NUTRITION EDUCATION AND COUNSELING AT HOSPITAL DETERMINES DIETARY ADHERENCE OF DIABETES PATIENTS

NUTRITION EDUCATION AND COUNSELING AT HOSPITAL DETERMINES DIETARY ADHERENCE OF DIABETES PATIENTS | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research article NUTRITION EDUCATION AND COUNSELING AT HOSPITAL DETERMINES DIETARY ADHERENCE OF DIABETES PATIENTS mulat tirfie bayih, Sebsbie Tadesse, Haile Woldie, Teshager Woldegiorgis Abate, and 1 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.2.11382/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract ABSTRACT Background: Adherence to healthy meal plan can delay and prevent complications from diabetes. However, feeding habits of the patients is not well known in many developing countries including Ethiopia. Objective: The purpose of this study was to assess the dietary adherence and associated factors among diabetes patient at Felege Hiwot Referral Hospital, Bahirdar City Northwest Ethiopia. Methods: Institution-based cross-sectional study was conducted among systematically selected 385 diabetes patients from March to April, 2017 at Felege-Hiwot Referral hospital, Bahir Dar Northwest Ethiopia. Quantitative data were collected by using a pre-tested and structured questionnaire. To supplement their experiences, views and perception, participants were selected purposely for in-depth interviews. Logistic regression was used to identify associations between dependent and explanatory variables. Statically significant was considered at p value < 0.05 with 95% CI. The qualitative data were analyzed in content line by line with quantitative findings. Results: The overall proportion of poor dietary adherence among diabetes patients was 46.8% (95% CI: 41.1- 52.0). Living in rural (AOR=3. 75;95% CI: 2.12-6.63), duration of diabetes less than 5 years (AOR=2. 81; 95% CI: 1.22-6.50), didn’t get nutrition education (AOR=5. 88; 95% CI: 3.30-10.48), poor social support (AOR=3. 84; 95% CI: 1.74-8.46) and didn’t make choices on food when they ate out (AOR=3. 49; 95% CI: 2.09-5.81) were significantly associated with poor dietary practice. Conclusion: Considerable numbers of diabetes patients in this study were non-adhered to the recommended diet and to improve their dietary practice; attention should be given to nutrition education. Keywords: Nutrition education , Diabetes, Diet, Ethiopia. Endocrinology & Metabolism Nutrition & Dietetics Nutrition education Diabetes Diet Ethiopia Figures Figure 1 Background Diabetes is a chronic condition that occurs when the body cannot produce enough insulin or cannot use insulin, and presented with raised levels of glucose in the blood. Over time, high levels of glucose in the blood cause damage to many tissues in the body, leading to the development of disabling and life-threatening health complications such as coronary artery and peripheral vascular disease (1, 2). Today, diabetes is the most common non-communicable diseases globally (3). It is the fourth or fifth leading cause of death in most high-income and epidemic in many low- and middle-income countries (1). Complications from diabetes are resulting in increasing disability, reduced life expectancy and enormous health costs for virtually every society (1, 2). DM is the most challenging health problems in the 21st century and also in each year, 3.2 million people around the world die from complications associated with it (2, 4). According to World Health Organization report in 2016, the number of people with diabetes has risen from 108 million in 1980 to 422 million in 2014 and also the global prevalence of diabetes among adults over 18 years of age has risen from 4.7% in 1980 to 8.5% in 2014 (3). According to 2015 African international diabetes federation report more than 14 million people in the Africa have diabetes and this figure will be more than double by 2040. In Ethiopia, there were over 1.33 million cases of diabetes in 2015 (5, 6). Ongoing patient self-management, education and support are critical to preventing acute complications and reducing the risk of long-term complications (7). Therefore, a healthy meal plan and being active can keep blood glucose level, blood pressure, and cholesterol in target ranges (8). In different scholars found that most DM patients follow a food plan (9). However, in another study reported that a diabetes patient poorly adhered to dietary advice (10). In Africa different studies revealed that good adherence of dietary practice of diabetes patients. Such as in Botswana 63%; and in south Nigeria 76%; in Egypt 66.0% of Diabetes patients were adhered to dietary practice (11-15). The prevalence of dietary adherence among diabetes patient in Ethiopia was ranged from 51%-55% (16). Different studies showed that dietary practices in diabetes patient was most strongly associated with difference variables such as nutrition education ( 17 ); higher education level, having strong family support, ( 18 ); female gender, increasing age, joint or extended family members, ( 10 ); lower personal income, occupation ( 19 ); lack of information on healthy diet, eating out and financial constraints, lack of knowledge about the diseases and inadequate and inaccurate dietary advises ( 12 , 20 ); not getting nutrition education in hospitals , despondency, facing difficulty to choose foods , non- availability of fruits and vegetables , thinking about the high cost of foods ( 16 ). Therefore, the aim of this study was assessing the dietary adherence and associated factors among diabetes patients. METHODS Study design, settings and participants Institution-based cross-sectional study was conducted from March to April, 2017 at Felege- Hiwot Referral Hospital which is found in Bahir Dar city administration, Northwest Ethiopia. Bahir Dar is a capital city of Amhara region and located 565 kms from Addis Ababa, the capital city of the country. Felege Hiwot referral hospital is the public hospital in the city. According to six month performance report of the hospital, it serves the population in the region and those from Beneshangul Gumuez population as a referral center. It provides promotion, preventive, curative and rehabilitative services to them. In outpatient chronic follow up department approximately 220 adult diabetes mellitus patients are seen weekly( 21 ). All diabetes patients aged greater than or equal to 18 years old and who visited the outpatient chronic follow up department for one and above year were participating in the study. On the other hand, those who were critically ill and unable to participate in the interview were excluded. Sample size determination and Sampling procedure The required sample size of the study was determined using a single population proportion formula . The prevalence of poor dietary practice among diabetic patients (P) was taken as 51.4% [16] and with the assumptions of: a 95% of confidence level and 5% margin of error. Based on this assumption and adding 10% non-response rate the required sample size was 404. Systematic random sampling technique was employed to recruit a total of 404 study subjects which is based on the number of diabetes mellitus outpatients who had an appointment during data collection period in the hospital (referring from registration book). These patients were divided for representative sample size and the individual approached through calculating sampling interval (K= N/n); Where N is the total number of diabetic patient who had appointment during data collection period (880) and n is the calculated final sample size (404). Finally, the determined samples for each date was achieved through exit interview every 2ndinterval within four weeks of working days. The starting point was selected randomly by lottery method to take as a starting patient for the interview. Based on the decision to collect data over the course of one month, the patient coming to the clinic for a follow-up service was interviewed until the total sample size reached and one study subject was recruited only once. For in-depth interview, purposive sampling was employed to select few participants among all diabetes patients who were on treatment follow-up at the Felege Hiwot Referral Hospital. Because of the experience of living with DM was considered very fundamental for effective deliberation on dietary practice experience, only patients who had DM at least five years and age greater than 18 years of both male and female diabetes patients were recruited to participate in the study. We tried to include patients believed to be interactive, open minded and those who were willing to participate in the study until information saturation. Data collection procedures and quality control Data were collected by interviewing eligible participants using a pretested and structured questionnaire. Patients were given an orientation on the protocol and specific details concerning participation in the study. Data were collected by using a pretested structured questionnaire developed by reviewing different related articles that assessed diabetes risk factors, demographic characteristics, wealth status, duration of diabetes, behavioral and social factors (10, 12, 16, 18-20, 22-30). Measurements of wealth index were developed from 2011 Ethiopian demographic and health survey (30). Dietary adherence of DM patients was assessed by using questionnaires developed by Amelmal Worku’s modified form of the eight-item Morisky medication adherence scale (MMAS-8) ( 16 , 18 , 31 , 32 ). It had 11 components and was computed by taking the mean value to classify the respondents follow good and poor dietary adherence. Accordingly, respondents were allowed to choose correct answers by indicating whether a given statement is Yes or No. Finally, the dietary practice of respondents was scored and computed for dietary practice variables. Social support was measured using the Oslo-3 Social Support Scale (OSS-3) with three questions. The response categories were assessed independently for each of the three questions, and a sum score was created by summarizing the raw scores. The sum score scale ranging from 3–14, which was then operationalized into “poor support” 3–8, “moderate support” 9-11and “good support”12–14[37]. In case of qualitative data, an interview-guide questions were prepared in Amharic (local language of respondents) to elicit information from participants about their experiences, views that influenced their dietary practice. Participants were asked a series of open-ended questions that reviewed all topics systematically and encouraged participants to share their perspectives. The participants who were willing to interview were appointed for an interview at a venue of their choice. The interview was conducted face to face by the principal investigator. Audio recorder and transcribed verbatim were applied during the interview. The interviewer was probed participants to obtain additional information on interesting topics that emerged and to clarify ambiguous comments. To ensure quality of data, pre-test was conducted using 5% of the sample on diabetes patient who were not included in the main study area before two weeks to assess instrument simplicity, flow and consistency. Amendments were made accordingly after the pre-test. Data were collected by four trained, diploma nurses and two supervisors (BSc nurse). Additionally, the completeness of the questionnaire was checked by supervisors and principal investigators every day and incomplete questionnaire was discarded. For qualitative data quality was maintained by daily data transcription. That means documenting the data both in written form and in audio recording and translates the concepts directly in word to word. Data analysis The collected quantitative data were coded and entered into the computer using Epi data version 3.1. Then it was exported into the windows of Statistical Package for Social Science (SPSS) version 20 for data analysis. Household wealth index was determined from asset data using principal component analysis (PCA). First, variables were coded between 0 and 1, and then the variables entered and analyzed using PCA and those variables which have commonality values greater than 0.5 were used to produce factor scores. Next, the produced factor scores were computed to produce a common factor score. Finally, the common factor score was categorized into three categories (tertile) as (poor, middle and rich). The frequencies, percentage, mean and standard deviation were described using tables and graphs. Logistic regression was applied to assess the association between dependent and explanatory variables. Both Bivariate and multivariable analysis were applied to determine factors affecting dietary practice. Those independent variables at P–Value of 0.2 in the bivariate analysis were fitted to the multivariable analysis. The degree of association was interpreted by using adjusted odd ratios with 95% confidence intervals and P-value less than 0.05 was considered statistically significant. In q ualitative data analysis, the investigator was transcribed the audio-records on the same day as the completion of the interviews enabling him to capture observations of the non-verbal points by linking the audio-recorded interviews, field notes, and the researcher’s memory of the event. Data gathered from the transcription of the interviews was organized by individual questions with the corresponding verbatim answers from the participants. The instigator was passed the following steps for analysis. 