Analysis of Sociodemographic Factors Affecting Diabetic Dietary Behavior in People with Type 2 Diabetes Mellitus

Rondhianto Rondhianto(1), Akhmad Zainur Ridla(2), Hafifah Hasan(3),


(1) Faculty of Nursing, Universitas Jember
(2) Faculty of Nursing, Universitas Jember
(3) Faculty of Nursing, Universitas Jember

Abstract

Dietary behavior is one of the components of self-care that is difficult for people with type 2 diabetes mellitus (T2DM) to perform. The study aimed to determine the sociodemographic factors that influence the dietary behavior of people with T2DM. The study method is an analytic observational study with a cross-sectional design. The subjects of this study were people with T2DM in Jember Regency, with a sample size was 130 respondents using a multistage random sampling technique. This study had two variables: dietary behavior as a dependent variable, measured using Self-Management Dietary Behavior Questionnaire (SMDBQ, and sociodemographic factors (age, gender, marital status, income level, education level, ethnicity, and family type) as an independent variable measured using a sociodemographic questionnaire. Data were analyzed using a multiple logistic regression test (α = 0.05). The results of the study showed that most of the respondents were  55 – 65 years old (51.5%), female (71.5%), married (85.4%), a primary education level (50.8%), low-income level (73.1%), Madurese (54.6%), and nuclear family type (37.7%). Most of the respondents had dietary behavior in the medium category (66.9%), and the sociodemographic factors that influenced diabetes diet behavior were education level (p = 0.001) and family type (p = 0.001) with R2 = 0.241. Efforts to improve self-care regarding adherence to diabetes diet behavior must pay attention to sociodemographic factors to prevent complications and improve the quality of life of people with T2DM.

Keywords

type 2 diabetes mellitus, dietary behavior, sociodemographic

Full Text:

PDF

References

Aga, F., S. B. Dunbar, T. Kebede, M. K. Higgins, dan R. Gary. 2020. Relationships of diabetes self-care behaviours to glycaemic control in adults with type 2 diabetes and comorbid heart failure. Nursing Open. 7(5):1453–1467.

Al-Sinani, M., Y. Min, K. Ghebremeskel, dan H. S. Qazaq. 2010. Effectiveness of and adherence to dietary and lifestyle counselling effect on metabolic control in type 2 diabetic Omani patients. Sultan Qaboos University Medical Journal. 10(3):341–349.

Alfiati, S. 2017. Analisa faktor yang berhubungan dengan perilaku diet diabetes mellitus tipe 2 di pku muhammadiyah bantul. Jurnal Kesehatan. 1:1–15.

American Diabetes Association. 2020a. 5. facilitating behavior change and well-being to improve health outcome: standards of medical care in diabetes-2020. Diabetes Care 2020. 43 (Suppl.(1):548–565.

American Diabetes Association. 2020b. 8. obesity management for the treatment of type 2 diabetes: standards of medical care in diabetes-2021. Diabetes Care. 43(1):89–97.

Anders, S. dan C. Schroeter. 2015. Diabetes, diet-health behavior, and obesity. Frontiers in Endocrinology. 6:1–8.

Assari, S., M. M. Lankarani, J. D. Piette, dan J. E. Aikens. 2017. Socioeconomic status and glycemic control in type 2 diabetes; race by gender differences. Healthcare (Switzerland). 5(4):1–10.

Beverly, E. A., C. K. Miller, dan L. A. Wray. 2008. Spousal support and food-related behavior change in middle-aged and older adults living with type 2 diabetes. Health Education and Behavior. 35(5):707–720.

Boakye, E. A., A. Varble, R. Rojek, O. Peavler, A. K. Trainer, N. Osazuwa-Peters, dan L. Hinyard. 2018. Sociodemographic factors associated with engagement in diabetes self-management education among people with diabetes in the United States. Public Health Reports. 133(6):685–691.

Bonger, Z., S. Shiferaw, dan E. Z. Tariku. 2018. Adherence to diabetic self-care practices and its associated factors among patients with type 2 diabetes in Addis Ababa, Ethiopia. Patient Preference and Adherence. 12:963–970.

Friedman, M. ., V. . Bowden, dan E. . Jones. 2010. Family Nursing; Research, Theory, and Practice. Terjemahan Oleh Achir Yani S.Hamid,Dkk. Edisi 5. Jakarta: EGC.

Gonzalez-Zacarias, A. A., A. Mavarez-Martinez, C. E. Arias-Morales, N. Stoicea, dan B. Rogers. 2016. Impact of demographic, socioeconomic, and psychological factors on glycemic self-management in adults with type 2 diabetes mellitus. Frontiers in Public Health. 4(195):1–8.

Gustina, Suratun, dan Heryati. 2014. Faktor-faktor yang berhubungan dengan kepatuhan diet diabetes mellitus pada pasien DM. Jurusan Keperawatan Poltekkes Kemenkes Jakarta III. 2(3):97–107.

Hestiana, D. W. 2017. Faktor-faktor yang berhubungan dengan kepatuhan pengelolaan diet pada pasien rawat jalan diabetes mellitus tipe 2 di Kota Semarang. Journal of Health Education. 25(1):57–60.

International Diabetes Federation. 2021. IDF Diabetes Atlas 10th Edition. 2. Diabetes Research and Clinical Practice.

Kementerian Kesehatan RI. 2018. Laporan riskesdas 2018. Laporan Nasional RIskesdas 2018. 53(9):181–222.

Kim, M. Y. dan E. J. Lee. 2019. Factors affecting self-care behavior levels among elderly patients with type 2 diabetes: a quantile regression approach. Medicina. 55(7):1–10.

