the risk factors blood pressure, tobacco use (9 %), alcohol use, physical inactivity (6 %), unhealthy diet, overweight, and obesity (5 %) are accountable for NCDs related deaths and disabilities. Modifiable risk factors are associated with morbidity and mortality of the non-communicable diseases (NCDs) including diabetes. Finding reveals the risk of tuberculosis is three times higher in diabetic patients. Evidence from the existing findings shows the increasing trend of global diabetes epidemic need to raise alarm with its risky effects on health cost, health care resources and national health budgets, quality of life, life expectancy and overweight. ĭiabetes can play the vital role in the cause of morbidity and mortality through continued clinical consequence and mortality from the effect on kidney, cardiac functions, renal failure, visual impairment and blindness. By 2030, diabetes will be the 7 th leading cause of death. More than 80 % of diabetes deaths occur in low- and middle-income countries. In 2014 diabetes was the cause of 4.9 million deaths and was accountable for 11 % of the total global health expenses. Prevalence of diabetes in South-East Asia is 8.33 % and the national prevalence of Nepal is 4.58 %. Up to 2035, 592 million peoples will suffered from diabetes and among them 11 % will be adults. Among them 77 % of the diabetic people reside in low and middle income countries (LMICs) and 8.3 % was adult population. Globally, diabetes has been established as a prototypical chronic disease that has affected 347 million people in 2008 and 387 million in 2014. Our results show the potential diabetes health literacy needs to be improved or developed for better health promotion. Our study reveals a variation between diabetes related health knowledge, attitude and practice in Nepal among those who are affected by diabetes. The probability of having a sufficient level of practice among diabetic patient with a history of smoking was 0.10 times lower than in patient with no history of smoking. Albeit this value was comparatively lower than insufficient level of knowledge. Using highly insufficient knowledge as the baseline, the likelihood of having a level of highly sufficient knowledge was 17 times higher among patients who have graduated and above level of education compared to those who were illiterate. Among all patients, 12.3 %, 12.7 % and 16 % had highly satisfactory knowledge, attitude and practice respectively. Median score for knowledge, attitude, and practice were 81, 40 and 14 respectively. The diabetes related risk factors were common among diabetic patients 9.8 % smoker, 16 % alcohol drinking, and 17.6 % reported low or no physical activity. More than half (52.5 %) of all patients were female, 18 % were illiterate, and 24.6 % were from rural residence. Relative risk ratio (RRR) and 95 % confidence interval (CI) of associated factors were estimated by a stepwise likelihood ratio method with multinomial logistic regression. Data was collected by face to face interview using structured interviewer rater questionnaires. A total of 244 diabetic patients were interviewed from July to November 2014. MethodsĪn institutional based cross-sectional study was conducted using a non-probability sampling technique to select the diabetic patients. This study was conducted to determine the level of diabetes related health knowledge, attitude and practice (KAP) among diabetic patient and factors associated with KAP. Health literary would be cost effective for prevention and control of diabetes and its consequences. Globally, diabetes is the top priority chronic disease. ![]()
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