1)each recorded interview was downloaded into the researcher’s laptop; 2) recorded interviews were downloaded to discuss creating a backup copy, 3) a verbatim translation of the transcripts from Amharic into English was done by the researcher. The translation was checked by listening to the recorded interviews again whilst reading the computer files, 4) after completing the transcriptions, computer folders, download disks, and transcribe, and translate notes were labeled using identification number, date and place of the interview to make the connection back at any time when the researcher was in need, and to ensure confidentiality. The responses were coded line by line to find commonly used words or descriptions of experiences, which was labeled to characterize the answers and provide illustrative quotations reflecting these descriptions. RESULTS Socio-demographic characteristics of respondents A total of 385 diabetes patients who had treatment follow –up were included in the data analysis with a response rate of 95.3 %, out of this 74. 5% had type 2 and 56.4 % were males. The mean (±SD) age was 42.5 (±15. 13). More than half of the participants, 62.6% were married. 29.1% were unable to read and write. (Table1) Table 1: Socio-demographic characteristics of diabetes patient who were on treatment follow-up at Feleg- hiwot referral hospital, Bahirdar city, Northwest Ethiopia 2017(N=385). Magnitudes of dietary practices towards DM The overall proportion of poor dietary adherence among diabetes patients who was on treatment follow up at Felege-hiwot referral hospital was 46.8% [95% CI: (41.1, 52.0)]. The proportion of poor dietary adherence among type 2 DM and type 1 DM was almost similar (46.7%) and (46.9) respectively. Dietary adherence was becoming desirable with increase duration of diabetes. Such as, less than 5 years of duration (52.6%), 5-10 years of duration (48.7%) and above 10 years of duration (22.0%) had poor dietary practices respectively. The proportions of poor dietary practice, slightly higher in female (49.4%) than male (44.7%); and decrease with current age category (15-30, 31-60 and >60) were 54.6%, 45.7%, 33.3% respectively. Of the total diabetes patients, 50.6% missed to include fruits to their meal plan (Table2). This is supplemented by qualitative findings. Comply dietary plan with everyday life: three out of five respondents said that it was easy to comply their meal plan with their everyday life. They were included all necessary meals like more vegetables and fruit, lentil and Shiro to their daily meal plan. A 35 years old female respondent replied “For me it easy to follow my meal plan because they told me easy and accessible foods, but it was difficult if you told to eat more meat, egg, milk and chicken wot which are more expensive. Now I told to eat lentil, Shiro, cabbage, spinach, banana and orange which are easily available”. By Show smile face. The rest two said it was difficult to include all the food to their meal plan, but they ate what is available in their house that their economy allowed. An 18 years old male diabetes patient said “I ate fruit once a week and this even so if I have money to buy otherwise, I ate only Shiro with injera and even I miss my breakfast”. By shaking his hand and nodding his head. Table 2: Magnitude of dietary practice of diabetes patients who were on treatment follow-up at Felege-hiwot referral hospital, Bahirdar city, Northwest Ethiopia, 2017 (n=385). Psychosocial, health and information factors of dietary practice in diabetes patients Of the 385 diabetes participants, 79.5% had no chronic diseases other than DM that affect their dietary practices; 70.1 % had got nutrition education, 32.7% got printed nutritional education materials; 56.1% had poor social support and 50.9 % did not done regular physical exercises, 94% had not used substance, 81.8 % did not check their fast blood sugar regularly and 55.3% make a good choice when eat themselves out (table 3, fig1). Qualitative findings support this. Allowed food:- Only two respondents said all food is allowed but, not excess in amount; less frequently and quantity allowed food or sugar, wheat bread, fats, etc. Whereas more frequently and quantity allowed foods are vegetables (cabbage) and fruit (mango). A 77 years old man said that “I got printed material which is important to me and for all diabetes patients. It contains food list like usual consumed food, less likely consumed food and totally restricted food”. Restricted food: three respondents replied lists of restricted food like wheat bread, sugar, potato and alcohol, but barley bread most recommended food to consume secondary to vegetables and fruit. “Sugar and alcohol is totally restricted especially sugar”. “If you eat potato your blood sugar is increased so it is restricted to consumed” Table 3: psychosocial, health and information related characteristics of diabetes patients who were on treatment follow-up at Felege hiwot referral hospital, Bahirdar city Northwest, Ethiopia 2017(n=385). Factors associated with dietary practices The overall proportion of poor dietary adherence among DM was 46.8% (95% CI: 41.1- 52.0). Poor dietary practice was statistically significant with residency, duration of DM, nutritional education, making food choices when eat out and social support. Living in rural 3.75 times more likely poor dietary practices than living in urban (AOR=3. 75; 95% CI: 2.12-6.63). Diabetes patients who had less than 5 years duration of diabetes were 2.81 times more likely to have poor dietary practice than who had more than 10 years duration (AOR=2. 81; 95% CI: 1.22-6.50), those who had 5-10 years duration of diabetes were 2.79 times more likely to have poor dietary practice than who had more than 10 years (AOR=2. 79; 95% CI: 1.15-6.73). Those who had not got nutrition education were 5.88 times more likely had poor dietary practice than those who had got nutritional education (AOR=5. 88; 95% CI: 3.30-10.48). Qualitative findings support this: A 48 years old female respondent said “At the hospital, I didn’t get information what to eat, they simply told me your diabetes was in good conditions and don’t take sweet things if you take it your blood glucose will raise.” Ate out of their home without making choice of food was 3.49 times more likely had poor dietary practice than those who had made choices (AOR=3. 49; 95% CI: 2.09-5.81). This again supplemented by qualitative findings. Eat out: All respondents were saying that it was difficult to get their meal plan when they ate out like a restaurant and ceremony they ate what was prepared there. A 35 years old female respondent said that “when I called away to the festive meal I couldn’t follow my meal plan because they pushed me to drink and eat their festive meal e.g. when they make chicken with they add more butter to make it sweet and push me to eat and even said to me there is no sugar in this alcohol than I eat and drink it by bashfulness” by nodding her head. Place and Nature of work: the data got from interview showed that the work place and the nature of work make challenge to them to follow their meal plan with related to their health condition. A 70 years old male said that “ for me no problem because I am pensioner and I always be in my house but it is difficult for those who are daily laborer and field workers they always eat out because of their work nature”. Another 25 years old female lady said that “Hum, I ate what is available at the restaurant because am hungry and no chance to choice, even in my workplace ether is no better restaurant.” Being poor social support 3.84 times had more likely poor dietary practice than those who had strong social support (AOR=3. 84; 95% CI: 1.74-8.46) (Table 4). Table 4: Bivariate and multivariable analysis of factors associated with dietary practice of diabetes patients who are on treatment follow up at Felege- hiwot referral hospital, Bahirdar city, Northwest Ethiopia 2017. DISCUSSIONS In Ethiopia, especially in the study area, there was limited information about the dietary practices of patients with diabetes mellitus. Thus, our study has tried to assess the dietary adherence and associated factors among diabetes patients who were on treatment follow up at Felege hiwot referral hospital outpatient department. In this study, the overall proportion of poor dietary practice was 46.8% (95% CI: 41.8-51.9); this was in line with similar studies conducted in Addis Ababa, Saudi Arabia, India and Riyadh-Saudi Arabia (16, 26, 33-34). But it was different from a study conducted in Egypt, Acca-Ghana and Botswana (12, 15, 33). This difference might be due to social, economic and culture characteristic difference, patients’ understanding and perceptions of the role of diet and the clinic set up with the availability of nutritionist. In this study nutrition education given at the hospital had strongly associated with the dietary practice which was agreement with a study conducted in Addis Ababa, China, India, Botswana and South Africa (16). This is the fact that if diabetes patients didn’t get information on what to eat, the importance of nutrition in the management of their diabetes and variety of food that they consumed they wouldn’t follow their meal guideline. Not making food choice when they eat out was the other factor for poor dietary practice which was in line with studies conducted in Botswana and Addis Ababa (12, 16). This is the fact that diabetes patients don’t get their recommended diet when they ate out of their home like restaurant and social gatherings, and the homes of extended families and friends. In our study, social support was strongly associated with the dietary practice of diabetes patients, which was in line with other studies, like in Niger and Bahrain (18, 34). This due to the fact that when they couldn’t get help from social including their family they may feel despondent, then they might be missing their dietary meal plan, including taking the excess sweetness and alcohol. When people living with diabetes and didn’t have support from their close social networks, they might be feeling stressed to the life, often generating feelings of isolation, frustration, anger and guilt that might not be care their diet. In our study, duration of diabetes was the other factor for poor dietary practice which was early diagnosed diabetes patients were more likely to have poor dietary practice. This was in line with the study conducted in northwest Iran ( 35 ). This is the fact that when the diabetes patients' contacts of their health caregiver for the first time everything told to them might be new and their knowledge was not that much better. But when the time of follow up increased they become familiar to the services and rich in information even ask the caregiver what make themselves challenge on their dietary practice and then have a good meal plan ahead. However, handful of earlier published articles reported residency was not significantly associated with dietary practice of DM, but in our study it was significantly associated [16, 18, 24]. This might be possibly those who were living in the rural might not get information by other means other than orally told because in real situation, especially in this study set up they were illiterate and could not read what was given them by printed materials. Also, those who lived in the rural had a minimal perception about their health and diet because they were engaged with field work. In fact, they produce different fruit and vegetables, but they used them as sources of money rather consumption and brought to the market and sold to those who lived in urban peoples. LIMITATIONS OF STUDY Limitations were social desirability bias and discuss some of the findings and because the study- design was cross-sectional method, the direction of causal relationships between variables can’t always be determined. CONCLUSIONS Our study revealed that a significant number of DM patients had poor dietary practice. Since nutrition education, duration of DM, social support, making choices when eat out the home and residence were factors associated with poor dietary practice. These finding suggest the needs to work on integrated intervention on nutrition education, social bond and meal plan when eat at home. RECOMMENDATIONS We recommend the inclusion of brief intervention strategy for nutritional education and to have nutrition counseling unit in diabetes care at the hospitals. As we know brief interventions to routine nutrition education program for all patients at the outpatient department level has the potential to improve dietary practice in DM patient that minimized long and short term complication