Keywords
attitude
diabetes mellitus
youth
How to Cite
Abstract
In Malaysia, the prevalence rate of diabetes mellitus (DM) in adults has increased from 13.4% to 18.3% in 2019. DM complication involved with two categories such nephropathy, neuropathy from microvascular and coronary artery disease of macrovascular. Youth population estimated to be more crucial in preventing DM. Therefore, in order to discover any gaps in their understanding and behavior regarding DM, it is imperative to determine the KAP level towards DM among youth in Klang Valley. A cross-sectional study was conducted by convenient respondents among youth aged 15-32 years old (n=426). The survey was adopted from a structured closed-ended questionnaire. Out of 426 respondents, (n=317,74.4%) already aware on DM disease. The frequency of DM respondents is only 4.5% and not related to the genetic inheritance. The mean scores of the three domains were compared to determine if there is any significant difference in the means of two groups; diabetic respondents and non-diabetic respondents. A one-way ANOVA was conducted to compare the effect of knowledge, attitude and practice towards the level of age of the respondents. Results shows that significant effect of knowledge and practice on level of age at the p<0.05 level [F (2) =7.354, p=0.001] and [F (2) =8.898, p=0.000] respectively. However, practice [F (2) =2.692, p=0.069] resulted insignificant in having the risk of DM. This indicates participants having a good knowledge and attitude but lack of practice. The predictive factors related to youth practice was they were not physically active, endangering their health at risk. In order to reduce the prevalence, they should have a good attitude and practicing toward the healthy lifestyle.
References
Ahmad Razak. (2019), Million to bid farewell to their youth overnight. Retrieved from:
https://www.pressreader.com/malaysia/the-star-malaysia/20190714/281483572956106
Asha Rani, P. V., Devi, F., Wang, P., Abdin, E., Zhang, Y., Roystonn, K., Jeyagurunathan, A., & Subramaniam, M. (2022). Factors influencing uptake of diabetes health screening: a mixed methods study in Asian population. BMC Public Health, 22(1).
https://doi.org/10.1186/s12889-022-13914-2
Asmelash, D., Abdu, N., Tefera, S., Baynes, H. W., & Derbew, C. (2019). Knowledge, attitude, and practice towards glycemic control and it’s associated factors among diabetes mellitus patients. Journal of Diabetes Research, 2019, 1–9.
https://doi.org/10.1155/2019/2593684
Azmin, N. S., & Pardi, K. W. (2017). Knowledge of HPV and HPV vaccination and the associated factor among primigravidas in a tertiary hospital. International Journal of Public Health and Clinical Sciences, 4(3), 57–68.
Bellou, V., Belbasis, L., Tzoulaki, I., & Evangelou, E. (2018). Risk factors for type 2 diabetes mellitus: An exposure-wide umbrella review of meta-analyses. PLOS ONE, 13(3), e0194127.
https://doi.org/10.1371/journal.pone.0194127
Chew, B.-H. (2014). Psychological aspects of diabetes care: Effecting behavioral change in patients. World Journal of Diabetes, 5(6), 796.
https://doi.org/10.4239/wjd.v5.i6.796
Chien, S.-Y., Chuang, M.-C., & Chen, I-Ping. (2020). Factors influencing residents’ decision to participate in health screening in Taiwan: A qualitative study. Health, 12(05), 499–513.
https://doi.org/10.4236/health.2020.125039
Dedoussis, G. V. Z., Kaliora, A. C., & Panagiotakos, D. B. (2007). Genes, diet and type 2 diabetes mellitus: A review. The Review of Diabetic Studies, 4(1), 13–13.
https://doi.org/10.1900/rds.2007.4.13
Dzuhailmi D., D’Silva., Abdullah., Ismail., Ahmad., (2015). Youth confidence in the quality of public transport services: The case of greater Kuala Lumpur, Malaysia. Journal of Society and Space. 11 (9), 12-22.
Herath, H. M. M., Weerasinghe, N. P., Dias, H., & Weerarathna, T. P. (2017). Knowledge, attitude and practice related to diabetes mellitus among the general public in Galle district in Southern Sri Lanka: a pilot study. BMC Public Health, 17(1).
https://doi.org/10.1186/s12889-017-4459-5
In J. (2017). Introduction of a pilot study. Korean Journal of Anesthesiology, 70(6), 601–605.
https://doi.org/10.4097/kjae.2017.70.6.601
Institute for Public Health (IPH), National Institutes of Health, Ministry of Health Malaysia. (2020). National Health and Morbidity Survey (NHMS) 2019: Vol. I: NCDs—Non-Communicable Diseases: Risk Factors and other Health Problems.
Ismail, R., Ismail, N, H., Tamil, A, M., Jaafar M, H., Isa, Z, M., Nafiza, M., Ariffin, F., Ramli, A , S., Abidin, N, Z, Ab, H., & Yusof K, H. (2023). Prevalence and factors associated with prediabetes and diabetes mellitus among adults: Baseline findings of PURE Malaysia cohort study. Clinical Epidemiology and Global Health, 21, 101279–101279.
https://doi.org/10.1016/j.cegh.2023.101279
Kassahun, C. W., & Mekonen, A. G. (2017). Knowledge, attitude, practices and their associated factors towards diabetes mellitus among non diabetes community members of Bale Zone administrative towns, South East Ethiopia. A cross-sectional study. PLOS ONE, 12(2), e0170040.
https://doi.org/10.1371/journal.pone.0170040
Khairy Jamaluddin, A.B. (2014) Ucapan penangguhan persidangan Majlis Perundingan Belia Negara Sidang IV Penggal 29 (Closing Remarks at the National Youth Consultative Council Conference). International Youth Centre (IYC). Cheras, Kuala Lumpur.
