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Demographic Determinants of Knowledge, Perception, and Attitude towards Diabetes Mellitus among Public In-School Adolescents in Southern Nigeria

Document Type : Research Article (s)

Author

Department of Public Health, Achievers University Owo, Ondo State, Nigeria

Abstract

Background: Diabetes Mellitus (DM) is a severe and long-term condition affecting glucose metabolism, with its prevalence reaching alarming levels. According to the International Diabetes Federation, diabetes is becoming increasingly common among African children and adolescents. This study examined the demographic factors influencing adolescents’ knowledge, perceptions, and attitudes about diabetes in Delta State, Nigeria.
Methods: The study utilized a descriptive cross-sectional design. Seven hundred students from Ogbe Secondary School Effurun and Nana College Warri were selected using simple random sampling from November 2019 to February 2022. Data was collected through a four-part semi-structured questionnaire, which included socio-demographic characteristics, knowledge of DM, perception of DM, and attitude towards DM. Inferential statistics were determined using logistic regression at a significance level of P<0.05.
Results: The average age of the participants was 14.99±1.86 years. Significant determinants of DM knowledge were ages of 16-22 years (P<0.001, OR=1.902), female sex (P=0.001, OR=1.874), senior classes (P<0.001, OR=3.825), and training on the prevention of DM (P=0.001, OR=1.735). Additionally, significant determinants of attitude towards DM were ages of 16-22 years (P=0.001, OR=1.885), female sex (P<0.001, OR=2.652), senior classes (P<0.001, OR=4.128), and training on the prevention of DM (P=0.002, OR=1.748).
Conclusion: The study identified demographic variables that predict knowledge, perception, and attitude toward DM among in-school adolescents. These variables should facilitate public health programs’ success and positive outcomes.

Highlights

Agofure Otovw (Google Scholar), (PubMed)

 

How to Cite: Otovwe A. Demographic Determinants of Knowledge, Perception, and Attitude towards Diabetes Mellitus among Public In-School Adolescents in Southern Nigeria. Int. J. School. Health. 2023;10(4):197-205. doi: 10.30476/INTJSH.2023.99096.1316.