and also increase quality of life. We also recommend further population based research to explore specific factors such as the association found in this study that indicated that residence was associated with high level of poor dietary practice. Where possible, conduct a research by using the longitudinal model and estimation of portion size of their diet and repeated 24 hour recall. LIST OF ABBREVIATIONS ADA, American Diabetes Association; AOR, Adjusted Odds Ratio; CI, Confidence Interval; COR, Crude Odds Ratio; DM, Diabetes Mellitus; EDA, Ethiopian Diabetes Association; EDHS, Ethiopian Demographic and Health Survey; FBG, Fasting Blood Glucose; IDF, International Diabetes Federation; MNT, Medical Nutrition Therapy; NCD, Non Communicable Disease; NNP, National Nutrition Program; PCA , Principal Component Analysis; SADA, South African Diabetes Association; SPSS, Statistical Package for Social Sciences; and WHO, World Health Organization Declarations Ethical approval and consent to participants Ethical clearance was obtained from the University of Gondar institute of public health review board committee. Permission and supportive letter were obtained from respective hospital chief executive officer before data collection. Participation was voluntary and information also were collected anonymously after obtaining written informed consent from each respondent by assuring confidentiality throughout the data collection period and audio recording. Consent for publication Not applicable Availability of data and material The dataset used and /or analyzed this study are available from the correspondent author on reasonable request. Competing interests We conclude that there is no competing of interest. Funding Not applicable Acknowledgments We would like to offer our in-depth gratitude to the data collectors, participants and hospital workers, especially who works in the diabetes follow up outpatient departments for their support to us. REFERENCES 1. IDF. International Diabetes Federation ,Diabetes Atlas Seventh Edition. 2015. 2. Richard Sicree JS, Paul Zimmet Baker IDI Heart and Diabetes Institute The Global Burden ,Diabetes and Impaired Glucose Tolerance IDF Diabetes Atlas fourth edition 3. 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Levitt, N. S. Laubscher, R. Bourne, L. Dick, J. Temple, N. Dietary intake and barriers to dietary compliance in black type 2 diabetes patients attending primary health-care services. Public health nutrition. 2002;5(2):329-38. 28. Ozcariz SGBC, O. Cembranel, F. Peres, M. A. Gonzalez-Chica, D. A. Dietary practices among individuals with diabetes and hypertension are similar to those of healthy people: a population-based study. BMC Public Health. 2015;15:479. 29. Dalgard OS DC, Lehtinen V, Vazquez-Barquero JL, Casey P, Wilkinson, G ea. Negative life events, social support and gender difference in depression: A multinational community survey with data from the ODIN study. Soc Psychiatry Psychiatr Epidemiol 2006; 41:444–51. 30. ETHIOPIAN DEMOGRAPHIC AND HEALTH SURVEY 2011. 31. South africa diabetes association, general dietary advise guide line 2011. 32. Morisky DE, MR D. Improving the measurement of self-reported medication nonadherence. J Clin Epidemiology 2011;64:255–7. 33. M. E, Mahfouz, Awadalla HI. Compliance to diabetes self-management in rural El-MinIa, Egypt. Cent Eur J Public Health. 2011;19 (1):35–41. 34. Okolie Uchenna, Ehiemere Ijeoma, Ezenduka Pauline a, Sylvester O. Contributory Factors to Diabetes Dietary Regimen Non Adherence in Adults with Diabetes. International Journal of Social, Behavioral, Educational, Economic, Business and Industrial Engineering 2010 35. Zahra Yekta (MD)a* RPMa, Mohammad Reza Aghassi (MD)a, Nastaran Ashragh (MD)b, Leila Ravanyar (MSc)a, Mohammad Yossef Rahim Pour (MSc)a. Assessment of Self-Care Practice and Its Associated Factors among Diabetes Patients in Urban Area of Urmia, Northwest of Iran. Journal of Research in Health Sciences. 2011;11(1). Figure:1 Psychosocial factors of dietary adherence among diabetes patients who were on treatment follow-up at Felege-hiwot referral hospital, Bahirdar city, Northwest Ethiopia 2017. Tables Table 1 : Socio-demographic characteristics of diabetes patient who were on treatment follow-up at Feleg- hiwot referral hospital, Bahirdar city, Northwest Ethiopia 2017(N=385). Variables Frequency Percentage Sex Female Male 168 217 43.6 56.4 Age in year 15-30 30-60 Above 60 108 232 45 28.1 60.3 11.7 Marital status Single Married Divorced Widowed 102 241 26 16 26.5 62.6 6.8 4.2 Educational status Unable to read and write Able to read and write Grade 1-8 Grade 9-12 Diploma and above 112 73 69 50 81 29.1 19.0 17.9 13.0 21.0 Wealth status Poor Middle Rich Occupational status Farmer Civil servants Merchant Housewife Daily laborer 128 136 121 81 136 50 65 53 33.2 35.3 31.4 21.0 35.3 13.0 16.9 13.8 Table 2 : Magnitude of dietary practice of diabetes patients who were on treatment follow-up at Felege-hiwot referral hospital, Bahirdar city, Northwest Ethiopia, 2017 (n=385). Variable Frequency Percent Do you forget to plan the meals you eat ahead? Yes 148 38.4 No 237 61.6 Did you miss your dietary plan yesterday? Yes 186 48.3 No 199 51.7 Over the past two weeks, were there any days when you did not take your dietary plan properly? Yes 161 41.8 No 224 58.2 Do you sometimes forget to comply your dietary plan with everyday life? Yes 153 39.7 No 232 60.3 When you feel like your DM is under control, do you sometimes stop taking your dietary plan? Yes 111 28.8 No 274 71.2 Do you ever feel hassled about sticking to your dietary plan? Yes 231 60.0 No 154 40.0 Did you have Feelings of dietary deprivation? Yes 308 80.0 No 77 20.0 Are you rigid, instead of flexible eating to control your DM? Yes 199 51.7 No 186 48.3 Do you miss to include fruits in your food daily ? Yes 195 50.6 No 190 49.4 Do you miss to include vegetables in your food daily? Yes 169 43.9 No 216 56.1 Do you forget to cut down butter and fat intake in your food? Yes 152 39.5 No 233 60.5 Table 3: psychosocial, health and information related characteristics of diabetes patients who were on treatment follow-up at Felege hiwot referral hospital, Bahirdar city Northwest, Ethiopia 2017(n=385). Variables Frequency Percent Duration of DM 10 209 117 59 54.3 30.4 15.3 Chronic diseases other than DM Yes No 79 306 20.5 79.5 Get nutrition education Yes No 270 115 70.1 29.9 Get printed nutrition education material Yes No 126 259 32.7 67.3 Get visual nutrition education Yes No 149 236 38.7 61.3 Social support Strong social support Moderate social support Poor social support 59 110 216 15.3 28.6 56.1 Table 4: Bivariate and multivariable analysis of factors associated with dietary practice of diabetes patients who are on treatment follow up at Felege- hiwot referral hospital, Bahirdar city, Northwest Ethiopia 2017. Variables Dietary practice COR (95%CI) AOR (95%CI) Poor Good Residence Urban 103 172 1.0 1.0 Rural 77 33 3.90(2.42-6.27) 3.75 (2.12-6.63)** Age 15-30 59 49 2.41(1.17-4.98) 1.28 ( .44 - 3.68 ) 31-60 >60 106 15 126 30 1.68(.86-3.30) 1.0 1.48 ( .59 - 3.72 ) 1.0 Educational status Unable to read and write 70 42 3.33(1.83-6.07) 1.81 ( .61 - 5.34 ) Able to read and write 37 36 2.06(1.07-3.94) 1.21 ( .43 - 3.39 ) Grade 1-8 26 43 1.21(.62-2.37) 1.28(.46 - 3.61 ) Grade 9-12 20 30 1.33(.64-2.77) 1.26 (.49-3.18) Diploma and above 27 54 1.0 1.0 Occupation Farmer Civil servants Merchant Housewife Daily laborer 57 45 17 31 30 24 91 33 34 23 1.82(0.88-3.75) .38(0.19-.75) .39(.18-.88) .70(.34-1.45) 1.0 1.68 (0.54- 5.17 ) .86( .32 - 2.32 ) .87 ( .29 - 2.59 ) .51 ( .18 - 1.45 ) 1.0 Wealth status Poor 71 57 1.66(.85-3.27) .84 (. 35 - 2.03 ) Middle Rich 52 39 84 82 .98(.51-1.90) 1.0 . 73 ( .32 - 1.69 ) 1.0 Type of DM Type 1 67 62 1.0 1.0 Type 2 113 143 .73(.48-1.12) 1.30 ( .70 - 2.43 ) Duration of DM 10 57 13 60 46 3.36(1.65-6.87) 1.0 2.79 ( 1.15 - 6.73 )* 1.0 Nutrition education No 89 26 6.73(4.07-11.15) 5.88 ( 3.30 - 10.48 )** Yes 91 179 1.0 1.0 Physical exercise No 118 78 3.10(2.04-4.70) 1.12 ( .64 - 1.96 ) Yes Make choice when Eating out No Yes 62 113 67 127 59 146 1.0 4.17(2.72-6.40) 1.0 1.0 3.49( 2.09 - 5.83 )** Social support Strong social support Moderate social support 13 40 46 70 1.0 2.02(.98-4.19) 1.0 2.09(.90-4.86) Poor social support 1 27 89 5.05(2.58-9.89) 3.84(1.74-8.46)** Note: * = p-value<0.05, ** = p-value < 0.01 and DM = diabetes Miletus, COR= Crude Odd Ratio, AOR = Adjusted Odd Ratio Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-2257","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Research article","associatedPublications":[],"authors":[{"id":109912,"identity":"ad840c77-b559-44a2-b052-e5c35a498614","order_by":1,"name":"mulat tirfie bayih","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAA2ElEQVRIiWNgGAWjYFAC5gYGxgYw4wCQkJAhQgtQ/UGwFrYEkBYeUrTwGIBJghp0ZyQ2fv64wybPXCLn86sbNRY8DOyHj27Ap8XsRmKzxMEzacWWM3K3WeccAzqMJy3tBgEtDRIH2w4nbriRu804hw2oRYLHjJCW5h8QLTnPjHP+EaelDWpLDvPj3DZitJx52GZx9kxa4oYzz8yYc/skeNgI+uV48uEblTtsEjccT378OedbnRw/++FjeLUggEACmwSIZiNOOQjwH2D+QLzqUTAKRsEoGEkAAMUUUt3vjPHlAAAAAElFTkSuQmCC","orcid":"","institution":"Bahir Dar University","correspondingAuthor":true,"prefix":"","firstName":"mulat","middleName":"tirfie","lastName":"bayih","suffix":""},{"id":109913,"identity":"5d5fbe1f-8ff8-4b62-b504-42bd16ad1b8b","order_by":2,"name":"Sebsbie Tadesse","email":"","orcid":"","institution":"University of Gondar","correspondingAuthor":false,"prefix":"","firstName":"Sebsbie","middleName":"","lastName":"Tadesse","suffix":""},{"id":109914,"identity":"005453c1-8676-4a4f-ab27-f78f3e7450d3","order_by":3,"name":"Haile Woldie","email":"","orcid":"","institution":"University of Gondar","correspondingAuthor":false,"prefix":"","firstName":"Haile","middleName":"","lastName":"Woldie","suffix":""},{"id":109915,"identity":"da738baf-b6be-4067-9c6a-f5c782a5110b","order_by":4,"name":"Teshager Woldegiorgis Abate","email":"","orcid":"","institution":"Bahir Dar University","correspondingAuthor":false,"prefix":"","firstName":"Teshager","middleName":"Woldegiorgis","lastName":"Abate","suffix":""},{"id":109916,"identity":"b305ce88-06ae-46ed-a646-84023c7596e7","order_by":5,"name":"Minyichil Birhanu Belete","email":"","orcid":"","institution":"Bahir Dar University","correspondingAuthor":false,"prefix":"","firstName":"Minyichil","middleName":"Birhanu","lastName":"Belete","suffix":""}],"badges":[],"createdAt":"2019-07-11 15:36:58","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.2.11382/v1","doiUrl":"https://doi.org/10.21203/rs.2.11382/v1","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":608046,"identity":"72105a16-666e-4f08-bc94-798148b420e4","added_by":"auto","created_at":"2020-03-06 17:26:12","extension":"jpg","order_by":1,"title":"Figure 1","display":"","copyAsset":false,"role":"figure","size":33120,"visible":true,"origin":"","legend":"Psychosocial factors of dietary adherence among diabetes patients who were on treatment follow-up at Felege-hiwot referral hospital, Bahirdar city, Northwest Ethiopia 2017.\nLegend: Yes - blue, No - orange","description":"","filename":"Fig1.JPG","url":"https://assets-eu.researchsquare.com/files/rs-2257/v1/Fig 1.JPG"},{"id":13468398,"identity":"874021b9-1ebc-43a0-88c2-e18cda8d3b92","added_by":"auto","created_at":"2021-09-16 20:58:46","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":2693194,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-2257/v1/99647f47-bf51-413c-b580-e11b579329c8.pdf"}],"financialInterests":"","formattedTitle":"NUTRITION EDUCATION AND COUNSELING AT HOSPITAL DETERMINES DIETARY ADHERENCE OF DIABETES PATIENTS","fulltext":[{"header":"Background ","content":"\u003ch1\u003e\u003c/h1\u003e\n\u003cp\u003eDiabetes is a chronic condition that occurs when the body cannot produce enough insulin or cannot use insulin, and presented with raised levels of glucose in the blood. Over time, high levels of glucose in the blood cause damage to many tissues in the body, leading to the development of disabling and life-threatening health complications such as coronary artery and peripheral vascular disease (1, 2). \u003c/p\u003e\n\u003cp\u003eToday, diabetes is the most common non-communicable diseases globally (3). It is the fourth or fifth leading cause of death in most high-income and epidemic in many low- and middle-income countries (1). Complications from diabetes are resulting in increasing disability, reduced life expectancy and enormous health costs for virtually every society (1, 2). DM is the most challenging health problems in the 21st century and also in each year, 3.2 million people around the world die from complications associated with it (2, 4).\u003c/p\u003e\n\u003cp\u003eAccording to World Health Organization report in 2016, the number of people with diabetes has risen from 108 million in 1980 to 422 million in 2014 and also the global prevalence of diabetes among adults over 18 years of age has risen from 4.7% in 1980 to 8.5% in 2014 (3). According to 2015 African international diabetes federation report more than 14 million people in the Africa have diabetes and this figure will be more than double by 2040. In Ethiopia, there were over 1.33 million cases of diabetes in 2015 (5, 6).