Observational studyFrontiers in public health2025
A cross-sectional primary care study of knowledge, attitudes, and practices of type 2 diabetes self-care and their association with sociodemographic and sociocultural factors in Cali, Colombia.
Observational study in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
7 authors.
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Abstract
Introduction: Type 2 diabetes mellitus (T2DM) represents a major and rising clinical and economic challenge in Latin America. Strengthening patients' knowledge, attitudes, and practices (KAP) is essential to improve self-care behaviors and optimize primary care outcomes. Objectives: To assess self-care KAP among adults with T2DM in Cali, Colombia, and to examine their associations with sociodemographic and sociocultural factors. Methods: A cross-sectional observational study was conducted among adults (≥18 years) with confirmed T2DM enrolled in a public primary-care network in Cali (January 2020-June 2024). Data were obtained through a 43-item structured questionnaire comprising the culturally adapted DKQ-24 (knowledge), Likert-type items (attitudes), and an adapted SDSCA incorporating traditional-medicine practices. KAP scores were categorized Results: Of 336 participants, most were women (62.2%) and older adults (≥60 years, 65.7%). High knowledge was observed in 81.8%, positive attitudes in 99.0%, and frequent practices in 88.1%. Gaps emerged in daily meal planning (26.5% correct) and understanding the value of blood-glucose self-monitoring (31.8% correct). Strong behaviors included medication adherence and foot care (both 76.0% frequent); risk behaviors were uncommon (recent smoking 4.0%; dessert/sweet intake 19.0%). Knowledge was significantly associated with socioeconomic stratum ( Conclusion: Adults with T2DM in this urban primary-care setting demonstrate a favorable KAP profile, though persistent gaps remain in dietary planning and glycemic self-monitoring. Targeted, culturally sensitive educational strategies-integrating family and faith-based networks-should prioritize these areas while reinforcing adherence and foot care. Multivariable and longitudinal analyses are recommended to deepen understanding and evaluate tailored interventions.
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