Identifying knowledge deficits of food insecure patients with diabetes.

Publisher: Bentham Science Publishers Country of Publication: United Arab Emirates NLM ID: 101253260 Publication Model: Print Cited Medium: Internet ISSN: 1875-6417 (Electronic) Linking ISSN: 15733998 NLM ISO Abbreviation: Curr Diabetes Rev Subsets: MEDLINE

Original Publication: Saif Zone, Sharjah, U.A.E. ; San Francisco, CA : Bentham Science Publishers, c2005-

Health Literacy* ; Self Care*/economics; Diabetes Complications/*prevention & control ; Diabetes Mellitus, Type 1/*complications ; Diabetes Mellitus, Type 2/*complications ; Food Supply/*statistics & numerical data; Cross-Sectional Studies ; Diabetes Complications/economics ; Diabetes Complications/epidemiology ; Diabetes Mellitus, Type 1/economics ; Diabetes Mellitus, Type 1/epidemiology ; Diabetes Mellitus, Type 2/economics ; Diabetes Mellitus, Type 2/epidemiology ; Directive Counseling ; Educational Status ; Health Knowledge, Attitudes, Practice ; Humans ; Medically Uninsured ; Nutrition Assessment ; Smoking Cessation ; Social Class ; Social Support ; United States/epidemiology

Unlabelled: The purpose of this project was to identify the self-care needs of adults with diabetes who experience food insecurity. A cross-sectional study design and methodology were used to attain the study data. We invited 153 adults with diabetes who utilized the St Vincent de Paul Food Pantry to complete the diabetes knowledge test. The reliability of the sample was calculated using Cronbach's coefficient α. To determine validity, differences in test scores were examined by diabetes type and treatment, educational attainment, and receipt of diabetes education.
Results: The coefficient α for the general test and the insulin-use subscale indicated that both were moderately reliable, α> 0.60. General test scores were significantly associated with educational attainment (p<0.01) and prior diabetes education (p<0.05). We found that participants who attained education beyond high school or previously received diabetes education scored significantly higher on the test compared to those with less than high school education or not receiving diabetes education (p<0.05). Adults with type 1 diabetes had higher general and insulin use scores compared to adults with type 2 diabetes, however the difference was not statistically significant. While general knowledge about diabetes is not a predictor of self-care behavior, it is needed to perform daily self-care activities. Health care providers should assess diabetes knowledge in low income patients who experience food insecurity regularly to identify any gaps in knowledge that can compromise self-care behaviors.

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UL1 TR000427 United States TR NCATS NIH HHS; 3T32GM008692-16S1 United States GM NIGMS NIH HHS; T32 GM008692 United States GM NIGMS NIH HHS; TL1 TR000429 United States TR NCATS NIH HHS; UL1TR000427 United States TR NCATS NIH HHS

Date Created: 20141125 Date Completed: 20150831 Latest Revision: 20191113

20231215

PMC4354852

10.2174/1573399810666141124111453

25418712