\u003c/p\u003e\n\u003cp\u003eOngoing patient self-management, education and support are critical to preventing acute complications and reducing the risk of long-term complications (7). Therefore, a healthy meal plan and being active can keep blood glucose level, blood pressure, and cholesterol in target ranges (8). In different scholars found that most DM patients follow a food plan (9). However, in another study reported that a diabetes patient poorly adhered to dietary advice (10). In Africa different studies revealed that good adherence of dietary practice of diabetes patients. Such as in Botswana 63%; and in south Nigeria 76%; in Egypt 66.0% of Diabetes patients were adhered to dietary practice (11-15). The prevalence of dietary adherence among diabetes patient in Ethiopia was ranged from 51%-55% (16). \u003c/p\u003e\n\u003cp\u003eDifferent studies showed that dietary practices in diabetes patient was most strongly associated with difference variables such as nutrition education\u003cb\u003e \u003c/b\u003e(\u003ca href=\"#_ENREF_17\"\u003e17\u003c/a\u003e); higher education level, having strong family support, (\u003ca href=\"#_ENREF_18\"\u003e18\u003c/a\u003e); female gender, increasing age, joint or extended family members, (\u003ca href=\"#_ENREF_10\"\u003e10\u003c/a\u003e); lower personal income, occupation (\u003ca href=\"#_ENREF_19\"\u003e19\u003c/a\u003e); lack of information on healthy diet, eating out and financial constraints, lack of knowledge about the diseases and inadequate and inaccurate dietary advises (\u003ca href=\"#_ENREF_12\"\u003e12\u003c/a\u003e, \u003ca href=\"#_ENREF_20\"\u003e20\u003c/a\u003e); not getting nutrition education in hospitals , despondency, facing difficulty to choose foods , non- availability of fruits and vegetables , thinking about the high cost of foods (\u003ca href=\"#_ENREF_16\"\u003e16\u003c/a\u003e).\u003c/p\u003e\n\u003cp\u003eTherefore, the aim of this study was assessing the dietary adherence and associated factors among diabetes patients.\u003c/p\u003e"},{"header":"METHODS","content":"\u003ch1\u003e\u003ca name=\"_Toc392498292\"/\u003e\u003ca name=\"_Toc441807544\"/\u003e\u003ca name=\"_Toc484301444\"/\u003e\u003ca name=\"_Toc484548150\"/\u003e\u003c/h1\u003e\n\u003cp\u003e\u003cstrong\u003eStudy design, settings and participants\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eInstitution-based cross-sectional study was conducted from March to April, 2017 at Felege- Hiwot Referral Hospital which is found in Bahir Dar city administration, Northwest Ethiopia. Bahir Dar is a capital city of Amhara region and located 565 kms from Addis Ababa, the capital city of the country. Felege Hiwot referral hospital is the public hospital in the city. According to six month performance report of the hospital, it serves the population in the region and those from Beneshangul Gumuez population as a referral center. It provides promotion, preventive, curative and rehabilitative services to them. In outpatient chronic follow up department approximately 220 adult diabetes mellitus patients are seen weekly(\u003ca href=\"#_ENREF_21\"\u003e21\u003c/a\u003e).\u003c/p\u003e\n\u003cp\u003e\u003ca name=\"_Toc441823569\"/\u003e\u003ca name=\"_Toc484301450\"/\u003e\u003ca name=\"_Toc484548156\"/\u003eAll diabetes patients aged greater than or equal to 18 years old and who visited the outpatient chronic follow up department for one and above year were participating in the study. On the other hand, those who were critically ill and unable to participate in the interview were excluded. \u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eSample size determination and Sampling procedure\u003c/strong\u003e\u003c/p\u003e\n\u003cp class=\"no_Spacing\"\u003eThe required sample size of the study was determined using a single population proportion formula\u003cb\u003e. \u003c/b\u003eThe prevalence of poor dietary practice among diabetic patients (P) was taken as 51.4% [16] and with the assumptions of: a 95% of confidence level and 5% margin of error. Based on this assumption and adding 10% non-response rate the required sample size was 404.\u003c/p\u003e\n\u003cp class=\"normal_(Web)\"\u003eSystematic random sampling technique was employed to recruit a total of 404 study subjects which is based on the number of diabetes mellitus outpatients who had an appointment during data collection period in the hospital (referring from registration book). These patients were divided for representative sample size and the individual approached through calculating sampling interval (K= N/n); Where N is the total number of diabetic patient who had appointment during data collection period (880) and n is the calculated final sample size (404). \u003c/p\u003e\n\u003cp class=\"normal_(Web)\"\u003eFinally, the determined samples for each date was achieved through exit interview every 2ndinterval within four weeks of working days. The starting point was selected randomly by lottery method to take as a starting patient for the interview. \u003c/p\u003e\n\u003cp\u003eBased on the decision to collect data over the course of one month, the patient coming to the clinic for a follow-up service was interviewed until the total sample size reached and one study subject was recruited only once.\u003c/p\u003e\n\u003cp\u003eFor in-depth interview, purposive sampling was employed to select few participants among all diabetes patients who were on treatment follow-up at the Felege Hiwot Referral Hospital. Because of the experience of living with DM was considered very fundamental for effective deliberation on dietary practice experience, only patients who had DM at least five years and age greater than 18 years of both male and female diabetes patients were recruited to participate in the study. We tried to include patients believed to be interactive, open minded and those who were willing to participate in the study until information saturation.\u003c/p\u003e\n\u003ch2\u003e\u003ca name=\"_Toc484301451\"/\u003e\u003ca name=\"_Toc484548157\"/\u003e\u003c/h2\u003e\n\u003cp\u003e\u003cb\u003e Data collection procedures and quality control \u003c/b\u003e\u003c/p\u003e\n\u003cp\u003eData were collected by interviewing eligible participants using a pretested and structured questionnaire. Patients were given an orientation on the protocol and specific details concerning participation in the study. Data were collected by using a pretested structured questionnaire developed by reviewing different related articles that assessed diabetes risk factors, demographic characteristics, wealth status, duration of diabetes, behavioral and social factors (10, 12, 16, 18-20, 22-30). Measurements of wealth index were developed from 2011 Ethiopian demographic and health survey (30).\u003c/p\u003e\n\u003cp\u003eDietary adherence of DM patients was assessed by using questionnaires developed by Amelmal Worku’s modified form of the eight-item Morisky medication adherence scale (MMAS-8) (\u003ca href=\"#_ENREF_16\"\u003e16\u003c/a\u003e, \u003ca href=\"#_ENREF_18\"\u003e18\u003c/a\u003e, \u003ca href=\"#_ENREF_31\"\u003e31\u003c/a\u003e, \u003ca href=\"#_ENREF_32\"\u003e32\u003c/a\u003e). It had 11 components and was computed by taking the mean value to classify the respondents follow good and poor dietary adherence. Accordingly, respondents were allowed to choose correct answers by indicating whether a given statement is Yes or No. Finally, the dietary practice of respondents was scored and computed for dietary practice variables.\u003c/p\u003e\n\u003cp\u003eSocial support was measured using the Oslo-3 Social Support Scale (OSS-3) with three questions. The response categories were assessed independently for each of the three questions, and a sum score was created by summarizing the raw scores. The sum score scale ranging from 3–14, which was then operationalized into “poor support” 3–8, “moderate support” 9-11and “good support”12–14[37].\u003c/p\u003e\n\u003cp\u003eIn case of qualitative data, an interview-guide questions were prepared in Amharic (local language of respondents) to elicit information from participants about their experiences, views that influenced their dietary practice. Participants were asked a series of open-ended questions that reviewed all topics systematically and encouraged participants to share their perspectives. The participants who were willing to interview were appointed for an interview at a venue of their choice. The interview was conducted face to face by the principal investigator. Audio recorder and transcribed verbatim were applied during the interview. The interviewer was probed participants to obtain additional information on interesting topics that emerged and to clarify ambiguous comments.\u003c/p\u003e\n\u003cp\u003e\u003ca name=\"_Toc484301452\"/\u003e\u003ca name=\"_Toc484301453\"/\u003e\u003ca name=\"_Toc484548159\"/\u003eTo ensure quality of data, pre-test was conducted using 5% of the sample on diabetes patient who were not included in the main study area before two weeks to assess instrument simplicity, flow and consistency. Amendments were made accordingly after the pre-test. Data were collected by four trained, diploma nurses and two supervisors (BSc nurse). Additionally, the completeness of the questionnaire was checked by supervisors and principal investigators every day and incomplete questionnaire was discarded. For qualitative data quality was maintained by daily data transcription. That means documenting the data both in written form and in audio recording and translates the concepts directly in word to word.\u003c/p\u003e\n\u003cp\u003e\u003cb\u003e Data analysis\u003c/b\u003e\u003c/p\u003e\n\u003cp\u003eThe collected quantitative data were coded and entered into the computer using Epi data version 3.1. Then it was exported into the windows of Statistical Package for Social Science (SPSS) version 20 for data analysis. Household wealth index was determined from asset data using principal component analysis (PCA). First, variables were coded between 0 and 1, and then the variables entered and analyzed using PCA and those variables which have commonality values greater than 0.5 were used to produce factor scores. Next, the produced factor scores were computed to produce a common factor score. Finally, the common factor score was categorized into three categories (tertile) as (poor, middle and rich). The frequencies, percentage, mean and standard deviation were described using tables and graphs. Logistic regression was applied to assess the association between dependent and explanatory variables. Both Bivariate and multivariable analysis were applied to determine factors affecting dietary practice. Those independent variables at P–Value of 0.2 in the bivariate analysis were fitted to the multivariable analysis. The degree of association was interpreted by using adjusted odd ratios with 95% confidence intervals and P-value less than 0.05 was considered statistically significant.\u003c/p\u003e\n\u003cp\u003eIn q\u003cb\u003eualitative data analysis, \u003c/b\u003ethe investigator was transcribed the audio-records on the same day as the completion of the interviews enabling him to capture observations of the non-verbal points by linking the audio-recorded interviews, field notes, and the researcher’s memory of the event. Data gathered from the transcription of the interviews was organized by individual questions with the corresponding verbatim answers from the participants. The instigator was passed the following steps for analysis. 1)each recorded interview was downloaded into the researcher’s laptop; 2) recorded interviews were downloaded to discuss creating a backup copy, 3) a verbatim translation of the transcripts from Amharic into English was done by the researcher. The translation was checked by listening to the recorded interviews again whilst reading the computer files, 4) after completing the transcriptions, computer folders, download disks, and transcribe, and translate notes were labeled using identification number, date and place of the interview to make the connection back at any time when the researcher was in need, and to ensure confidentiality. The responses were coded line by line to find commonly used words or descriptions of experiences, which was labeled to characterize the answers and provide illustrative quotations reflecting these descriptions. \u003c/p\u003e"},{"header":"RESULTS","content":"\u003ch1\u003e\u003ca name=\"_Toc484301455\"/\u003e\u003ca name=\"_Toc484548161\"/\u003e\u003ca name=\"_Toc452502087\"/\u003e\u003ca name=\"_Toc441807565\"/\u003e\u003c/h1\u003e\n\u003cp class=\"caption\"\u003e\u003cb\u003eSocio-demographic characteristics of respondents\u003c/b\u003e\u003c/p\u003e\n\u003cp\u003e\u003ca name=\"_Toc485625742\"/\u003eA total of 385 diabetes patients who had treatment follow –up were included in the data analysis with a response rate of 95.3 %, out of this 74. 5% had type 2 and 56.4 % were males. The mean (±SD) age was 42.5 (±15. 