Prevention Of Type 2 Diabetes Mellitus Among Adolescents In Ternate City, Indonesia
DOI:
https://doi.org/10.22219/sm.Vol17.SMUMM2.15112Keywords:
adolescent, knowledge-attitude-practices, type 2 diabetes mellitus, prevention.Abstract
Complication of diabetes mellitus cause death. The death rate due to complication of diabetes mellitus was the third highest in Indonesia. Meanwhile, based on the data in 2009, people with type 2 diabetes mellitus (T2DM) in Kota Ternate was the third highest across Indonesia. In order to prevent an increase in T2DM sufferers, several strategies are needed, including prevention from an early age including in adolescents. The research aims to evaluate T2DM-related Knowledge, Attitudes, and Practices (KAP) of the adolescents in Ternate city, in order to obtain data as an illustration that can be utilized in the management of T2DM. The research design was a cross sectional study. The study population was 22,653 adolescents aged 15-19 years, with a sample of 394 adolescents. Data were obtained using a questionnaire to measure the level of KAP about diabetes mellitus, risk factors and diabetes mellitus prevention. Statistical data analysis using descriptive analysis. The conclusion obtained by the analysis of the answers to each KPA question. The results showed the majority of respondents were 15 years of age (32.5%), the dominant gender is female (59.9%), education is being taken is Senior High School (53.6%). The highest respondent's knowledge level was in good category (53.8%), the attitude of the most respondents was in good category (72.6%), while the prevention practice of T2DM was also in good category (76.4%). Even though KAP shows good results, there was still many questions and statements that were answered incorrectly by respondents. Therefore, it is suggested that more in-depth educational programs in order to be propagated, especially for adolescents, since education is one of the five pillars of containment procedures T2DM.
Downloads
References
Akseer, N., Mehta, S., Wigle, J., Chera, R., Brickman, Z.J., Al-Gashm, S., Sorichetti, B., Vandermorris, A., Hipgrave, D.B., Schwalbe, N. & Bhutta, Z.A. 2020. Non-Communicable Diseases Among Adolescents: Current Status, Determinants, Interventions and Policies. BMC Public Health, 20. doi: 10.1186/s12889-020-09988-5
Aljofan, M., Altebainawi, A.& Alrashidi, M. N. 2019. Public Knowledge, Attitude and Practice Toward Diabetes Mellitus in Hail Region, Saudi Arabia. International Journal of General Medicine, 12, 255–262. doi: 10.2147/IJGM.S214441
Arnold, J. 2020. The Importance of Different Knowledge Types in Health-Related Decisions-The Example of Type 2 Diabetes. Sustainability (Switzerland), 12(8). doi: 10.3390/SU12083396
Badan Pusat Statistik Kota Ternate. 2019. Kota Ternate dalam Angka 2018. Ternate: BPS Kota Ternate
Brumana, L., Arroyo, A., Schwalbe, N. R., Lehtimaki, S., & Hipgrave, D. B. 2017. Maternal and Child Health Services and An Integrated, Life-Cycle Approach to the Prevention of Non-Communicable Diseases. BMJ Global Health, 2(3). doi: 10.1136/bmjgh-2017-000295
Galaviz, K. I., Narayan, K. M. V., Lobelo, F. & Weber, M. B. 2018. Lifestyle and the Prevention of Type 2 Diabetes: A Status Report. American Journal of Lifestyle Medicine, 12(1), 4–20. doi: 10.1177/1559827615619159