Kim, Y. J., Oh, Y., Park, S., Cho, S., & Park, H. (2013). Stratified sampling design based on data mining. Healthcare Informatics Research, 19(3), 186.
https://doi.org/10.4258/hir.2013.19.3.186
Kreps, G. L., & Neuhauser, L. (2010). New directions in eHealth communication: Opportunities and challenges. Patient Education and Counseling, 78(3), 329–336.
https://doi.org/10.1016/j.pec.2010.01.013
Latha, K., Meena, K., Pravitha, M., Dasgupta, M., & Chaturvedi, S. (2020). Effective use of social media platforms for promotion of mental health awareness. Journal of Education and Health Promotion, 9(1), 124.
https://doi.org/10.4103/jehp.jehp_90_20
Magliano, D. J., Boyko, E. J., & IDF Diabetes Atlas 10th edition scientific committee. (2021). Country summary tables. International Diabetes Federation.
https://www.ncbi.nlm.nih.gov/books/NBK582202/
Ministry of Health Malaysia, 2020. National Diabetes Registry Report 2013-2019. 1st Edition.
Ministry of Health Malaysia, 2021. National Diabetes Registry Report 2020. Disease Control Division.
Ministry of Health, 2015. Clinical Practice Guidelines Management of Type 2 Diabetes Mellitus. 5th Edition.
https://www.moh.gov.my/moh/resources/Penerbitan/CPG/Endocrine/CPG_T2DM_6th_Edition_2020_13042021.pdf
Otufowora, A., Liu, Y., Young, H., Egan, K. L., Varma, D. S., Striley, C. W., & Cottler, L. B. (2020). Sex differences in willingness to participate in research based on study risk level among a community sample of African Americans in North Central Florida. Journal of Immigrant and Minority Health, 23(1), 19–25.
https://doi.org/10.1007/s10903-020-01015-4
Qamar, M., Rashid, R., Ahmad, S., Shaikh, F. A., & Ismail, N. E. (2017). Awareness of diabetes mellitus among general public in Shah Alam, Malaysia: A cross-sectional study. Asian Journal of Pharmaceutical and Clinical Research, 192–196.
https://doi.org/10.22159/ajpcr.2017.v10i9.17747
Rahaman, Kh. S., Majdzadeh, R., Holakouie Naieni, K., & Raza, O. (2017). Knowledge, attitude and practices (KAP) regarding chronic complications of diabetes among patients with type 2 diabetes in Dhaka. International Journal of Endocrinology and Metabolism, In Press(In Press).
https://doi.org/10.5812/ijem.12555
Salleh, R. M., A Rahman, N. A., & Haque, M. (2019). Knowledge, attitude and practice regarding type 2 diabetes mellitus among outpatients in a health center in East-Coast of Peninsular Malaysia. Istanbul Medical Journal, 20(3), 208–213.
https://doi.org/10.4274/imj.galenos.2018.80557
San S.O., Myat M.T.A., Shetty C.K., Ibrahim M.S., Nyi N.N., Yuzana M.Y., Azmi H., Intan S.M.M.A., Safiya A., (2021). Association between knowledge, attitude and practice about dietary fibre intake and type-2 diabetes among rural people in Terengganu, Malaysia. Malaysian Journal of Public Health Medicine, 21(2), 338-347.
https://doi.org/10.37268/mjphm/vol.21/no.2/art.1039
Tam, C. L., Bonn, G., Yeoh, S. H., & Wong, C. P. (2014). Investigating diet and physical activity in Malaysia: education and family history of diabetes relate to lower levels of physical activity. Frontiers in Psychology, 5.
https://doi.org/10.3389/fpsyg.2014.01328
The Star Online. (2019, March 26). Malaysia has 3.6 million diabetics, says Dzulkefly. The Star Online.
https://www.thestar.com.my/news/nation/2019/03/27/malaysia-has-36-million-diabeticssays-dzulkefly
Urrutia, I., Martín-Nieto, A., Martínez, R., Casanovas-Marsal, J. O., Aguayo, A., del Olmo, J., Arana, E., Fernandez-Rubio, E., Castaño, L., & Gaztambide, S. (2021). Incidence of diabetes mellitus and associated risk factors in the adult population of the Basque country, Spain. Scientific Reports, 11(1).
https://doi.org/10.1038/s41598-021-82548-y
Wondmkun, Y. T. (2020). Obesity, insulin resistance, and type 2 diabetes: Associations and therapeutic implications. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 13(13), 3611–3616.
https://doi.org/10.2147/dmso.s275898
Youth Policy, 2014. Factsheet: Malaysia. Retrieved from
https://www.youthpolicy.org/factsheets/country/malaysia
Yun, L. S., Hassan, Y., Aziz, N. A., Awaisu, A., & Ghazali, R. (2007). A comparison of knowledge of diabetes mellitus between patients with diabetes and healthy adults: A survey from North Malaysia. Patient Education and Counseling, 69(1-3), 47–54.
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