Knowledge, Attutude And Practice Regarding Obesity As A Risk Factor For Diabetes Among Adults In Sindila Subcounty, Bundibugyo District, Uganda.

ABSTRACT

Background: Diabetes mellitus (DM) is a major public health problem in Uganda and it is a risk factor for many comorbid diseases. Therefore, the aim of the present study

was to assess knowledge, attitude and practice regarding obesity as a risk factor for diabetes among adults in Sindila Sub county, Bundibugyo district Uganda.

Methodology: This is a crosssectionalsurvey. Data was obtained from 138 Sindila Subcounty. Results: Out of the 138 participants, around 34% were males and 66%

were females. Out of 138 participants 61% know nothing about DM and about 48% were not sure whether they know something about symptoms of DM. The lack of

knowledge about the relationship between obesity and DM was significant among this study group.

Conclusion: There was low awareness and knowledge levels toward baseline DM related information among Sindila Sub county population, which necessitates the need for comprehensive awareness program. Women are more in need to be targeted by DM prevention and control programs.

Keywords: Diabetes, Sindila Sub county, Obesity, Lifestyle, Awareness

TABLE OF CONTENTS

DECLARATION ................................................................................................................... I

APPROVAL .......................................................................................................................... II

DEDICATION .................................................................................................................... III

ACKNOWLEDGEMENT ................................................................................................. IV

TABLE OF CONTENTS ................................................................................................... V

LIST OF TABLES .............................................................................................................. IX

LIST OF FIGURES ............................................................................................................. X

LIST OF ABBREVIATIONS AND ACRONYMS ...................................................... XI

OPERATIONAL DEFINITIONS ................................................................................. XII

ABSTRACT ....................................................................................................................... XIII

CHAPTER ONE ................................................................................................................... 1

INTRODUCTION ................................................................................................................ 1

1.1 BACKGROUND ............................................................................................................ 1

1.2 PROBLEM STATEMENT ......................................................................................... 2

1.3 OBJECTIVE OF THE STUDY.................................................................................. 3

1.3.1 GENERAL OBJECTIVE ......................................................................................... 3

1.3.2 SPECIFIC OBJECTIVES ........................................................................................ 3

1.4 RESEARCH QUESTIONS ......................................................................................... 3

vi

1.5 SIGNIFICANCE OF THE STUDY ........................................................................... 3

1.6 SCOPE OF THE STUDY ............................................................................................ 4

1.6.1 GEOGRAPHICAL SCOPE ..................................................................................... 4

1.6.2 CONTENT SCOPE.................................................................................................... 4

1.6.3 TIME SCOPE ............................................................................................................. 5

1.7 CONCEPTUAL FRAME WORK ............................................................................. 5

CHAPTER TWO ................................................................................................................. 6

LITERATURE REVIEW .................................................................................................. 6

2.0 INTRODUCTION ...................................................................... 6

2.1 OBESITY A RISK FACTOR FOR DIABETES .................................................... 6

2.2 ATTITUDES TOWARDS OBESE PEOPLE. ........................................................ 8

2.3 DIATERY PRACTICES PREDISPOSING TO OBESITY ................................ 9

2.4 CAUSES OF POOR DIETERY HABITS. ............................................................ 11

CHAPTER THREE ........................................................................ 15

METHODOLOGY ............................................................................................................ 15

3.0 INTRODUCTION ....................................................................... 15

3.1 RESEARCH DESIGN ................................................................. 15

3.2 SAMPLING SIZE DETERMINATION ................................................................ 15

3.3 SAMPLING TECHNIQUE ................................................................ 16

3.4 STUDY POPULATION ................................................................ 16

3.4.1 INCLUSION CRITERIA ....................................................................................... 16

3.4.2 EXCLUSION CRITERIA ...................................................................................... 16

3.5 DATA COLLECTION METHOD .......................................................................... 16

3.6 VALIDITY .................................................................................... 17

3.7 RELIABILITY ............................................................................... 17

3.8 DATA ANALYSIS AND INTERPRETATION ................................................... 17

3.9 ETHICAL CONSIDERATIONS ............................................................................. 17

3.9.1 RIGHT TO CONFIDENTIALITY AND ANONYMITY ............................... 17

3.10 STUDY LIMITATION AND DELIMITATION ............................................... 18

3.11 DISSEMINATION OF STUDY FINDINGS ............................... 18

CHAPTER FOUR ............................................................................ 19

RESULTS ........................................................................................ 19

4.1: SOCIO-DEMOGRAPHIC DATA OF THE PARTICIPANTS ...................... 19

4.2 DISTRIBUTION OF THE STUDY SUBJECTS BY SEX AND

KNOWLEDGE ON FACTORS EXPECTED TO INCREASE THE RISK OF

DM ................................................................. 21

4.3: DISTRIBUTION OF THE STUDY SUBJECTS BY EDUCATION AND

KNOWLEDGE ON FACTORS EXPECTED TO INCREASE THE RISK OF

DM .......................................................................... 23

CHAPTER FIVE .......................................................................................... 25

DISCUSSION CONCLUSION AND RECOMMENDATION ............................... 25

5.1 DISCUSSION ....................................................................................... 25

5.2 CONCLUSION ..................................................................................... 27

5.3 RECOMMENDATION ................................................................................... 27

REFERENCES ..................................................................................... 28

APPENDICES ........................................................................................ 31

APPENDIX 1: QUESTIONNAIRE ............................................................................... 31

APPENDIX 2: ACCEPTANCE LETTER FROM SINDILA SUBCOUNTY ..... 33

APPENDIX 3: MAP OF UGANDA SHOWING BUNDIBUJYO DISTRICT .... 34