13). More than half of the participants, 62.6% were married. 29.1% were unable to read and write. (Table1)\u003c/p\u003e\n\u003cp/\u003e\n\u003cp/\u003e\n\u003cp\u003eTable 1: Socio-demographic characteristics of diabetes patient who were on treatment follow-up at Feleg- hiwot referral hospital, Bahirdar city, Northwest Ethiopia 2017(N=385).\u003c/p\u003e\n\n\u003cp/\u003e\n\u003cp\u003e\u003cb\u003eMagnitudes of dietary practices towards DM\u003c/b\u003e\u003c/p\u003e\n\u003cp\u003eThe overall proportion of poor dietary adherence among diabetes patients who was on treatment follow up at Felege-hiwot referral hospital was 46.8% [95% CI: (41.1, 52.0)]. The proportion of poor dietary adherence among type 2 DM and type 1 DM was almost similar (46.7%) and (46.9) respectively. Dietary adherence was becoming desirable with increase duration of diabetes. Such as, less than 5 years of duration (52.6%), 5-10 years of duration (48.7%) and above 10 years of duration (22.0%) had poor dietary practices respectively. The proportions of poor dietary practice, slightly higher in female (49.4%) than male (44.7%); and decrease with current age category (15-30, 31-60 and \u0026gt;60) were 54.6%, 45.7%, 33.3% respectively. Of the total diabetes patients, 50.6% missed to include fruits to their meal plan (Table2). \u003c/p\u003e\n\u003cp\u003eThis is supplemented by qualitative findings.\u003c/p\u003e\n\u003cp\u003e\u003cb\u003eComply dietary plan with everyday life:\u003c/b\u003e three out of five respondents said that it was easy to comply their meal plan with their everyday life. They were included all necessary meals like more vegetables and fruit, lentil and Shiro to their daily meal plan.\u003c/p\u003e\n\u003cp\u003e \u003ci\u003eA 35 years old female respondent replied “For me it easy to follow my meal plan because they told me easy and accessible foods, but it was difficult if you told to eat more meat, egg, milk and chicken wot which are more expensive. Now I told to eat lentil, Shiro, cabbage, spinach, banana and orange which are easily available”. By Show smile face.\u003c/i\u003e\u003c/p\u003e\n\u003cp class=\"caption\"\u003e\u003ca name=\"_Toc485625743\"/\u003eThe rest two said it was difficult to include all the food to their meal plan, but they ate what is available in their house that their economy allowed. \u003c/p\u003e\n\u003cp class=\"caption\"\u003e\u003ci\u003eAn 18 years old male diabetes patient said “I ate fruit once a week and this even so if I have money to buy otherwise, I ate only Shiro with injera and even I miss my breakfast”. By shaking his hand and nodding his head. \u003c/i\u003e\u003c/p\u003e\n\u003cp/\u003e\n\u003cp class=\"caption\"\u003eTable 2: Magnitude of dietary practice of diabetes patients who were on treatment follow-up at Felege-hiwot referral hospital, Bahirdar city, Northwest Ethiopia, 2017 (n=385).\u003c/p\u003e\n\n\u003cp/\u003e\n\u003cp\u003e\u003cb\u003ePsychosocial, health and information factors of dietary practice in diabetes patients \u003c/b\u003e\u003c/p\u003e\n\u003cp\u003eOf the 385 diabetes participants, 79.5% had no chronic diseases other than DM that affect their dietary practices; 70.1 % had got nutrition education, 32.7% got printed nutritional education materials; 56.1% had poor social support and 50.9 % did not done regular physical exercises, 94% had not used substance, 81.8 % did not check their fast blood sugar regularly and 55.3% make a good choice when eat themselves out (table 3, fig1).\u003c/p\u003e\n\u003cp\u003eQualitative findings support this.\u003c/p\u003e\n\u003cp\u003e\u003cb\u003eAllowed food:- \u003c/b\u003eOnly two respondents said all food is allowed but, not excess in amount; less frequently and quantity allowed food or sugar, wheat bread, fats, etc. Whereas more frequently and quantity allowed foods are vegetables (cabbage) and fruit (mango).\u003c/p\u003e\n\u003cp\u003e\u003ci\u003eA 77 years old man said that “I got printed material which is important to me and for all diabetes patients. It contains food list like usual consumed food, less likely consumed food and totally restricted food”.\u003c/i\u003e\u003c/p\u003e\n\u003cp\u003e\u003cb\u003eRestricted food:\u003c/b\u003e three respondents replied lists of restricted food like wheat bread, sugar, potato and alcohol, but barley bread most recommended food to consume secondary to vegetables and fruit. \u003c/p\u003e\n\u003cp\u003e\u003ci\u003e“Sugar and alcohol is totally restricted especially sugar”. “If you eat potato your blood sugar is increased so it is restricted to consumed” \u003c/i\u003e\u003c/p\u003e\n\u003cp/\u003e\n\u003cp/\u003e\n\u003cp/\u003e\n\u003cp\u003e\u003ca name=\"_Toc485625744\"/\u003eTable 3: psychosocial, health and information related characteristics of diabetes patients who were on treatment follow-up at Felege hiwot referral hospital, Bahirdar city Northwest, Ethiopia 2017(n=385).\u003c/p\u003e\n\n\u003cp/\u003e\n\u003cp\u003e\u003cb\u003eFactors associated with dietary practices \u003c/b\u003e\u003c/p\u003e\n\u003cp\u003eThe overall proportion of poor dietary adherence among DM was 46.8% (95% CI: 41.1- 52.0). Poor dietary practice was statistically significant with residency, duration of DM, nutritional education, making food choices when eat out and social support. Living in rural 3.75 times more likely poor dietary practices than living in urban (AOR=3. 75; 95% CI: 2.12-6.63). Diabetes patients who had less than 5 years duration of diabetes were 2.81 times more likely to have poor dietary practice than who had more than 10 years duration (AOR=2. 81; 95% CI: 1.22-6.50), those who had 5-10 years duration of diabetes were 2.79 times more likely to have poor dietary practice than who had more than 10 years (AOR=2. 79; 95% CI: 1.15-6.73). Those who had not got nutrition education were 5.88 times more likely had poor dietary practice than those who had got nutritional education (AOR=5. 88; 95% CI: 3.30-10.48).\u003c/p\u003e\n\u003cp\u003eQualitative findings support this: \u003c/p\u003e\n\u003cp\u003e\u003ci\u003eA 48 years old female respondent said “At the hospital, I didn’t get information what to eat, they simply told me your diabetes was in good conditions and don’t take sweet things if you take it your blood glucose will raise.” \u003c/i\u003e\u003c/p\u003e\n\u003cp\u003eAte out of their home without making choice of food was 3.49 times more likely had poor dietary practice than those who had made choices (AOR=3. 49; 95% CI: 2.09-5.81). This again supplemented by qualitative findings. \u003c/p\u003e\n\u003cp\u003e\u003cb\u003eEat out: \u003c/b\u003eAll respondents were saying that it was difficult to get their meal plan when they ate out like a restaurant and ceremony they ate what was prepared there. \u003ci\u003eA 35 years old female respondent said that “when I called away to the festive meal I couldn’t follow my meal plan because they pushed me to drink and eat their festive meal e.g. when they make chicken with they add more butter to make it sweet and push me to eat and even said to me there is no sugar in this alcohol than I eat and drink it by bashfulness” by nodding her head.\u003c/i\u003e\u003c/p\u003e\n\u003cp\u003e\u003cb\u003e\u003ci\u003ePlace and Nature of work: \u003c/i\u003e\u003c/b\u003ethe data got from interview showed that the work place and the nature of work make challenge to them to follow their meal plan with related to their health condition.\u003c/p\u003e\n\u003cp\u003e\u003ci\u003eA 70 years old male said that “ for me no problem because I am pensioner and I always be in my house but it is difficult for those who are daily laborer and field workers they always eat out because of their work nature”. \u003c/i\u003e\u003c/p\u003e\n\u003cp\u003e\u003ca name=\"_Toc485625746\"/\u003e\u003ci\u003eAnother 25 years old female lady said that “Hum, I ate what is available at the restaurant because am hungry and no chance to choice, even in my workplace ether is no better restaurant.” \u003c/i\u003e\u003c/p\u003e\n\u003cp\u003eBeing poor social support 3.84 times had more likely poor dietary practice than those who had strong social support (AOR=3. 84; 95% CI: 1.74-8.46) (Table 4).\u003c/p\u003e\n\u003cp\u003eTable 4: Bivariate and multivariable analysis of factors associated with dietary practice of diabetes patients who are on treatment follow up at Felege- hiwot referral hospital, Bahirdar city, Northwest Ethiopia 2017.\u003c/p\u003e"},{"header":"DISCUSSIONS","content":"\u003ch1/\u003e\n\u003cp/\u003e\n\u003ch1\u003e \u003c/h1\u003e\n\u003cp\u003eIn Ethiopia, especially in the study area, there was limited information about the dietary practices of patients with diabetes mellitus. Thus, our study has tried to assess the dietary adherence and associated factors among diabetes patients who were on treatment follow up at Felege hiwot referral hospital outpatient department. In this study, the overall proportion of poor dietary practice was 46.8% (95% CI: 41.8-51.9); this was in line with similar studies conducted in Addis Ababa, Saudi Arabia, India and Riyadh-Saudi Arabia (16, 26, 33-34). But it was different from a study conducted in Egypt, Acca-Ghana and Botswana (12, 15, 33). This difference might be due to social, economic and culture characteristic difference, patients’ understanding and perceptions of the role of diet and the clinic set up with the availability of nutritionist. In this study nutrition education given at the hospital had strongly associated with the dietary practice which was agreement with a study conducted in Addis Ababa, China, India, Botswana and South Africa (16). This is the fact that if diabetes patients didn’t get information on what to eat, the importance of nutrition in the management of their diabetes and variety of food that they consumed they wouldn’t follow their meal guideline. \u003c/p\u003e\n\u003cp\u003eNot making food choice when they eat out was the other factor for poor dietary practice which was in line with studies conducted in Botswana and Addis Ababa (12, 16). This is the fact that diabetes patients don’t get their recommended diet when they ate out of their home like restaurant and social gatherings, and the homes of extended families and friends.\u003c/p\u003e\n\u003cp\u003eIn our study, social support was strongly associated with the dietary practice of diabetes patients, which was in line with other studies, like in Niger and Bahrain (18, 34). This due to the fact that when they couldn’t get help from social including their family they may feel despondent, then they might be missing their dietary meal plan, including taking the excess sweetness and alcohol. When people living with diabetes and didn’t have support from their close social networks, they might be feeling stressed to the life, often generating feelings of isolation, frustration, anger and guilt that might not be care their diet. \u003c/p\u003e\n\u003cp\u003eIn our study, duration of diabetes was the other factor for poor dietary practice which was early diagnosed diabetes patients were more likely to have poor dietary practice. This was in line with the study conducted in northwest Iran (\u003ca href=\"#_ENREF_35\"\u003e35\u003c/a\u003e). This is the fact that when the diabetes patients' contacts of their health caregiver for the first time everything told to them might be new and their knowledge was not that much better. But when the time of follow up increased they become familiar to the services and rich in information even ask the caregiver what make themselves challenge on their dietary practice and then have a good meal plan ahead.\u003c/p\u003e\n\u003cp\u003eHowever, handful of earlier published articles reported residency was not significantly associated with dietary practice of DM, but in our study it was significantly associated [16, 18, 24]. This might be possibly those who were living in the rural might not get information by other means other than orally told because in real situation, especially in this study set up they were illiterate and could not read what was given them by printed materials. Also, those who lived in the rural had a minimal perception about their health and diet because they were engaged with field work. In fact, they produce different fruit and vegetables, but they used them as sources of money rather consumption and brought to the market and sold to those who lived in urban peoples. \u003c/p\u003e\n\u003cp\u003e\u003ca name=\"_Toc484301457\"/\u003e\u003ca name=\"_Toc484548163\"/\u003e \u003cb\u003eLIMITATIONS OF STUDY\u003c/b\u003e\u003c/p\u003e\n\u003cp\u003e\u003ca name=\"_Toc484301458\"/\u003e\u003ca name=\"_Toc484548164\"/\u003eLimitations were social desirability bias and discuss some of the findings and because the study- design was cross-sectional method, the direction of causal relationships between variables can’t always be determined.