https://doi.org/10.18502/sjms.v14i4.5901
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authors
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Imran Hameed Khaliq
Imran Hameed Khaliq
Department of Public Health, University of Health Sciences, Lahore, Pakistan
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Hafiz Zahid Mahmood
Hafiz Zahid Mahmood
Department of Economics, COMSATS University Islamabad, Lahore Campus, Pakistan
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Nusrat Manzoor
Nusrat Manzoor
Department of Obstetrics and Gynaecology, Rai Medical College, Sargodha, Pakistan
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Farhan Hameed Khaliq
Farhan Hameed Khaliq
Hussain College of Health Sciences, Lahore, Pakistan
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Khadija Asim
Khadija Asim
Department of Public Health, University of Health Sciences, Lahore, Pakistan
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Yaseen Abdullah
Yaseen Abdullah
Department of Public Health, University of Health Sciences, Lahore, Pakistan
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Itzaz Aslam
Itzaz Aslam
Johar Institute of Professional Studies, Lahore, Pakistan
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Shakila Zaman
Shakila Zaman
Department of Public Health, University of Health Sciences, Lahore, Pakistan
Published Date
- Dec 26, 2019
Self-care Practices of Type 2 Diabetes Patients by Socio-demographic and Clinical Factors: An Ordered Probit Model
Abstract
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