Gazzaz, Z. J. 2020. Knowledge, Attitudes, and Practices Regarding Diabetes Mellitus Among University Students in Jeddah, Saudi Arabia. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 13, 5071–5078. doi: Knowledge, Attitudes, and Practices Regarding Diabetes Mellitus Among University Students in Jeddah, Saudi Arabia
Gillani, A. H., Islam, F. M. A., Hayat, K., Atif, N., Yang, C., Chang, J., Qu, Z., Fang, Y. 2018. Knowledge, Attitudes and Practices Regarding Diabetes in The General Population: A Cross-Sectional Study from Pakistan. International Journal of Environmental Research and Public Health, 15(9), 1–13. doi: 10.3390/ijerph15091906
Herath, H. M. M., Weerasinghe, N. P., Dias, H.& Weerarathna, T. P. 2017. 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, 17(1), 1–7. doi: 10.1186/s12889-017-4459-5
Irdianty, M.S., Sudargo, T. & Hakimi, M. 2016. Aktivitas Fisik dan Konsumsi Camilan Pada Remaja Obesitas di Kabupaten Bantul. Berita Kedokteran Masyarakat, 32(7), 217–222. doi: 10.22146/bkm.8597
Kassahun, T., Gesesew, H., Mwanri, L. & Eshetie, T. 2016. Diabetes related knowledge, self-care behaviours and adherence to medications among diabetic patients in Southwest Ethiopia: A cross-sectional survey. BMC Endocrine Disorders, 16(1). doi: 10.1186/s12902-016-0114-x
Kemenkes RI. 2019. Laporan Provinsi Maluku Utara Riskesdas 2018. Jakarta: Lembaga Penerbit Badan Litbang Kesehatan
Kemenkes RI. 2020. Infodatin Tetap Produktif, Cegah, dan Atasi Diabetes Melitus 2020. Retrieved from https://www.kemkes.go.id/article/view/20120100005/infodatin-tetap-produktif-cegah-dan-atasi-diabetes-melitus-2020.html
Khan, M.A.B., Hashim, M.J., King, J.K., Govender, R.D., Mustafa, H. &Kaabi, J.A. 2020. Epidemiology of Type 2 Diabetes – Global Burden of Disease and Forecasted Trends. Journal of Epidemiology and Global Health, 10(1), 107–111. doi: 10.2991/jegh.k.191028.001
Kim, E. G. 2018. Multilevel Analysis of The Risk Factors in High-Risk Health Behavior Among Korean Adolescents. Osong Public Health and Research Perspectives, 9(1), 3–8. doi: 10.24171/J.PHRP.2018.9.1.02
Kumar, S. & Preetha, G. S. 2012. Health Promotion: An Effective Tool for Global Health. Indian Journal of Community Medicine, 37(1), 5–12. doi: 10.4103/0970-0218.94009
Larasati, L.A., Andayani, T.M. & Kristina, S. A. 2019. Hubungan Tingkat Pengetahuan Terhadap OutcomeKlinik Pasien Diabetes Melitus Tipe 2. Jurnal Manajemen Dan Pelayanan Farmasi, 9(2), 101–108. doi: 10.22146/jmpf.43489
Luo, B., Zhang, J., Hu, Z., Gao, F., Zhou, Q., Song, S., Qin, L., Xu, H. 2018. Diabetes-Reated Behaviours Among Elderly People with Pre-Diabetes in Rural Communities of Hunan, China: A Cross-Sectional Study. BMJ Open. doi: 10.1136/bmjopen-2016-015747
Machado, A. P., Lima, B. M., Laureano, M. G., Silva, P. H. B., Tardin, G. P., Reis, P. S., … D’Artibale, E. F. (2016). Educational strategies for the prevention of diabetes, hypertension, and obesity. Revista Da Associacao Medica Brasileira, 62(8), 800–808. https://doi.org/10.1590/1806-9282.62.08.800
Mamady, K. 2016. Factors Influencing Attitude, Safety Behavior, and Knowledge Regarding Household Waste Management in Guinea: A Cross-Sectional Study. Journal of Environmental and Public Health. doi: 10.1155/2016/9305768
Mansour, M. A. A. 2020. The Prevalence and Risk Factors of Type 2 Diabetes Mellitus (DMT2) in A Semi-Urban Saudi Population. International Journal of Environmental Research and Public Health, 17(1). doi: 10.3390/ijerph17010007
Notoatmodjo, S. 2012. Promosi Kesehatan dan Perilaku Kesehatan. Jakarta: PT Rineka Cipta.
