title: Self-efficacy, self-care behaviors and glycemic control among type-2 diabetes patients attending two private clinics in Yangon, Myanmar.
abstract: This cross-sectional study aimed to estimate the prevalence of glycemic control and its associated factors among type-2 diabetes patients attending two private clinics in Yangon, Myanmar. Two hundred sixty-six diabetes patients attending two private diabetes clinics in Yangon during February and March, 2009 were included in the study. The participants completed a structured questionnaire. HbA(1c) was used as the index for glycemic control. The prevalence of successful glycemic control (HbA(1c) < or =7%) was 27.1%. The median HbA(1c) value was 7.8%. About 62.0% of patients had high self-efficacy levels, and 30.8% had good self-care behavior. Multiple logistic regression analysis revealed four variables associated with glycemic control: age > or =60 years (OR 2.46, 95% CI 1.17-5.21), taking one oral hypoglycemic agent (OHA) (OR 2.56, 95% CI 1.26-5.19), being overweight (OR 2.01, 95% CI 1.02-3.95) and having a high self-efficacy level (OR 5.29, 95% CI 2.20-12.75). Interventions to increase diabetic patient self-efficacy levels and self-care behavior, especially related to diet and exercise, are needed to reduce poor glycemic control.
authors.affiliation: Faculty of Public Health, Mahidol University, Bangkok, Thailand.
authors.forename: Sandhi
authors.initials: S
authors.lastname: Wynn Nyunt
authors.forename: Nopporn
authors.initials: N
authors.lastname: Howteerakul
authors.forename: Nawarat
authors.initials: N
authors.lastname: Suwannapong
authors.forename: Thitipat
authors.initials: T
authors.lastname: Rajatanun
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D015190:Blood Glucose Self-Monitoring / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D002052:Myanmar / Q000453:epidemiology; D050177:Overweight / Q000453:epidemiology; D015995:Prevalence; D012648:Self Care / Q000706:statistics & numerical data*; D020377:Self Efficacy
chemical_list: D007004:Hypoglycemic Agents