Level of knowledge, attitude and practice towards diabetes among nationals and long-term residents of Qatar: a cross-sectional study

Kholoud Ateeq Al-Mutawaa, Aiman Hussein Farghaly, Rehana Nasir, Alma Malvar Loares, Ioanna Skaroni, Mohammed Al-Thani, Abdul-Badi Abou-Samra, Kholoud Ateeq Al-Mutawaa, Aiman Hussein Farghaly, Rehana Nasir, Alma Malvar Loares, Ioanna Skaroni, Mohammed Al-Thani, Abdul-Badi Abou-Samra

Abstract

Objectives: This study examines the levels of knowledge, attitude and practices (KAP) towards diabetes among Qatar nationals and long-term residents and its association with participants' selected demographics.

Setting: A cross-sectional study conducted in public areas in all the eight municipalities of Qatar from July to October 2018.

Participants: 2400 participants from the general public (nationals and long-term residents) stratified by gender, age and nationality across all geographic locations in Qatar.

Primary and secondary outcome measures: Responses were scored from 0% to 100% and KAP scores were classified as low (0%-49%), intermediate (50%-74%) or high (75%-100%). Analyses and comparisons were performed using descriptive statistics and χ2 test at 5% level.

Results: Most participants (54%) had an intermediate overall KAP score, 43% had a low score and only 3% had a high score. The knowledge scores were the lowest among participants, 69% had low, 29% had intermediate and only 2% had high scores. Participants scored better in attitude and practice; the percentages of participants who scored high, intermediate and low were 32%, 55% and 13% for attitude, and 37%, 33% and 30% for practice, respectively. Except for age, level of knowledge significantly varied by gender, nationality and diabetes-related diagnosis (p<0.001); attitude and practice levels differed significantly in all four factors. Areas where participants were deficient include: diabetes types, risk factors, signs and symptoms, complications, recommended daily exercise, normal fasting glucose level, preventive measures, management and control and understanding about complexity of diabetes.

Conclusions: Participants generally have intermediate levels of positive attitudes and practices towards diabetes but low knowledge in diabetes-related factors. The data suggest that future communications should focus on educating the public and conduct mass campaigns about diabetes to improve knowledge especially targeting men and women, and both nationals and expatriates.

Keywords: diabetes & endocrinology; epidemiology; general diabetes; public health.

Conflict of interest statement

Competing interests: None declared.

© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Figures

Figure 1
Figure 1
Percentage of participants with low, intermediate and high levels of knowledge, attitude and practice (KAP).
Figure 2
Figure 2
Percentage of participants who correctly answered questions related to lifestyle practices and attitudes towards diabetes prevention.

