. 2021 May 13;21(1):911.

doi: 10.1186/s12889-021-10963-x.

Association of household socioeconomic status, neighborhood support system and adherence to dietary recommendation among persons with T2DM, a facility-based cross-sectional study in Ghana

Be-Ikuu Dominic Doglikuu^{1

2}, Abdulai Abubakari³, Mehdi Yaseri⁴, Elham Shakibazadeh⁵, Abolghassem Djazayery⁶, Khadijeh Mirzaei⁷

Affiliations

¹ International Campus, Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
² Ministry of Health, Nursing and Midwifery Training College, Twifo Praso, Central Region, Ghana.
³ Department of Nutritional Sciences, School of Allied Health Sciences, University of Development Studies (UDS), Tamale, Ghana.
⁴ Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
⁵ Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
⁶ Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran, Iran. djazayery@yahoo.com.
⁷ Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran, Iran. mirzaei_kh@sina.tums.ac.ir.

PMID: 33985462
PMCID: PMC8117492
DOI: 10.1186/s12889-021-10963-x

Association of household socioeconomic status, neighborhood support system and adherence to dietary recommendation among persons with T2DM, a facility-based cross-sectional study in Ghana

Be-Ikuu Dominic Doglikuu et al. BMC Public Health. 2021.

. 2021 May 13;21(1):911.

doi: 10.1186/s12889-021-10963-x.

Authors

Be-Ikuu Dominic Doglikuu^{1

2}, Abdulai Abubakari³, Mehdi Yaseri⁴, Elham Shakibazadeh⁵, Abolghassem Djazayery⁶, Khadijeh Mirzaei⁷

Affiliations

¹ International Campus, Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
² Ministry of Health, Nursing and Midwifery Training College, Twifo Praso, Central Region, Ghana.
³ Department of Nutritional Sciences, School of Allied Health Sciences, University of Development Studies (UDS), Tamale, Ghana.
⁴ Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
⁵ Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
⁶ Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran, Iran. djazayery@yahoo.com.
⁷ Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran, Iran. mirzaei_kh@sina.tums.ac.ir.

PMID: 33985462
PMCID: PMC8117492
DOI: 10.1186/s12889-021-10963-x

Abstract

Background: Dietary recommendation help persons with diabetes adopt to healthy eating habits to achieve optimal glycemic control. Socioeconomic-status and neighborhood support system can influence adherence to dietary recommendation. The purpose of our study is to assess the association of household-socioeconomic status and neighborhood-support system with adherence to dietary recommendation among persons with type 2 diabetes mellitus (T2DM).

Methods: Facility-based cross-sectional-survey was conducted in Brong Ahafo region, Ghana. Six hospitals were randomly selected and 530 individuals with T2DM consecutively recruited from the selected hospitals for the study. Structured-questionnaires were used to collect socio-demographic variables. Adherence to dietary-recommendation was the outcome-variable, and was assessed using perceived dietary-adherence questionnaire.

Results: Age (years) (P-value = 0.005), Physical-Activity level (P-value = 0.024) Receive-moderate Social-Support (P-value = 0.004) and High-Socioeconomic status (P-value = 0.046) were significantly correlated with adherence to dietary-recommendation. Age (years) regression coefficient (β) -0.089, 95%CI (- 0.12, - 0.001), Being married β0.103, 95%CI (0.002, 0.02), moderate and low-social support system β 0.309, 95%CI (0.17, 0.38) and β-0.192, 95%CI (- 0.26, - 0.06) respectively, and high-socioeconomic status β 0.197, 95%CI (0.06, 0.25) were significantly associated with adherence to dietary-recommendation.

Conclusion: Social-support system and socioeconomic-status could be associated with adherence to dietary-recommendation. Therefore, health workers should consider patients' social support system and socioeconomic status as modifiable factors for optimum adherence.

Keywords: Adherence; Diabetes mellitus; Dietary recommended; Ghana; Neighborhood support; Socioeconomic-status.

PubMed Disclaimer

Conflict of interest statement

All authors declare no competing interest in this study.