Lasari, H. H., M. Musafaah, N. L. Afifah, Y. Mutmainnah, dan J. Fitriyanti. 2021. Spatial analysis and risk factors for diabetes mellitus type II in Banjarbaru City. Jurnal Kesehatan Masyarakat. 17(2):240–247.

Lê, J., J. Dallongeville, A. Wagner, D. Arveiler, B. Haas, D. Cottel, C. Simon, dan L. Dauchet. 2013. Attitudes toward healthy eating: a mediator of the educational level-diet relationship. European Journal of Clinical Nutrition. 67(8):808–814.

Lestari, D. D., karina megasari Winahyu, dan S. Anwar. 2018. Kepatuhan diet pada klien diabetes melitus tipe 2 ditinjau dari dukungan keluarga di puskesmas cipondoh tangerang. Jurnal Ilmu Keperawatan Indonesia. 2(1):83–94.

Liu, H., L. Waite, dan S. Shen. 2016. Diabetes risk and disease management in later life: a national longitudinal study of the role of marital quality. Journals of Gerontology - Series B Psychological Sciences and Social Sciences. 71(6):1070–1080.

Liu, L. L. dan P. D. c. 2004. Aging and medial adherence : the use of automatic processes to achieve effortful things. Psycology and Aging. 19:328–325.

Luthfa, I. 2019. Implementasi selfcare activity penderita diabetes mellitus di wilayah puskesmas bangetayu semarang. Buletin Penelitian Kesehatan. 47(1):23–28.

Masithoh, A. R. 2019. Hubungan pengetahuan, sikap, dan status ekonomi dengan perilaku diit pada pasien dm rawat jalan di rsi jepara. Jurnal Ilmu Keperawatan Dan Kebidanan. 10(1):116–122.

Mirahmadizadeh, A., H. Khorshidsavar, M. Seif, dan M. H. Sharifi. 2020. Adherence to medication, diet and physical activity and the associated factors amongst patients with type 2 diabetes. Diabetes Therapy. 11(2):479–494.

Mogre, V., Z. O. Abanga, F. Tzelepis, N. A. Johnson, dan C. Paul. 2017. Adherence to and factors associated with self-care behaviours in type 2 diabetes patients in ghana. BMC Endocrine Disorders. 17(1):1–8.

Mubarak, W. I. 2007. Promosi Kesehatan Sebuah Pengantar Proses Belajar Mengajar Dalam Pendidikan. Yogyakarta: Graha Ilmu.

Nejaddadgar, N., M. Solhi, S. Jegarghosheh, M. Abolfathi, dan H. Ashtarian. 2017. Self-care and related factors in patients with type II diabetes. Asian Journal of Biomedical and Pharmaceutical Science. 20(1):635–639.

Nugroho, Y. W. 2017. Hubungan tingkat kepatuhan diet terhadap kadar glukosa darah pada penderita diabetes mellitus di Kelurahan Bulusulur. Keperawatan GSH. 1(6):1–8.

Ouyang, C.-M., J. T. Dwyer, P. F. Jacques, L.-M. Chuang, C. F. Haas, dan K. Weinger. 2015. Determinants of dietary self-care behaviours among Taiwanese patients with type 2 diabetes. Asia Pacific Journal of Clinical Nutrition. 24(3):430–437.

Park, C., S. Nam, dan R. Whittemore. 2016. Incorporating cultural perspectives into diabetes self-management programs for East Asian immigrants: a mixed-study review. Journal of Immigrant and Minority Health. 18(2):454–467.

PERKENI. 2019. Pedoman Pengelolaan Dan Pencegahaan DM Tipe 2 Dewasa Indonesia. Jakarta: PERKENI. Perkumpulan Endokrinologi Indonesia.

PERKENI. 2021. Pedoman Pengelolaan Dan Pencegahan Diabetes Melitus Tipe 2 Dewasa Di Indonesia. Jakarta: PERKENI. Perkumpulan Endokrinologi Indonesia.

Rantung, J., K. Yetti, dan T. Herawati. 2015. Hubungan self-care dengan kualitas hidup pasien diabetes mellitus (DM) di persatuan diabetes indonesia (persadia) cabang cimahi. Jurnal Skolastik Keperawatan. 1(01):38–51.

Riegel, B., T. Jaarsma, C. S. Lee, dan A. Strömberg. 2019. Integrating symptoms into the middle-range theory of self-care of chronic illness. Advances in Nursing Science. 42(3):206–215.

Rondhianto, R. 2022. Gambaran pengelolaan mandiri diet diabetes pada penderita diabetes melitus tipe 2 di Kabupaten Jember, Provinsi Jawa Timur, Indonesia. E-Prosiding Kolokium Hasil Penelitian Dan Pengabdian Kepada Masyarakat Periode 1 Tahun 2022. 131–140.

Triana, R. et al. 2015. Hubungan antara tingkat pengetahuan penderita dm tipe 1dan dm tipe 2 tentang manajemen diabetes dengan tingkat kepatuhan dalam mengontrol kadar gula di ruang poli penyakit dalam rsud arifin achmad pekanbaru. Jurnal Keperawatan. 606–611.

Ubaidillah, Z. dan A. P. Dipanusa. 2019. Faktor-faktor ketidakpatuhan diet pada klien diabetes melitus. Journal of Borneo Holistic Health. 2(1):17–29.

World Health Organization. 2016. Global report on diabetes. Isbn. 978:6–86.

Xie, Z., K. Liu, C. Or, J. Chen, M. Yan, dan H. Wang. 2020. An examination of the socio-demographic correlates of patient adherence to self-management behaviors and the mediating roles of health attitudes and self-efficacy among patients with coexisting type 2 diabetes and hypertension. BMC Public Health. 20(1):1–13.

Refbacks

  • There are currently no refbacks.




Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.