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Evaluating Dietary Knowledge and Barriers to Self-Management of Type 2 Diabetes in Rural Kentucky

Cross-Sectional Interview Survey

Bibliographic Data

ID3426203
AuthorsSahar Ashrafzadeh (0000-0002-3512-2441, Harvard University Press), Hadi Tohidi (Mashhad University of Medical Sciences), Kianoosh Nasseh (Western Kentucky University, corresponding author)
Year2017
Volume7
Issue4
Publication date2017-10-01
Open AccessYes
TypeARTICLE
VenueSAGE Open (JOURNAL)
Journal identifiersISSN: 2158-2440 • E-ISSN: 2158-2440
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/2158244017738553
OpenAlexW2765435112
LanguageEN
Citations received1
References cited18

To determine the challenges that residents of rural Kentucky face regarding diabetes self-management and to identify methods that may promote diabetes management based on a population's needs, semistructured questionnaires were used to interview 71 adults with diabetes (40 food pantry customers and 31 grocery store customers). Although 70.1% reported following healthy diets, only 43.3% could correctly choose between pairs of healthy/unhealthy food options. Only 21% of food pantry customers (assumed low-income participants) ate healthy. Lower income participants had a 7.79 times greater chance of having a family history of diabetes and had lower perception of having proper weight than grocery store customer participants ( p = .036). Of all participants, 85.5% were motivated to manage their diabetes through diet, and 73.8% were interested in attending free healthy cooking classes. Participants who believed that diet is important in controlling diabetes revealed greater interest in attending cooking classes ( p = .017). To promote healthy diets, offering free healthy cooking classes may be an effective way of communication with patients with diabetes from lower socioeconomic and educational status

Cross-sectional study · Diabetes management · Diabetes mellitus · Dietary management · Environmental health · Family medicine · Healthy eating · Healthy food · Perception · Physical activity · Physical therapy · Population · Socioeconomic status · Type 2 diabetes · Medicine · Nursing · Nutritional Studies and Diet · Obesity and Health Practices · Obesity, Physical Activity, Diet · Psychology · Food Science · Gerontology

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Citations per year1
Citation span2025 - 2025 (1)
Highly citedNo

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