Cited by

Interactions between Vitamin D Genetic Risk and Dietary Factors on Metabolic Disease-Related Outcomes in Ghanaian Adults.
Alathari BE, Nyakotey DA, Bawah AM, Lovegrove JA, Annan RA, Ellahi B, Vimaleswaran KS. Alathari BE, et al. Nutrients. 2022 Jul 4;14(13):2763. doi: 10.3390/nu14132763. Nutrients. 2022. PMID: 35807945 Free PMC article.
The potential role of plantains, moringa, plantain-moringa combined diets, and other plant-based dietary patterns in controlling glycaemia among T2DM persons, a hospital based cross sectional survey in Ghana.
Doglikuu BD, Abubakari A, Yaseri M, Shakibazadeh E, Djazayery A, Mirzaei K. Doglikuu BD, et al. J Diabetes Metab Disord. 2021 Sep 13;20(2):1529-1536. doi: 10.1007/s40200-021-00896-y. eCollection 2021 Dec. J Diabetes Metab Disord. 2021. PMID: 34900805 Free PMC article.
A cross-sectional study on the association between varied social support modalities and glycemic levels amongst diabetic patients residing in Machakos County, Kenya.
Kiarie JN, Mambo SN, Kamundi GK. Kiarie JN, et al. Pan Afr Med J. 2023 Jun 22;45:99. doi: 10.11604/pamj.2023.45.99.39472. eCollection 2023. Pan Afr Med J. 2023. PMID: 37692985 Free PMC article.
Dietary Nonadherence and Its Determinants Among Diabetes Mellitus Patients in Comprehensive Specialized Hospitals, Amhara Region, Ethiopia: A Cross-Sectional Study.
Belew MA, Getu RA, Getahun SA, Gemeda BN, Zergaw MW, Workie SG. Belew MA, et al. Health Sci Rep. 2025 Aug 11;8(8):e71154. doi: 10.1002/hsr2.71154. eCollection 2025 Aug. Health Sci Rep. 2025. PMID: 40799982 Free PMC article.
Self-care behaviors and associated factors among individuals with type 2 diabetes in Ghana: a systematic review.
Opoku R, Ackon SK, Kumah E, Botchwey CO, Appiah NE, Korsah S, Peprah M. Opoku R, et al. BMC Endocr Disord. 2023 Nov 22;23(1):256. doi: 10.1186/s12902-023-01508-x. BMC Endocr Disord. 2023. PMID: 37993843 Free PMC article.

See all "Cited by" articles

References

1. Snorgaard O, et al. Systematic review and meta-analysis of dietary carbohydrate restriction in patients with type 2 diabetes. BMJ Open Diabetes Res Care. 2017;5(1):e000354. 10.1136/bmjdrc-2016-000354. - PMC - PubMed
1. Asif M. The prevention and control the type-2 diabetes by changing lifestyle and dietary pattern. J Educ Health Promot. 2014;3(1):1. doi: 10.4103/2277-9531.127541. - DOI - PMC - PubMed
1. Association, A.D. Evidence-based nutrition principles and recommendations for the treatment and prevention of diabetes and related complications. Diabetes Care. 2002;25(suppl 1):s50–s60. - PubMed
1. Kim Y, Schulz R. Family caregivers’ strains: comparative analysis of cancer caregiving with dementia, diabetes, and frail elderly caregiving. J Aging Health. 2008;20(5):483–503. doi: 10.1177/0898264308317533. - DOI - PubMed
1. Shrivastava SR, Shrivastava PS, Ramasamy J. Role of self-care in management of diabetes mellitus. J Diabetes Metab Disord. 2013;12(1):14. doi: 10.1186/2251-6581-12-14. - DOI - PMC - PubMed

Publication types

Actions

MeSH terms

Actions
Actions
Actions
Actions
Actions
Actions
Actions

LinkOut - more resources

Full Text Sources
Other Literature Sources
- scite Smart Citations
Medical
- MedlinePlus Health Information

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

Association of household socioeconomic status, neighborhood support system and adherence to dietary recommendation among persons with T2DM, a facility-based cross-sectional study in Ghana

Affiliations

Association of household socioeconomic status, neighborhood support system and adherence to dietary recommendation among persons with T2DM, a facility-based cross-sectional study in Ghana

Authors

Affiliations

Abstract

Conflict of interest statement

Similar articles

Cited by

References

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources

Other Literature Sources

Medical