\u003c/p\u003e\n\u003cp/\u003e\n\u003ch1\u003eCONCLUSIONS\u003c/h1\u003e\n\u003cp\u003eOur study revealed that a significant number of DM patients had poor dietary practice. Since nutrition education, duration of DM, social support, making choices when eat out the home and residence were factors associated with poor dietary practice. These finding suggest the needs to work on integrated intervention on nutrition education, social bond and meal plan when eat at home. \u003c/p\u003e\n\u003cp\u003e\u003ca name=\"_Toc484301459\"/\u003e \u003cb\u003eRECOMMENDATIONS\u003c/b\u003e\u003c/p\u003e\n\u003cp\u003eWe recommend the inclusion of brief intervention strategy for nutritional education and to have nutrition counseling unit in diabetes care at the hospitals. As we know brief interventions to routine nutrition education program for all patients at the outpatient department level has the potential to improve dietary practice in DM patient that minimized long and short term complication and also increase quality of life. We also recommend further population based research to explore specific factors such as the association found in this study that indicated that residence was associated with high level of poor dietary practice. Where possible, conduct a research by using the longitudinal model and estimation of portion size of their diet and repeated 24 hour recall. \u003c/p\u003e"},{"header":"LIST OF ABBREVIATIONS","content":"\u003cp\u003e\u003cb\u003e\u003c/b\u003e\u003c/p\u003e\n\u003cp\u003eADA, American Diabetes Association; AOR, Adjusted Odds Ratio; CI, Confidence Interval; COR, Crude Odds Ratio; DM, Diabetes Mellitus; EDA, Ethiopian Diabetes Association; EDHS, Ethiopian Demographic and Health Survey; FBG, Fasting Blood Glucose; IDF, International Diabetes Federation; MNT, Medical Nutrition Therapy; NCD, Non Communicable Disease; NNP, National Nutrition Program; PCA , Principal Component Analysis; SADA, South African Diabetes Association; SPSS, Statistical Package for Social Sciences; and WHO, World Health Organization\u003c/p\u003e"},{"header":"Declarations ","content":"\u003cp\u003e\u003cb\u003e\u003c/b\u003e\u003c/p\u003e\n\u003cp\u003e\u003cb\u003eEthical approval and consent to participants \u003c/b\u003e\u003c/p\u003e\n\u003cp\u003e\u003ca name=\"_Toc484301460\"/\u003eEthical clearance was obtained from the University of Gondar institute of public health review board committee. Permission and supportive letter were obtained from respective hospital chief executive officer before data collection. Participation was voluntary and information also were collected anonymously after obtaining written informed consent from each respondent by assuring confidentiality throughout the data collection period and audio recording. \u003c/p\u003e\n\u003cp\u003e\u003cb\u003eConsent for publication\u003c/b\u003e\u003c/p\u003e\n\u003cp\u003eNot applicable \u003c/p\u003e\n\u003cp\u003e\u003cb\u003eAvailability of data and material\u003c/b\u003e\u003c/p\u003e\n\u003cp\u003eThe dataset used and /or analyzed this study are available from the correspondent author on reasonable request. \u003c/p\u003e\n\u003cp\u003e\u003cb\u003eCompeting interests\u003c/b\u003e\u003c/p\u003e\n\u003cp\u003eWe conclude that there is no competing of interest.\u003c/p\u003e\n\u003cp\u003e\u003cb\u003eFunding\u003c/b\u003e\u003c/p\u003e\n\u003cp\u003eNot applicable\u003c/p\u003e\n\u003cp/\u003e\n\u003cp\u003e\u003cb\u003e \u003c/b\u003e\u003c/p\u003e\n\u003cp/\u003e\n\u003cp\u003e\u003cb\u003eAcknowledgments \u003c/b\u003e\u003c/p\u003e\n\u003cp\u003eWe would like to offer our in-depth gratitude to the data collectors, participants and hospital workers, especially who works in the diabetes follow up outpatient departments for their support to us.\u003c/p\u003e"},{"header":"REFERENCES","content":"\u003cp\u003e \u003cb\u003e \u003c/b\u003e\u003c/p\u003e\n\u003cp class=\"endNote_Bibliography\"\u003e\u003ca name=\"_ENREF_1\"/\u003e\u003cb/\u003e\u003cb/\u003e1. 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Journal of Research in Health Sciences. 2011;11(1).\u003c/p\u003e\n\u003cp class=\"caption\"\u003e\u003ca name=\"_Toc484301461\"/\u003e\u003ca name=\"_Toc381901783\"/\u003e\u003cb\u003eFigure:1\u003c/b\u003e\u003c/p\u003e\n\u003cp class=\"caption\"\u003e\u003ca name=\"_Toc485625749\"/\u003e\u003cb\u003e \u003c/b\u003ePsychosocial factors of dietary adherence among diabetes patients who were on treatment follow-up at Felege-hiwot referral hospital, Bahirdar city, Northwest Ethiopia 2017.\u003c/p\u003e"},{"header":"Tables","content":"\u003cp style=\"text-align: justify; line-height: 150%; tab-stops: 175.5pt;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif; text-transform: uppercase;\"\u003eTable \u003c/span\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif;\"\u003e1\u003cspan style=\"text-transform: uppercase;\"\u003e: Socio-demographic characteristics of diabetes patient who were on\u0026nbsp; treatment follow-up at Feleg- hiwot referral hospital, Bahirdar city, Northwest Ethiopia 2017(N=385).\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003ctable style=\"width: 371.5pt; border-collapse: collapse; border: none; margin-left: 6.75pt; margin-right: 6.75pt;\" width=\"495\"\u003e\n\u003ctbody\u003e\n\u003ctr style=\"height: 16.65pt;\"\u003e\n\u003ctd style=\"width: 205.75pt; border-top: solid green 1.5pt; border-left: none; border-bottom: solid green 1.0pt; border-right: none; padding: 0in 5.4pt 0in 5.4pt; height: 16.65pt;\" width=\"274\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; tab-stops: right 242.7pt; text-autospace: none;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003eVariables \u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; \u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 65.5pt; border-top: solid green 1.5pt; border-left: none; border-bottom: solid green 1.0pt; border-right: none; padding: 0in 5.4pt 0in 5.4pt; height: 16.65pt;\" width=\"87\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003eFrequency\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 100.25pt; border-top: solid green 1.5pt; border-left: none; border-bottom: solid green 1.0pt; border-right: none; padding: 0in 5.4pt 0in 5.4pt; height: 16.65pt;\" colspan=\"2\" width=\"134\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp; Percentage \u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 4.75pt;\"\u003e\n\u003ctd style=\"width: 371.5pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 4.75pt;\" colspan=\"4\" width=\"495\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003eSex\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 16.05pt;\"\u003e\n\u003ctd style=\"width: 205.75pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 16.05pt;\" width=\"274\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp; Female \u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp; Male\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; \u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 78.3pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 16.05pt;\" colspan=\"2\" width=\"104\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e168\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e217\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 87.45pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 16.05pt;\" width=\"117\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e43.6\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e56.4\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 9.75pt;\"\u003e\n\u003ctd style=\"width: 371.5pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 9.75pt;\" colspan=\"4\" width=\"495\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003eAge in year\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 43.85pt;\"\u003e\n\u003ctd style=\"width: 205.75pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 43.85pt;\" width=\"274\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp; 15-30\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp; 30-60\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003eAbove 60 \u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 78.3pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 43.85pt;\" colspan=\"2\" width=\"104\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e108\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e232\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e45\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 87.45pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 43.85pt;\" width=\"117\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e28.1\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e60.3\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e11.7\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 68.6pt;\"\u003e\n\u003ctd style=\"width: 205.75pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 68.6pt;\" width=\"274\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003eMarital status\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp; Single\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp; Married\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp; Divorced\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp; Widowed\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 78.3pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 68.6pt;\" colspan=\"2\" width=\"104\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e102\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e241\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e26\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e16\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 87.45pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 68.6pt;\" width=\"117\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif; color: #92d050;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e26.5\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e62.6\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e6.8\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e4.2\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 31.7pt;\"\u003e\n\u003ctd style=\"width: 205.75pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 31.7pt;\" width=\"274\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003eEducational status\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003eUnable to read and write\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp; Able to read and write\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp; Grade 1-8\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp; Grade 9-12\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;Diploma and above\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 78.3pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 31.7pt;\" colspan=\"2\" width=\"104\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e112\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e73\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e69\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e50\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e81\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 87.45pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 31.7pt;\" width=\"117\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e29.1\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e19.0\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e17.9\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e13.0\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e21.0\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 4.55pt;\"\u003e\n\u003ctd style=\"width: 371.5pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 4.55pt;\" colspan=\"4\" width=\"495\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; tab-stops: 84.5pt; text-autospace: none;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003eWealth status \u0026nbsp;\u0026nbsp;\u0026nbsp; \u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 133.0pt;\"\u003e\n\u003ctd style=\"width: 205.75pt; border: none; border-bottom: solid green 1.5pt; padding: 0in 5.4pt 0in 5.4pt; height: 133.0pt;\" width=\"274\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp; Poor\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp; Middle\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp; Rich\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003eOccupational status\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Farmer\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Civil servants\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Merchant \u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Housewife\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Daily laborer\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 78.3pt; border: none; border-bottom: solid green 1.5pt; padding: 0in 5.4pt 0in 5.4pt; height: 133.0pt;\" colspan=\"2\" width=\"104\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e128\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e136\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e121\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;81\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e136\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e50\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e65\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e53\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 87.45pt; border: none; border-bottom: solid green 1.5pt; padding: 0in 5.4pt 0in 5.4pt; height: 133.0pt;\" width=\"117\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e33.2\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e35.3\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e31.4\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e21.0\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e35.3\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e13.0\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e16.9\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 115%; text-autospace: none;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e13.8\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"border: none;\" width=\"274\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd style=\"border: none;\" width=\"88\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd style=\"border: none;\" width=\"17\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd style=\"border: none;\" width=\"116\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 150%;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; page-break-after: avoid;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif; text-transform: none;\"\u003eTable \u003c/span\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e2\u003c/span\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif; text-transform: none;\"\u003e: Magnitude of dietary practice of diabetes patients who were on treatment follow-up at Felege-hiwot referral hospital, Bahirdar city, Northwest Ethiopia, 2017 (n=385).