Indian Journal of Health and Wellbeing

Varun Arora ¹, Tarun ², Ramesh Verma ³, Swati Arora ⁴, Meenakshi Kharb ⁵

Affiliations
1 Department of Community Medicine, PGIMS, Rohtak, Haryana, IN
2 Department of General Medicine, B.P.S.G.M.C.(W), Khanpur Kalan, IN
3 Department of Community Medicine, B.P.S. G.M.C. (W), Khanpur Kalan, Sonepat, IN
4 P.G.T. Computer Science, Pathania Public School, Rohtak, Haryana, IN
5 Q.M.O., NHM, Haryana, IN

Abstract

Diabetes mellitus, long considered a disease of minor significance to world health is now taking its place as one of the main threat to human health in 21st century. A sizeable proportion of diabetes mellitus cases are undiagnosed& have a poor health seeking behaviour. The objective of the study was to assess Health seeking behavior of known type II diabetics in Urban Population of Rohtak. This Community based study was conducted in Urban field practice area attached to Dept. of Community Medicine PGIMS, Rohtak, Haryana. All the study subjects diagnosed with type II (NIDDM) diabetes mellitus attending the urban health centres during July -December 2013 were enrolled for the study. After receiving their verbal informed consent, the patients were interviewed by employing a pretested semi-structured questionnaire that contained details about epidemiological data and health seeking behaviour of the patients. The study variables were analyzed using appropriate statistical tests. Out of 92 known type II diabetics, 78 consented to participate in the study. Less then half (46.2%) were receiving regular treatment. Maximum (65.4%) patients sought treatment from private practitioners. 92.3% of known diabetics resorted to dietary treatment. 88.46% were receiving drugs and 19.23% received treatment in form of injectables. Belief (73.07%) and accessisibility (53.84%) were the major reason for deciding medical aid in chronic condition like diabetes mellitus. Study highlights the need for a community based education programme to emphasize the need for life style modifications and regularity of treatment.

Keywords

Health Seeking Behavior, Diabetics, Urban Population.

Full Text

     

Tarun ¹, Ramesh Verma ¹, Varun Arora ², Manish Sharma , Shalini Singh , Amit Arya ³

Affiliations
1 Department of General Medicine, B.P.S. G.M.C. (W), Khanpur Kalan, IN
2 Department of Community Medicine, PGIMS Rohtak, Haryana, IN
3 HCMS, IN

Abstract

In several ethnic populations including the relatively non-obese Indian population, the android pattern of body fat, typified by more upper body adiposity measured as waist hip ratio (WHR) was found to be a greater risk factor for type 2 diabetes than general obesity which is calculated by BMI. Various studies have shown that central obesity is common in Indians despite low rates of obesity. This is probably one of the reasons for a higher prevalence of diabetes in urban area To study the Anthropometric Indices & their relationship with diabetes in urban population of Rohtak, Haryana. Population based descriptive type of epidemiological study, design adopted was cross-sectional. Urban field practice area with population of 57000, attached to Dept. of Community Medicine PGIMS, Rohtak. 1003 subjects were selected using simple random sampling through random number table. Various anthropometric indices estimated were Weight, Height, Body Mass Index (BMI), Waist Hip Ratio, Waist Height Ratio. Fasting Blood Glucose estimation was done for detection of Diabetes using ADA criteria. ANOVA, chi square test, percentages & proportions. Out of 1003 study subjects, 81 were detected as diabetics & 103 were diagnosed as pre-diabetics. Mean weight of diabetics and pre diabetics was 65.77±12.94 kg and66±13.64kg, respectively which was significantly higher than that of non-diabetics 59.59±13.64kg (p < 0.001) implying a strong association of obesity with diabetes. Body mass index (BMI) was high in diabetics (26.11±4.31) as well as pre diabetics (25.68±4.98), classifying them as overweight as compared to normal BMI (22.99±4.20) in non-diabetics. (p< 0.001). Waist hip ratio was highest in diabetics (0.95±0.057) followed by in pre diabetics (0.92±0.069) and was least in non-diabetics (0.89±0.079). (p< 0.001)

Keywords

Anthropometric Indices, Diabetes.

Full Text