Self-care Practices of Type 2 Diabetes Patients by Socio-demographic and Clinical Factors: An Ordered Probit Model

Imran Hameed Khaliq, Hafiz Zahid Mahmood, Nusrat Manzoor, Farhan Hameed Khaliq, Khadija Asim, Yaseen Abdullah, Itzaz Aslam, Shakila Zaman
2019 Sudan Journal of Medical Sciences  
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
more » ... rginal 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 selfcare 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.
doi:10.18502/sjms.v14i4.5901 fatcat:v7p7rebxf5gcjhno4ogofx3o2e