Unmet needs for informal care among people with type 2 diabetes in rural communities in Vietnam
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Unmet needs for informal care among people with type 2 diabetes in rural communities in Vietnam. / Meyrowitsch, Dan Wolf; Nielsen, Jannie; Bygbjerg, Ib Christian; Søndergaard, Jens; Thi, Diep Khong; Huyen, Dieu Bui Thi; Gammeltoft, Tine; Duc, Thanh Nguyen.
I: Public Health in Practice, Bind 5, 100364, 2023.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Unmet needs for informal care among people with type 2 diabetes in rural communities in Vietnam
AU - Meyrowitsch, Dan Wolf
AU - Nielsen, Jannie
AU - Bygbjerg, Ib Christian
AU - Søndergaard, Jens
AU - Thi, Diep Khong
AU - Huyen, Dieu Bui Thi
AU - Gammeltoft, Tine
AU - Duc, Thanh Nguyen
N1 - © 2023 Published by Elsevier Ltd on behalf of The Royal Society for Public Health.
PY - 2023
Y1 - 2023
N2 - OBJECTIVES: The objective of this study was to identify determinants associated with unmet needs for informal support among people with type-2 diabetes in rural communities of Vietnam in order to inform development of effective interventions aimed at bridging the gap between community members and resource constrained health systems.STUDY DESIGN: A cross-sectional survey was conducted from December 2018 to February 2019 in a rural area of northern Vietnam.METHODS: From 2 districts in northern Vietnam, 806 people with type-2 diabetes participated in a survey to assess who were their most important informal caregivers (ICGs) and to measure the association between demographic and socio-economic predictors and unmet needs of informal support of relevance for diabetes self-care using bivariate and multivariate analyses.RESULTS: The spouse was reported as the most important ICG (62.9%) followed by a daughter or son (28.4%). 32.0% reported at least one type of unmet need for informal support. The most commonly reported unmet needs of informal care were: transport to health facilities and company when seeking formal care (20.5%), financial support related to costs of diabetes self-management (18.5%), and reminders to engage in physical exercise (14.5%). People living alone reported the highest odds ratio (OR) for unmet need of informal care (OR = 4.41; CI95%: 2.19-8.88), followed by those being poor (OR = 3.79; CI95%: 1.25-11.52) and those being unemployed (OR = 2.85; CI95%: 1.61-5.05).CONCLUSIONS: Almost one-third of people with type-2 diabetes reported at least one type of unmet need for informal care. These findings provide a basis for development of new modalities for strengthening support provided by ICGs in rural communities in Vietnam and in other low- and middle-income countries.
AB - OBJECTIVES: The objective of this study was to identify determinants associated with unmet needs for informal support among people with type-2 diabetes in rural communities of Vietnam in order to inform development of effective interventions aimed at bridging the gap between community members and resource constrained health systems.STUDY DESIGN: A cross-sectional survey was conducted from December 2018 to February 2019 in a rural area of northern Vietnam.METHODS: From 2 districts in northern Vietnam, 806 people with type-2 diabetes participated in a survey to assess who were their most important informal caregivers (ICGs) and to measure the association between demographic and socio-economic predictors and unmet needs of informal support of relevance for diabetes self-care using bivariate and multivariate analyses.RESULTS: The spouse was reported as the most important ICG (62.9%) followed by a daughter or son (28.4%). 32.0% reported at least one type of unmet need for informal support. The most commonly reported unmet needs of informal care were: transport to health facilities and company when seeking formal care (20.5%), financial support related to costs of diabetes self-management (18.5%), and reminders to engage in physical exercise (14.5%). People living alone reported the highest odds ratio (OR) for unmet need of informal care (OR = 4.41; CI95%: 2.19-8.88), followed by those being poor (OR = 3.79; CI95%: 1.25-11.52) and those being unemployed (OR = 2.85; CI95%: 1.61-5.05).CONCLUSIONS: Almost one-third of people with type-2 diabetes reported at least one type of unmet need for informal care. These findings provide a basis for development of new modalities for strengthening support provided by ICGs in rural communities in Vietnam and in other low- and middle-income countries.
U2 - 10.1016/j.puhip.2023.100364
DO - 10.1016/j.puhip.2023.100364
M3 - Journal article
C2 - 36852166
VL - 5
JO - Public Health in Practice
JF - Public Health in Practice
SN - 2666-5352
M1 - 100364
ER -
ID: 337975310