Evaluating Dietary Knowledge and Barriers to Self-Management of Type 2 Diabetes in Rural Kentucky: Cross-Sectional Interview Survey

Sahar Ashrafzadeh, Hadi Tohidi and Kianoosh Nasseh

SAGE Open, 2017, vol. 7, issue 4, 2158244017738553

Abstract: 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.

Keywords: Appalachia; rural Eastern Kentucky; healthy cooking classes; diabetes self-management; low socioeconomic status (search for similar items in EconPapers)
Date: 2017
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Persistent link: https://EconPapers.repec.org/RePEc:sae:sagope:v:7:y:2017:i:4:p:2158244017738553

DOI: 10.1177/2158244017738553

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