Keywords

References
1. International Diabetes Federation (IDF). Diabetes Atlas. 10th ed; 2021. Available from: http://www.diabetesatlas.org. ## 2. Agofure O, Odjimogho S, Okandeji-Barry OR, Efegbere HA, Nathan HT. Pattern of diabetes mellitus-related complications and mortality rate: Implications for diabetes care in a low-resource setting. Sahel Medical Journal. 2020;23(4):206-210. doi: 10.4103/smj.smj_64_19. 3. World Health Organization. Diabetes fact sheet; 2022. Available from: https://www.who.int/health-topics/diabetes#tab=tab_1. ## 4. Ufuoma C, Ngozi JC, Kester AD, Godwin YD. Prevalence and risk factors of microalbuminuria among type 2 diabetes mellitus: A hospital based study from, Warri, Nigeria. Sahel Medical Journal. 2016;19(1):16-20. doi: 10.4103/1118-8561.181889. ## 5. Jaja T, Yarhere IE. Risk factors for type-2 diabetes mellitus in adolescents secondary school students in Port Harcourt, Nigeria. Nigerian Journal of Paediatrics. 2015;42(2):137–141. doi: 10.4314/njp.v42i2.13. ## 6. Kamdema F, Lemogoumb D, Jingic AM, Guetchuin SC, Kenmegne C, Doualla MS, et al. Prevalence and determinants of abnormal glucose metabolism in urban and rural secondary schools in Cameroon: A cross-sectional study in a sub-Saharan Africa setting. Prim Care Diabetes. 2019;13(4):370-375. doi: 10.1016/j.pcd.2019.02.006. PubMed PMID: 31031133. ## 7. Nakiriba R, Mayega RW, Piloya T, Nabukeera-Barungi N, Idro R. Prevalence and factors associated with dysglycemia among girls in selected boarding secondary schools in Wakiso District, Uganda. Adolesc Health Med Ther. 2018;9:167–176. doi: 10.2147/AHMT.S178746. PubMed PMID: 30464672; PubMed Central PMCID: PMC6211585. ## 8. Okpere AN, Anochie IC, Eke FU. Prevalence of Microalbuminuria among secondary school children. Afr Health Sci. 2012;12(2):140–7. doi: 10.4314/ahs.v12i2.10. PubMed PMID: 23056019; PubMed Central PMCID: PMC3462545. ## 9. Oluwayemi IO, Brink SJ, Oyenusi EE, Oduwole OA, Oluwayemi MA. Fasting Blood Glucose Profile among Secondary School Adolescents in Ado-Ekiti, Nigeria. Journal of Nutrition and Metabolism. 2015. doi: 10.1155/2015/417859. ## 10. Uloko AE, Musa BM, Ramalan MA, Gezawa ID, Puepet FH, Uloko AT, et al. Prevalence and risk factors for diabetes mellitus in Nigeria: a systematic review and meta-analysis. Diabetes Ther. 2018;9(3):1307–1316. doi: 10.1007/s13300-018-0441-1. PubMed PMID: 29761289; PubMed Central PMCID: PMC5984944. ## 11. Arugu GM, Maduka O. Risk factors for diabetes mellitus among adult residents of a rural District in Southern Nigeria: implications for prevention and control. Niger J Clin Pract. 2017;20(12):1544–1549. doi: 10.4103/njcp.njcp_154_17. PubMed PMID: 29378984. ## 12. Gatimu SM, Milimo BW, Sebastian MS. Prevalence, and determinants of diabetes among older adults in Ghana. BMC Public Health. 2016;16(1):1174. doi: 10.1186/s12889-016-3845-8. PubMed PMID: 27871259; PubMed Central PMCID: PMC5117548. ## 13. Agofure O, Oghenerume H. Knowledge of Diabetes Mellitus among Students of a Public Secondary School in Southern Nigeria: A Cross-Sectional Study. Student’s Journal of Health Research Africa. 2022;3(3):11. doi: 10.51168/sjhrafrica.v3i3.108. ## 14. Agofure O, Oritseje EE, Oghenerume H. Applying the Health Belief Model on the perception and attitude towards Diabetes Mellitus among public secondary school students in Southern Nigeria: A Cross-sectional Study. Student’s Journal of Health Research Africa. 2022;3(9):14. doi: 10.51168/sjhrafrica.v3i9.231. ## 15. Okolie U, Ehiemere I, Ezenduka P, Ogbu S. Contributory factors to Diabetes dietary regimen non-adherence in adults with diabetes. International Journal of Psychological and Behavioral Sciences. 2010;4:743-741. ## 16. Mgbahurike AA, Amadi DO, Onwusah DO. Knowledge attitude and perception of diabetes mellitus among students of university of Port Harcourt, Rivers State, south–south zone Nigeria. World Journal of Pharmaceutical Research. 2018;6(10):92-107. doi: 10.20959/wjpr201710-9388. ## 17. Agofure O, Okandeji-Barry RO, Charity OU, KingsleyA, Oghenerume H, Dikenwons A, et al. Knowledge of diabetes mellitus: An aggregate qualitative study of students, teachers, market women, religious organization and community youths. Ibom Medical Journal. 2021;14(2):161–169. ## 18. Ubangha LO, Odugbemi TO, Abiola AO. Diabetes mellitus: Identifying the knowledge gaps and risk factors among adolescents attending a public school in Lagos State. Journal of Clinical Sciences. 2016;13(4):193-198. doi: 10.4103/2468-6859.192302. ## 19. Lemes Dos Santos PF, Dos Santos PR, Ferrari GSL, Fonseca GAA, Ferrari CKB. Knowledge of diabetes mellitus: does gender make a difference? Osong Public Health Res Perspect. 2014;5(4):199-203. doi: 10.1016/j.phrp.2014.06.004. PubMed PMID: 25379370; PubMed Central PMCID: PMC4215000. ## 20. Shahzad A, Ahmad MM, Anwer I, Ijaz N, Shahzad M, Usman M. Gender-specific Knowledge of Diabetes and Its Management Among Patients Visiting Outpatient Clinics in Faisalabad, Pakistan. Cureus. 2018;10(8):e3119. doi: 10.7759/cureus.3119. PubMed PMID: 30338194; PubMed Central PMCID: PMC6175260. ## 21. Kumar IU, Murthy JP, Upadhya U, Venkatesh M. Gender differences in awareness of diabetes mellitus among the rural population. Asian Journal of Medical Sciences. 2017;8(2):44-49. doi: 10.3126/ajms.v8i2.16182. ## 22. Asiimwe D, Mauti GO, Kiconco R. Prevalence and risk factors associated with Type 2 diabetes in elderly patients aged 45-80 years at Kanungu District. Journal of Diabetes Research. 2020. doi: 10.1155/2020/5152146. ## 23. Amarasinghe S, Balakumar S, Arasaratnam V. Prevalence and risk factors of diabetes mellitus among adults in Jaffna District. Ceylon Med J. 2015;60(3):107–10. doi: 10.4038/cmj.v60i3.8191. PubMed PMID: 26520866. ## 24. Otovwe A, Akpojubaro EH. Diabetes mellitus in primary and secondary schools in Africa: an exploratory review. Alexandria Journal of Medicine. 2020;56(1):166-172. doi: 10.1080/20905068.2020.1833278. ## 25. Khan RK, Misra R, Shawley-Brzoska S, Wen S. Predictors of diabetes risk perception among college students. J Am Coll Health. 2022;70(6):1803-1809. doi: 10.1080 /07448481.2020.1825222. PubMed PMID: 33048650; PubMed Central PMCID: PMC8041907. ## 26. Mongiello LL, Freudenberg N, Jones H, Spark A. Many College Students Underestimate Diabetes Risk. J Allied Health. 2016;45(2):81-6. PubMed PMID: 27262464. ## 27. Gazzaz JH. Knowledge, Attitudes, and Practices Regarding Diabetes Mellitus Among University Students in Jeddah, Saudi Arabia. Diabetes Metab Syndr Obes. 2020;13:5071–5078. doi: 10.2147/DMSO.S287459. PubMed PMID: 33380816; PubMed Central PMCID: PMC7767699. ##
International Journal of School Health
Volume 10, Issue 4 - Serial Number 40
October 2023
Pages 197-205
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