A diabetes perception study among rural and urban individuals of West Bengal, India: are we ready for the pandemic?

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ORIGINAL ARTICLE

A diabetes perception study among rural and urban individuals of West Bengal, India: are we ready for the pandemic? Partha Sarathi Mukherjee 1 & Sujoy Ghosh 2 & Pradip Mukhopadhyay 2 & Kausik Das 3 & Dipesh Kr. Das 1 & Pabak Sarkar 1 & Debdoot Bhattacharya 1 & Saibal Mazumdar 4 & Kajal Chatterjee 4 Received: 10 May 2019 / Accepted: 21 April 2020 # Research Society for Study of Diabetes in India 2020

Abstract Background Type 2 diabetes is a pandemic in India, yet studies regarding knowledge, attitude, and practices in diabetes in various Indian communities are limited. It is essential to understand the current gaps in knowledge and problems with attitude and perceptions of the general population regarding diabetes to effectively plan public health policies. Method In this study, 2163 subjects (1079 urban, 1084 rural) from West Bengal, India, with no exposure to any formal diabetes awareness including through familial experience or by virtue of their profession, participated in a structured response crosssectional knowledge-attitude practice (KAP) survey focusing on perception about diabetes, its diagnosis, and management during FY 2013–2014. Result Both rural and urban communities lacked complete knowledge of diabetes. Forty-nine percent of rural responders were not aware of the term “diabetes” itself. Also, among the rural responders who were familiar with the term lacked knowledge related to blood glucose monitoring and role of insulin in diabetes management. Though 74% of urban respondents were aware of insulin’s use in diabetes management, 39% had misconception regarding its extended use. Responders from both urban and rural communities showed higher awareness towards general health practices like, benefits of exercise or demerits of junk food, in comparison with diabetes-specific questions. Conclusion The study reveals the need for effective diabetes-specific health awareness campaigns to address the rise of diabetes pandemic in resource-limited country like India. There is an urgent need to address unfounded fear of adverse reaction of insulin over extended use. Electronic supplementary material The online version of this article (https://doi.org/10.1007/s13410-020-00821-8) contains supplementary material, which is available to authorized users. * Partha Sarathi Mukherjee [email protected] 1

Public Health, Liver Foundation, West Bengal, 33A, Jawaharlal Nehru Road, 16th Floor, Room No.12, Kolkata 700071, West Bengal, India

2

Department of Endocrinology and Metabolism, Institute of Postgraduate Medical Education and Research (IPGME&R), Seth Sukhlal Karnani Memorial Hospital, 244, Acharya Jagadish Chandra Bose Rd, Bhowanipore, Kolkata, West Bengal 700020, India

3

Department of Hepatology, School of Digestive & Liver Diseases, Institute of Post Graduate Medical Education & Research (IPGME&R), Seth Sukhlal Karnani Memorial Hospital, 244, Acharya Jagadish Chandra Bose Rd, Bhowanipore, Kolkata, West Bengal 700020, India

4

General Medicine, Suri Sadar Hospital, Suri, Birbhum, West Bengal, In