Unmet needs for informal care among people with type 2 diabetes in rural communities in Vietnam

© 2023 Published by Elsevier Ltd on behalf of The Royal Society for Public Health..

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.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:5

Enthalten in:

Public health in practice (Oxford, England) - 5(2023) vom: 17. Juni, Seite 100364

Sprache:

Englisch

Beteiligte Personen:

Meyrowitsch, Dan Wolf [VerfasserIn]
Nielsen, Jannie [VerfasserIn]
Bygbjerg, Ib Christian [VerfasserIn]
Søndergaard, Jens [VerfasserIn]
Thi, Diep Khong [VerfasserIn]
Huyen, Dieu Bui Thi [VerfasserIn]
Gammeltoft, Tine [VerfasserIn]
Duc, Thanh Nguyen [VerfasserIn]

Links:

Volltext

Themen:

Informal care
Journal Article
Type-2 diabetes
Unmet needs

Anmerkungen:

Date Revised 01.03.2023

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1016/j.puhip.2023.100364

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM353582506