\u003c/span\u003e\u003c/p\u003e\n\u003ctable style=\"border-collapse: collapse; border: none;\"\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 333.9pt; border-top: solid green 1.5pt; border-left: none; border-bottom: solid green 1.0pt; border-right: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"445\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eVariable\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border-top: solid green 1.5pt; border-left: none; border-bottom: solid green 1.0pt; border-right: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"96\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eFrequency\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 72.9pt; border-top: solid green 1.5pt; border-left: none; border-bottom: solid green 1.0pt; border-right: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"97\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003ePercent \u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 333.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"445\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eDo you forget to plan the meals you eat ahead?\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 72.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"97\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 333.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"445\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eYes\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e148\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 72.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"97\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e38.4\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 333.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"445\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eNo\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e237\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 72.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"97\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e61.6\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 333.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"445\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eDid you miss your dietary plan yesterday?\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 72.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"97\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 333.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"445\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eYes\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e186\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 72.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"97\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e48.3\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 333.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"445\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eNo\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e199\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 72.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"97\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e51.7\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 333.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"445\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eOver the past two weeks, were there any days when you did not take your dietary plan properly?\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 72.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"97\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 333.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"445\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eYes\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e161\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 72.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"97\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e41.8\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 333.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"445\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eNo\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"96\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; margin: 0in 0in .0001pt .5in;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e224\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 72.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"97\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; margin: 0in 0in .0001pt .5in;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e58.2\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 333.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"445\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eDo you sometimes forget to comply your dietary plan with everyday life?\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"96\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; margin: 0in 0in .0001pt .5in;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 72.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"97\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; margin: 0in 0in .0001pt .5in;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 333.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"445\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eYes\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"96\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; margin: 0in 0in .0001pt .5in;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e153\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 72.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"97\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal; margin: 0in 0in .0001pt .5in;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e39.7\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 333.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"445\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eNo\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e232\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 72.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"97\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e60.3\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 333.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"445\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eWhen you feel like your DM is under control, do you sometimes stop taking your dietary plan?\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 72.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"97\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 333.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"445\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eYes\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e111\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 72.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"97\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e28.8\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 333.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"445\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eNo\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e274\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 72.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"97\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e71.2\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 333.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"445\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eDo you ever feel hassled about sticking to your dietary plan?\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 72.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"97\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 333.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"445\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eYes\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e231\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 72.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"97\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e60.0\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 333.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"445\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eNo\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e154\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 72.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"97\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e40.0\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 333.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"445\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eDid you have Feelings of dietary deprivation?\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 72.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"97\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 333.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"445\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eYes\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e308\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 72.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"97\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e80.0\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 9.85pt;\"\u003e\n\u003ctd style=\"width: 333.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 9.85pt;\" width=\"445\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eNo\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 9.85pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e77\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 72.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 9.85pt;\" width=\"97\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e20.0\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 333.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"445\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eAre you rigid, instead of flexible eating to control your DM?\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 72.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"97\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 333.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"445\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eYes\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e199\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 72.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"97\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e51.7\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 333.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"445\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eNo\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e186\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 72.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"97\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e48.3\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 333.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"445\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eDo you miss to include fruits in your food daily\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e?\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 72.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"97\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 333.