Knowledge, attitudes and practices towards COVID-19 among young adults with Type 1 Diabetes Mellitus amid the nationwide lockdown in India: A cross-sectional survey

Knowledge, attitudes and practices towards COVID-19 among young adults with Type 1 Diabetes Mellitus amid the nationwide lockdown in India: A cross-sectional survey
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DOI:
10.1016/j.diabres.2020.108344
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发表时间:
2020-08-01
影响因子:
5.1
通讯作者:
Bhadada, Sanjay K.
Bhadada, Sanjay K.
中科院分区:
医学3区
文献类型:
--
作者:
Pal, Rimesh;Yadav, Urmila;Bhadada, Sanjay K.

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目的:评估印度全国封锁期间 1 型糖尿病 (T1DM) 年轻人对 COVID-19 的知识、态度和实践 (KAP)。方法:我们对印度北部、中部、南部和西部地区的 T1DM 年轻人(18-30 岁)进行了一项横断面网络调查。它分别包含 15 个、5 个和 8 个与 COVID-19 相关的知识、态度和实践问题。还纳入了与 T1DM 相关的某些问题。结果:排除后,纳入了 212 名参与者(平均年龄 = 25.1 +/- 4.3 岁;M:F = 10:11)。知识问卷的总体正确率为83%(平均总知识得分=12.4+/-1.9)。大多数 (74%) 的知识得分平均(平均值 +/- 1SD)。较高的教育程度、城市居住和已婚与较高的知识分数相关;然而,只有城市居住在多项逻辑回归中才具有统计显着性。大多数人 (88%) 认为作为 T​​1DM 患者,他们感染 COVID-19 的风险较高。同时,98%的人对自我保护有信心。 51% 的受访者在封锁期间离开家,主要是为了从药房购买胰岛素/注射针/注射器/血糖仪试纸。然而,所有人都保持适当的手部卫生,大多数人遵循常规饮食建议(95%)并服用规定的胰岛素剂量(99%)。自封锁开始以来,72 名参与者 (34%) 经历过一次或多次低血糖发作。结论:患有 T1DM 的年轻人对 COVID-19 的知识、积极态度和健康的预防措施处于中等水平。针对农村社区的宣传活动以及提供胰岛素/针头/注射器的上门服务可能会更有意义。 (C) 2020 Elsevier B.V. 保留所有权利。
Aims: To assess knowledge, attitude, and practices (KAP) of young adults with type 1 diabetes mellitus (T1DM) towards COVID-19 amid nationwide lockdown in India.Methods: We conducted a cross-sectional web-based survey among young adults with T1DM (aged 18-30 years) in the North, Central, South, and West zones of India. It consisted of fifteen, five and eight questions pertaining to knowledge, attitude, and practices towards COVID-19, respectively. Certain questions relevant to T1DM were also incorporated.Results: After exclusion, 212 participants were included (mean age = 25.1 +/- 4.3 years; M: F = 10:11). The overall correct rate of the knowledge questionnaire was 83% (mean total knowledge score = 12.4 +/- 1.9). Most (74%) had an average knowledge score (mean +/- 1SD). Higher educational status, urban residence, and being married were associated with better knowledge scores; however, only urban residence was found to be statistically significant on multinomial logistic regression. Most (88%) felt that being a patient of T1DM, they were at higher risk of getting infected with COVID-19. At the same time, 98% were confident about self-protection. Fifty-one percent of respondents had left home amid lockdown mostly to procure insulin/injection needles/syringes/glucometer strips from the pharmacy. However, all were maintaining proper hand hygiene and majority were following routine dietary advice (95%) and administering prescribed insulin doses (99%). Seventy-two participants (34%) had experienced one or more episodes of hypoglycemia since the commencement of lockdown.Conclusions: Young adults with T1DM have average knowledge, positive attitude, and healthy preventive practices towards COVID-19. Awareness campaigns targeted towards rural communities and providing doorstep delivery of insulin/needles/syringes may be more rewarding. (C) 2020 Elsevier B.V. All rights reserved.