Published date: Dec 26 2019

Journal Title: Sudan Journal of Medical Sciences

Issue title: Sudan JMS: Volume 14 (2019), Issue No. 4

Pages: 210 – 224

DOI: 10.18502/sjms.v14i4.5901

Imran Hameed Khaliqimranham90@gmail.comDepartment of Public Health, University of Health Sciences, Lahore, Pakistan

Hafiz Zahid MahmoodDepartment of Economics, COMSATS University Islamabad, Lahore Campus, Pakistan

Nusrat ManzoorDepartment of Obstetrics and Gynaecology, Rai Medical College, Sargodha, Pakistan

Farhan Hameed KhaliqHussain College of Health Sciences, Lahore, Pakistan

Khadija AsimDepartment of Public Health, University of Health Sciences, Lahore, Pakistan

Yaseen AbdullahDepartment of Public Health, University of Health Sciences, Lahore, Pakistan

Itzaz AslamJohar Institute of Professional Studies, Lahore, Pakistan

Shakila ZamanDepartment of Public Health, University of Health Sciences, Lahore, Pakistan

Background: Diabetes prevalence has risen more rapidly in middle- and low-income countries and has emerged as the seventh highest cause of death in such countries. Socio-demographics, patient knowledge and clinical factors, such as family history of diabetes, have a vital effect on the disease outcomes. This study assessed self-care practices among patients with type 2 diabetes to determine the probability of self-care by predictor variables, including socio-economic and clinical factors, and quantify the marginal effects of these independent variables on different self-care practices among diabetic patients.

Methods: This exploratory study collected data from 200 type 2 diabetes patients at a branch of private pharmacy in Pakistan using a convenient sampling technique and a semi-structured questionnaire. An ordered probit regression model was used to analyze the different self-care practices among diabetic patients. With self-practices ordered in four classes from poor to good, the marginal effects of each socio-economic and clinical factors were also calculated on the likelihood of aforesaid self-care practices among diabetic patients.

Results: Results showed that the relationships of household income, patient’s choice of private or public hospital for treatment, and patient’s weight with self-care probability were statistically significant. These socio-demographics and clinical indicators significantly influenced each category of self-care practices.

Conclusion: Socio-demographic and clinical factors played a decisive role in the healthcare practices among type-2 diabetes patients. Monthly household income, patient’s choice of private or public hospital for treatment, and patient’s weight influenced different levels of self-care practices. Income had a negative contribution in poor and fair self-care levels of practices, whereas it had a positive role in average and good self-care levels of practices.

Keywords: type 2 diabetes; self-care practices; socio-economic factors; developing country

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