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Are people at high risk for diabetes visiting health facility for confirmation of diagnosis? A population-based study from rural India

Srinivasapura Venkateshmurthy, Nikhil, Soundappan, Kathirvel, Gummidi, Balaji, Bhaskara Rao, Malipeddi, Tandon, Nikhil, Reddy, K Srinath, Prabhakaran, Dorairaj and Mohan, Sailesh 2018, Are people at high risk for diabetes visiting health facility for confirmation of diagnosis? A population-based study from rural India, Global health action, vol. 11, no. 1, pp. 1-8, doi: 10.1080/16549716.2017.1416744.

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Title Are people at high risk for diabetes visiting health facility for confirmation of diagnosis? A population-based study from rural India
Author(s) Srinivasapura Venkateshmurthy, Nikhil
Soundappan, Kathirvel
Gummidi, Balaji
Bhaskara Rao, Malipeddi
Tandon, Nikhil
Reddy, K Srinath
Prabhakaran, Dorairaj
Mohan, Sailesh
Journal name Global health action
Volume number 11
Issue number 1
Article ID 1416744
Start page 1
End page 8
Total pages 8
Publisher Taylor & Francis
Place of publication Abingdon, Eng.
Publication date 2018
ISSN 1654-9716
1654-9880
Keyword(s) confirmatory test
SORT IT
UDAY
diabetes mellitus
screening
science & technology
life sciences & biomedicine
public, environmental & occupational health
cardiovascular disease
Summary Background: India is witnessing a rising burden of type 2 diabetes mellitus. India’s National Programme for Prevention and Control of Diabetes, Cancer, Cardiovascular diseases and Stroke recommends population-based screening and referral to primary health centre for diagnosis confirmation and treatment initiation. However, little is known about uptake of confirmatory tests among screen positives.

Objective: To estimate the uptake of confirmatory tests and identify the reasons for not undergoing confirmation by those at high risk for developing diabetes.

Methods:
We analysed data collected under project UDAY, a comprehensive diabetes and hypertension prevention and management programme, being implemented in rural Andhra Pradesh, India. Under UDAY, population-based screening for diabetes was carried out by project health workers using a diabetes risk score and capillary blood glucose test. Participants at high risk for diabetes were asked to undergo confirmatory tests. On follow-up visit, health workers assessed if the participant had undergone confirmation and ask for reasons if not so.

Results: Of the 35,475 eligible adults screened between April 2015 and August 2016, 10,960 (31%) were determined to be at high risk. Among those at high risk, 9670 (88%) were followed up, and of those, only 616 (6%) underwent confirmation. Of those who underwent confirmation, ‘lack of symptoms of diabetes warranting visit to health facility’ (52%) and ‘being at high risk was not necessary enough to visit’ (41%) were the most commonly reported reasons for non-confirmation. Inconvenient facility time (4.4%), no nearby facility (3.2%), un-affordability (2.2%) and long waiting time (1.6%) were the common health system-related factors that affected the uptake of the confirmatory test.

Conclusion: Confirmation of diabetes was abysmally low in the study population. Low uptake of the confirmatory test might be due to low ‘risk perception’. The uptake can be increased by improving the population risk perception through individual and/or community-focused risk communication interventions.
Language eng
DOI 10.1080/16549716.2017.1416744
Field of Research 111711 Health Information Systems (incl Surveillance)
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2018, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30109104

Document type: Journal Article
Collections: School of Exercise and Nutrition Sciences
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.