Pulungan, B.A., Afifa, I.T. & Annisa, D. 2018. Type 2 Diabetes Mellitus in Children and Adolescent: An Indonesian Perspective. Annals of Pediatric Endocrinology and Metabolism, 23(3), 119–125. doi:10.6065/apem.2018.23.3.119
Saeedi, P., Petersohn, I., Salpea, P., Malanda, B., Karuranga, S., Unwin, N., Colagiuri, S., Guariguata, L., Motala, A.A., Ogurtsova, K., Shaw, J.E., Bright, D., Williams, R. 2019. Global and Regional Diabetes Prevalence Estimates for 2019 and Projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th edition. Diabetes Research and Clinical Practice, 157. doi : 10.1016/j.diabres.2019.107843
Sami, W., Ansari, T., Butt, N. S.& Hamid, M. R. A. 2017. Effect of Diet on Type 2 Diabetes Mellitus: A Aeview. International Journal of Health Sciences, 11(2), 65–71. doi: 10.1002/dmrr.2515
Sarwono, S. 2012. Psikologi Remaja. Edisi 15. Depok: RajaGrafindo Persada
Silalahi, L. 2019. Hubungan Pengetahuan dan Tindakan Pencegahan Diabetes Mellitus Tipe 2. Jurnal Promkes, 7(2), 223–232. doi: 10.20473/jpk.v7.i2.2019.223-232
Simbolon, D., Siregar, A. & Talib, R. A. 2020. Physiological Factors and Physical Activity Contribute to The Incidence of Type 2 Diabetes Mellitus in Indonesia. Kesmas, 15(3), 120–127. doi: 10.21109/KESMAS.V15I3.3354
Soelistijo, S.A., Lindarto, D., Decroli, E., Permana, H., Sucipto, K.W., Kusnadi, Y., Budiman, Ikhsan, M.R., Sasiarini, L., Sanusi, H. 2019. Pedoman Pengelolaan dan Pencegahan Diabetes Mellitus Tipe 2 Dewasa di Indonesia 2019. Edisi Revisi. Jakarta: PB Perkeni.
Stanhope, K.L. 2016. Sugar Consumption, Metabolic Disease and Obesity: The State of The Controversy. Critical Reviews in Clinal Laboratory Sciences, 53(1), 52–67. doi: 10.3109/10408363.2015.1084990
Sugiarta, I. G. R. M. & Darmita, I. G. K. 2020. Profil Penderita Diabetes Mellitus Tipe-2 (DM-2) Dengan Komplikasi Yang Menjalani Rawat Inap di Rumah Sakit Umum Daerah (RSUD) Klungkung, Bali Tahun 2018. Intisari Sains Medis, 11(1), 7. doi: 10.15562/ism.v11i1.515
Temneanu, O.R., Trandafir, L.M. & Purcarea, M. R. 2016. Type 2 Diabetes Mellitus in Children and Adolescents: A Relatively New Clinical Problem Within Pediatric Practice. Journal of Medicine and Life, 9(3), 235–239. https://pubmed.ncbi.nlm.nih.gov/27974926/
Tino, S., Mayanja, B.N., Mubiru, M.C., Eling, E., Ddumba, E., Kaleebu, P. & Nyirenda, M. 2020. Prevalence and Factors Associated With Overweight and Obesity Among Patients With Type 2 Diabetes Mellitus in Uganda-A Descriptive Retrospective Study. BMJ Open, 10(11). doi : 10.1136/bmjopen-2020-039258
Uusitupa, M., Khan, T.A., Viguiliouk, E., Kahleova, H., Rivellese, A.A., Hermansen, K., Pfeiffer, A., Thanopoulou, A., Salas-Salvadó, J., Schwab, U. &Sievenpiper, J.L. 2019. Prevention of Type 2 Diabetes by Lifestyle Changes: A Systematic Review and Meta-Analysis. Nutrients, 11(11). doi: 10.3390/nu11112611
Wolde, M., Berhe, N., Van Die, I., Medhin, G., & Tsegaye, A. 2017. Knowledge and Practice on Prevention of Diabetes Mellitus Among Diabetes Mellitus Family Members, in Suburban Cities in Ethiopia. BMC Research Notes, 10(1). doi: 10.1186/s13104-017-2871-7
Wu, Y., Ding, Y., Tanaka, Y. & Zhang, W. 2014. Risk Factors Contributing to Type 2 Diabetes and Recent Advances in the Treatment and Prevention. International Journal of Medical Sciences, 11(11), 1185–1200. doi: 10.7150/ijms.10001
Xu, N., Xie, S., Chen, Y., Li, J.& Sun, L. 2020. Factors Influencing Medication Non-Adherence Among Chinese Older Adults with Diabetes Mellitus. International Journal of Environmental Research and Public Health, 17(17), 1–10. doi: 10.3390/ijerph17176012
Zappas, M.P. & Granger, T. A. 2017. Managing Adolescents With Type 2 Diabetes Mellitus. The Journal for Nurse Practioners, 13(4), 171–176. doi: 10.1016/j.nurpra.2016.11.020
Downloads
Published
Issue
Section
License
Copyright (c) 2021 Hamidah Rahman Rahman
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution-ShareAlike 4.0 International License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.