Knowledge among Primary Health-care Doctor of Screening, Diagnosing, and Management of Prediabetes in Al-Hasa, Saudi Arabia
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 6, Issue 8
Abstract
Background: Prediabetes affects around 3 million KSA adults, but primary health-care (PHC) doctors knowledge, practices, attitudes, and beliefs toward prediabetes are unclear. Objective: The objective of this study was to assess the PHC doctors (1) knowledge of risk factors for prediabetes screening, laboratory criteria for diagnosing prediabetes, and overall management of prediabetes, (2) management practices around prediabetes, and (3) attitudes and beliefs about prediabetes. Design: This was a self-administered written questionnaire of PHC doctors. Participants: Of 163 PHC doctors, 140 (85%) were selected from Al-Hasa PHC. Main Measures: Descriptive and analyses of survey questions on knowledge, management, and attitudes and beliefs related to rediabetes. Multivariate logistic regression was used to determine the association between doctors’ characteristics (gender, nationality, and years since training) and knowledge, management, and attitudes and beliefs about prediabetes. Key results: About 45% of PHC doctors correctly identified all of the risk factors that should prompt prediabetes screening. >70% of PHC doctors correctly identified the laboratory parameters for diagnosing prediabetes based on both fasting glucose and hemoglobin A1c. All PHC doctors reported close follow-up (within 6 months) of patients with prediabetes. The most doctor does not prescribe metformin for prediabetes management. Doctor’s characteristics were generally not associated with knowledge, management, and attitudes and beliefs about prediabetes in multivariate analyses. Conclusions: Addressing gaps in knowledge and construction of behavioral change program such as weight loss program for prediabetes are two essential areas where PHC doctors could take a lead in curbing the diabetes epidemic.
Authors and Affiliations
Haidar Alobidan, Mousa Alshabeeb, Jalal Alwabari
Keywords
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