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Predictors of unmet needs among people with diabetes mellitus type 2 in Gampaha district of Sri Lanka

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  • Nimali Widanapathirana
  • Rajitha Wickremasinghe
  • Susie Perera
  • Martin McKee
  • Benjamin Palafox
  • Dina Balabanova

Abstract

Diabetes mellitus is a significant contributor to the disease burden in Sri Lanka. Despite government efforts to improve access to care for those with chronic illness, major gaps remain. We assessed the prevalence and correlates of unmet needs among persons with diabetes mellitus type 2 to inform policies on improving healthcare access in a predominantly tax-funded public healthcare system. A descriptive cross-sectional study identified 401 persons with diabetes mellitus type 2 using a multi-stage cluster sampling method from 1767 individuals aged 40–69 from the Gampaha district, just north of the capital Colombo. An interviewer-administered questionnaire gathered data on unmet needs for physician care, medicines, and investigations during the preceding year. Associated factors, identified from the health behaviour model, were examined using binomial logistic regression with significance set at p

Suggested Citation

  • Nimali Widanapathirana & Rajitha Wickremasinghe & Susie Perera & Martin McKee & Benjamin Palafox & Dina Balabanova, 2024. "Predictors of unmet needs among people with diabetes mellitus type 2 in Gampaha district of Sri Lanka," PLOS Global Public Health, Public Library of Science, vol. 4(10), pages 1-15, October.
    • Handle: RePEc:plo:pgph00:0002462
    DOI: 10.1371/journal.pgph.0002462
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    1. Maja E Marcus & Cara Ebert & Pascal Geldsetzer & Michaela Theilmann & Brice Wilfried Bicaba & Glennis Andall-Brereton & Pascal Bovet & Farshad Farzadfar & Mongal Singh Gurung & Corine Houehanou & Moha, 2021. "Unmet need for hypercholesterolemia care in 35 low- and middle-income countries: A cross-sectional study of nationally representative surveys," PLOS Medicine, Public Library of Science, vol. 18(10), pages 1-20, October.
    2. Diamant, A.L. & Hays, R.D. & Morales, L.S. & Ford, W. & Calmes, D. & Asch, S. & Duan, N. & Fielder, E. & Kim, S. & Fielding, J. & Sumner, G. & Shapiro, M.F. & Hayes-Bautista, D. & Gelberg, L., 2004. "Delays and Unmet Need for Health Care among Adult Primary Care Patients in a Restructured Urban Public Health System," American Journal of Public Health, American Public Health Association, vol. 94(5), pages 783-789.
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