References

    1. National health strategy 2018-2022. Available:
    1. Qatar stepwise report 2012. Available:
    1. World health statistics, WHO, 2021. Available:
    1. IDF diabetes atlas 9th edition, 2019. Available:
    1. Ardeňa GJRA, Paz-Pacheco E, Jimeno CA, et al. . Knowledge, attitudes and practices of persons with type 2 diabetes in a rural community: phase I of the community-based diabetes self-management education (DSME) program in San Juan, Batangas, Philippines. Diabetes Res Clin Pract 2010;90:160–6. 10.1016/j.diabres.2010.08.003
    1. Herath HMM, Weerasinghe NP, Dias H, et al. . 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 2017;17:535. 10.1186/s12889-017-4459-5
    1. Kassahun T, Gesesew H, Mwanri L, et al. . Diabetes related knowledge, self-care behaviours and adherence to medications among diabetic patients in Southwest Ethiopia: a cross-sectional survey. BMC Endocr Disord 2016;16:28. 10.1186/s12902-016-0114-x
    1. Kueh YC, Morris T, Borkoles E, et al. . Modelling of diabetes knowledge, attitudes, self-management, and quality of life: a cross-sectional study with an Australian sample. Health Qual Life Outcomes 2015;13:129. 10.1186/s12955-015-0303-8
    1. Fatema K, Hossain S, Natasha K, et al. . Knowledge attitude and practice regarding diabetes mellitus among nondiabetic and diabetic study participants in Bangladesh. BMC Public Health 2017;17:364. 10.1186/s12889-017-4285-9
    1. Moodley LM, Rambiritch V. An assessment of the level of knowledge about diabetes mellitus among diabetic patients in a primary healthcare setting. South African Family Practice 2007;49:16–16d. 10.1080/20786204.2007.10873652
    1. Qatar national diabetes strategy 2016-2022. Available:
    1. Al-Kaabi SK, Atherton A. Impact of noncommunicable diseases in the state of Qatar. Clinicoecon Outcomes Res 2015;7:377–85. 10.2147/CEOR.S74682
    1. Al-Thani A-A, Farghaly A, Akram H, et al. . Knowledge and perception of diabetes and available services among diabetic patients in the state of Qatar. Cent Asian J Glob Health 2019;8:333. 10.5195/cajgh.2019.333
    1. Al-Thani M, Al-Thani A-A, Al-Chetachi W, et al. . Situation of diabetes and related factors among Qatari adults: findings from a community-based survey. JMIR Diabetes 2017;2:e7. 10.2196/diabetes.7535
    1. Ali FMH, Nikoloski Z, Reka H, et al. . The diabetes-obesity-hypertension nexus in Qatar: evidence from the world health survey. Popul Health Metr 2014;12:18. 10.1186/1478-7954-12-18
    1. Dargham SR, Shewehy AE, Dakroury Y, et al. . Prediabetes and diabetes in a cohort of Qatari women screened for polycystic ovary syndrome. Sci Rep 2018;8:3619. 10.1038/s41598-018-21987-6
    1. Al-Thani A-A, Farghaly AH, Akram H, et al. . Public awareness and perceptions about diabetes in the state of Qatar. Cureus 2018;10:e2671. 10.7759/cureus.2671
    1. Alsous M, Abdel Jalil M, Odeh M, et al. . Public knowledge, attitudes and practices toward diabetes mellitus: a cross-sectional study from Jordan. PLoS One 2019;14:e0214479. 10.1371/journal.pone.0214479
    1. Jackson IL, Adibe MO, Okonta MJ, et al. . Knowledge of self-care among type 2 diabetes patients in two states of Nigeria. Pharm Pract 2014;12:404. 10.4321/S1886-36552014000300001
    1. Perera DP, De Silva REE, Perera WLSP. Knowledge of diabetes among type 2 diabetes patients attending a primary health care clinic in Sri Lanka. East Mediterr Health J 2013;19:644–8. 10.26719/2013.19.7.644
    1. Aljofan M, Altebainawi A, Alrashidi MN. Public knowledge, attitude and practice toward diabetes mellitus in hail region, Saudi Arabia. Int J Gen Med 2019;12:255–62. 10.2147/IJGM.S214441
    1. Dorner TE, Lackinger C, Schindler K, et al. . Health information regarding diabetes mellitus reduces misconceptions and underestimation of consequences in the general population. Public Health Nutr 2013;16:2032–9. 10.1017/S1368980012003886
    1. Fatema K, Hossain S, Natasha K, et al. . Knowledge attitude and practice regarding diabetes mellitus among nondiabetic and diabetic study participants in Bangladesh. BMC Public Health 2017;17:364. 10.1186/s12889-017-4285-9
    1. Islam SMS, Niessen LW, Seissler J, et al. . Diabetes knowledge and glycemic control among patients with type 2 diabetes in Bangladesh. Springerplus 2015;4:284. 10.1186/s40064-015-1103-7
    1. Memon MS, Shaikh SA, Shaikh AR, et al. . An assessment of knowledge, attitude and practices (KAP) towards diabetes and diabetic retinopathy in a suburban town of karachi. Pak J Med Sci 2015;31:183–8. 10.12669/pjms.311.6317
    1. Hussain R, Rajesh B, Giridhar A, et al. . Knowledge and awareness about diabetes mellitus and diabetic retinopathy in suburban population of a South Indian state and its practice among the patients with diabetes mellitus: a population-based study. Indian J Ophthalmol 2016;64:272–6. 10.4103/0301-4738.182937
    1. Li J, Ni J, Wu Y, et al. . Sex differences in the prevalence, awareness, treatment, and control of diabetes mellitus among adults aged 45 years and older in rural areas of northern China: a cross-sectional, population-based study. Front Endocrinol 2019;10:147. 10.3389/fendo.2019.00147
    1. Koley M, Saha S, Arya JS, et al. . Knowledge, attitude, and practice related to diabetes mellitus among diabetics and nondiabetics visiting homeopathic hospitals in West Bengal, India. J Evid Based Complementary Altern Med 2016;21:39–47. 10.1177/2156587215593656
    1. Karbalaeifar R, Kazempour-Ardebili S, Amiri P, et al. . Evaluating the effect of knowledge, attitude and practice on self-management in patients with type 2 diabetes. Acta Diabetol 2016;53:1015–23. 10.1007/s00592-016-0905-6
    1. Ku GMV, Kegels G. Knowledge, attitudes and perceptions of people with type 2 diabetes as related to self-management practices: results of a cross-sectional study conducted in Luzon, Philippines. Chronic Illn 2015;11:93–107. 10.1177/1742395314538291
    1. Deepa M, Bhansali A, Anjana RM, et al. . Knowledge and awareness of diabetes in urban and rural India: the Indian Council of medical research India diabetes study (phase I): Indian Council of medical research India diabetes 4. Indian J Endocrinol Metab 2014;18:379–85. 10.4103/2230-8210.131191
    1. Qatar dietary guidelines, 2015. Available:
    1. Qatar national physical activity first edition, 2014. Available:
    1. Who EMRO 2021 tobacco free initiative. Available:

Source: PubMed

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