TY - JOUR

T1 - Unmet needs for informal care among people with type 2 diabetes in rural communities in Vietnam

AU - Meyrowitsch, Dan Wolf

AU - Nielsen, Jannie

AU - Bygbjerg, Ib Christian

AU - Søndergaard, Jens

AU - Thi, Diep Khong

AU - Huyen, Dieu Bui Thi

AU - Gammeltoft, Tine

AU - Duc, Thanh Nguyen

N1 - © 2023 Published by Elsevier Ltd on behalf of The Royal Society for Public Health.

PY - 2023

Y1 - 2023

N2 - OBJECTIVES: The objective of this study was to identify determinants associated with unmet needs for informal support among people with type-2 diabetes in rural communities of Vietnam in order to inform development of effective interventions aimed at bridging the gap between community members and resource constrained health systems.STUDY DESIGN: A cross-sectional survey was conducted from December 2018 to February 2019 in a rural area of northern Vietnam.METHODS: From 2 districts in northern Vietnam, 806 people with type-2 diabetes participated in a survey to assess who were their most important informal caregivers (ICGs) and to measure the association between demographic and socio-economic predictors and unmet needs of informal support of relevance for diabetes self-care using bivariate and multivariate analyses.RESULTS: The spouse was reported as the most important ICG (62.9%) followed by a daughter or son (28.4%). 32.0% reported at least one type of unmet need for informal support. The most commonly reported unmet needs of informal care were: transport to health facilities and company when seeking formal care (20.5%), financial support related to costs of diabetes self-management (18.5%), and reminders to engage in physical exercise (14.5%). People living alone reported the highest odds ratio (OR) for unmet need of informal care (OR = 4.41; CI95%: 2.19-8.88), followed by those being poor (OR = 3.79; CI95%: 1.25-11.52) and those being unemployed (OR = 2.85; CI95%: 1.61-5.05).CONCLUSIONS: Almost one-third of people with type-2 diabetes reported at least one type of unmet need for informal care. These findings provide a basis for development of new modalities for strengthening support provided by ICGs in rural communities in Vietnam and in other low- and middle-income countries.

AB - OBJECTIVES: The objective of this study was to identify determinants associated with unmet needs for informal support among people with type-2 diabetes in rural communities of Vietnam in order to inform development of effective interventions aimed at bridging the gap between community members and resource constrained health systems.STUDY DESIGN: A cross-sectional survey was conducted from December 2018 to February 2019 in a rural area of northern Vietnam.METHODS: From 2 districts in northern Vietnam, 806 people with type-2 diabetes participated in a survey to assess who were their most important informal caregivers (ICGs) and to measure the association between demographic and socio-economic predictors and unmet needs of informal support of relevance for diabetes self-care using bivariate and multivariate analyses.RESULTS: The spouse was reported as the most important ICG (62.9%) followed by a daughter or son (28.4%). 32.0% reported at least one type of unmet need for informal support. The most commonly reported unmet needs of informal care were: transport to health facilities and company when seeking formal care (20.5%), financial support related to costs of diabetes self-management (18.5%), and reminders to engage in physical exercise (14.5%). People living alone reported the highest odds ratio (OR) for unmet need of informal care (OR = 4.41; CI95%: 2.19-8.88), followed by those being poor (OR = 3.79; CI95%: 1.25-11.52) and those being unemployed (OR = 2.85; CI95%: 1.61-5.05).CONCLUSIONS: Almost one-third of people with type-2 diabetes reported at least one type of unmet need for informal care. These findings provide a basis for development of new modalities for strengthening support provided by ICGs in rural communities in Vietnam and in other low- and middle-income countries.

U2 - 10.1016/j.puhip.2023.100364

DO - 10.1016/j.puhip.2023.100364

M3 - Journal article

C2 - 36852166

VL - 5

JO - Public Health in Practice

JF - Public Health in Practice

SN - 2666-5352

M1 - 100364

ER -