Background <p>Diabetes is a chronic and progressive disease that affects individuals' daily lives by causing both acute and chronic complications. Its control largely depends on self-management by the patient, but precarious socioeconomic conditions limit its effectiveness.</p> Objectives <p>This study aims to determine the impact of living in poverty on self-care practices among diabetic patients and identify the practices that are impaired by poverty.</p> Methods <p>A cross-sectional analytical study was conducted among diabetic patients in the province of Agadir Ida Outane, Morocco. Self-care practices were measured via the Moroccan Arabic version of the SDSCA questionnaire. Logistic regression was employed to predict the relationship between poverty status and self-care practices after adjusting for potential confounding variables. The standard significance threshold was set at 0.05. Data processing and analysis were carried out via Jamovi statistical analysis software, version (2.3.28).</p> Results <p>A total of 377 confirmed diabetic patients who were receiving treatment were included in the study. The results of multiple logistic regressions show that poverty is associated with poor diabetes self-care practices (ORa = 1.72; 95% CI [1.01–2.94]; <i>p</i> = 0.047). The self-care dimensions significantly linked to poverty status are physical exercise (<i>p</i> = 0.005), blood glucose monitoring (<i>p</i> =  &lt; 0.001), and foot care (<i>p</i> =  &lt; 0.001).</p> Conclusion <p>Implementing appropriate measures to strengthen diabetes self-management among patients in precarious socioeconomic conditions is essential.</p>

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Association between poverty status and self care practices among diabetic patients in Morocco

  • Aicha El Hanafi,
  • Safiya Mahlaq,
  • Mohamed Lmejjati

摘要

Background

Diabetes is a chronic and progressive disease that affects individuals' daily lives by causing both acute and chronic complications. Its control largely depends on self-management by the patient, but precarious socioeconomic conditions limit its effectiveness.

Objectives

This study aims to determine the impact of living in poverty on self-care practices among diabetic patients and identify the practices that are impaired by poverty.

Methods

A cross-sectional analytical study was conducted among diabetic patients in the province of Agadir Ida Outane, Morocco. Self-care practices were measured via the Moroccan Arabic version of the SDSCA questionnaire. Logistic regression was employed to predict the relationship between poverty status and self-care practices after adjusting for potential confounding variables. The standard significance threshold was set at 0.05. Data processing and analysis were carried out via Jamovi statistical analysis software, version (2.3.28).

Results

A total of 377 confirmed diabetic patients who were receiving treatment were included in the study. The results of multiple logistic regressions show that poverty is associated with poor diabetes self-care practices (ORa = 1.72; 95% CI [1.01–2.94]; p = 0.047). The self-care dimensions significantly linked to poverty status are physical exercise (p = 0.005), blood glucose monitoring (p =  < 0.001), and foot care (p =  < 0.001).

Conclusion

Implementing appropriate measures to strengthen diabetes self-management among patients in precarious socioeconomic conditions is essential.