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"445\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eYes\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e195\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 72.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"97\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e50.6\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 333.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"445\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eNo\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e190\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 72.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"97\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e49.4\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 333.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"445\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eDo you miss to include vegetables in your food daily?\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 72.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"97\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 333.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"445\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eYes\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e169\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 72.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"97\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e43.9\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 333.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"445\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eNo\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e216\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 72.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"97\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e56.1\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 333.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"445\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eDo you forget to cut down butter and fat intake in your food?\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 72.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"97\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 333.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"445\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eYes\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e152\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 72.9pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"97\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e39.5\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 333.9pt; border: none; border-bottom: solid green 1.5pt; padding: 0in 5.4pt 0in 5.4pt;\" width=\"445\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eNo\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 1.0in; border: none; border-bottom: solid green 1.5pt; padding: 0in 5.4pt 0in 5.4pt;\" width=\"96\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e233\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 72.9pt; border: none; border-bottom: solid green 1.5pt; padding: 0in 5.4pt 0in 5.4pt;\" width=\"97\"\u003e\n\u003cp style=\"margin-left: .5in; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e60.5\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp style=\"margin-bottom: 8.0pt; text-align: justify; line-height: 107%;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 107%; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: 8.0pt; text-align: justify; line-height: 107%;\"\u003e\u0026nbsp;\u003c/p\u003e\n\u003cp style=\"margin-bottom: 8.0pt; line-height: 107%;\"\u003e\u003ca name=\"_Toc485625744\"\u003e\u003c/a\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 107%; font-family: 'Times New Roman',serif;\"\u003eTable 3: psychosocial, health and information related characteristics of diabetes patients who were on treatment follow-up at Felege hiwot referral hospital, Bahirdar city Northwest, Ethiopia 2017(n=385).\u003c/span\u003e\u003c/p\u003e\n\u003ctable style=\"border-collapse: collapse; border: none;\"\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 159.6pt; border-top: solid green 1.5pt; border-left: none; border-bottom: solid green 1.0pt; border-right: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"213\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003eVariables \u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 159.6pt; border-top: solid green 1.5pt; border-left: none; border-bottom: solid green 1.0pt; border-right: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"213\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003eFrequency \u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 159.6pt; border-top: solid green 1.5pt; border-left: none; border-bottom: solid green 1.0pt; border-right: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"213\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003ePercent \u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 159.6pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"213\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003eDuration of DM\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026lt;5\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp; 5-10\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026gt;10\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 159.6pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"213\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003e209\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003e117\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003e59\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 159.6pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"213\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003e54.3\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003e30.4\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003e15.3\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 159.6pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"213\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003eChronic diseases other than DM\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp; Yes\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp; No \u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 159.6pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"213\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003e79\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003e306\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 159.6pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"213\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003e20.5\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003e79.5\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 159.6pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"213\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003eGet nutrition education \u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp; Yes \u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp; No \u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 159.6pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"213\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003e270\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003e115\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 159.6pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"213\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003e70.1\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003e29.9\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 159.6pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"213\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003eGet printed nutrition education material\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp; Yes\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp; No \u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 159.6pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"213\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003e126\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003e259\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 159.6pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"213\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003e32.7\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003e67.3\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 159.6pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"213\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003eGet visual nutrition education\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp; Yes\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp; No \u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 159.6pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"213\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003e149\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003e236\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 159.6pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"213\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003e38.7\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 9.0pt; font-family: 'Times New Roman',serif;\"\u003e61.3\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 83.65pt;\"\u003e\n\u003ctd style=\"width: 159.6pt; border: none; border-bottom: solid green 1.5pt; padding: 0in 5.4pt 0in 5.4pt; height: 83.65pt;\" width=\"213\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003eSocial support \u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003eStrong social support\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003eModerate social support\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003ePoor social support \u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 159.6pt; border: none; border-bottom: solid green 1.5pt; padding: 0in 5.4pt 0in 5.4pt; height: 83.65pt;\" width=\"213\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e59\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e110\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e216\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 159.6pt; border: none; border-bottom: solid green 1.5pt; padding: 0in 5.4pt 0in 5.4pt; height: 83.65pt;\" width=\"213\"\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e15.3\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e28.6\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-family: 'Times New Roman',serif;\"\u003e56.1\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: 150%;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp style=\"text-align: justify;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003eTable 4: Bivariate and multivariable analysis of factors associated with dietary practice of diabetes patients who are on treatment follow up at Felege- hiwot referral hospital, Bahirdar city, Northwest Ethiopia 2017.\u003c/span\u003e\u003c/p\u003e\n\u003ctable style=\"border-collapse: collapse; border: none;\" width=\"683\"\u003e\n\u003ctbody\u003e\n\u003ctr style=\"height: 16.65pt;\"\u003e\n\u003ctd style=\"width: 144.5pt; border: none; border-top: solid green 1.5pt; padding: 0in 5.4pt 0in 5.4pt; height: 16.65pt;\" rowspan=\"2\" width=\"193\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eVariables \u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 99.2pt; border-top: solid green 1.5pt; border-left: none; border-bottom: solid green 1.0pt; border-right: none; padding: 0in 5.4pt 0in 5.4pt; height: 16.65pt;\" colspan=\"4\" width=\"132\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eDietary practice\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 128.05pt; border: none; border-top: solid green 1.5pt; padding: 0in 5.4pt 0in 5.4pt; height: 16.65pt;\" colspan=\"2\" rowspan=\"2\" width=\"171\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eCOR (95%CI)\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 140.35pt; border: none; border-top: solid green 1.5pt; padding: 0in 5.4pt 0in 5.4pt; height: 16.65pt;\" colspan=\"2\" rowspan=\"2\" width=\"187\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eAOR (95%CI)\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 8.3pt;\"\u003e\n\u003ctd style=\"width: 56.7pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 8.3pt;\" width=\"76\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003ePoor \u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 42.5pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 8.3pt;\" colspan=\"3\" width=\"57\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eGood\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 11.75pt;\"\u003e\n\u003ctd style=\"width: 512.1pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 11.75pt;\" colspan=\"9\" width=\"683\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eResidence \u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 7.8pt;\"\u003e\n\u003ctd style=\"width: 144.5pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 7.8pt;\" width=\"193\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eUrban \u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 56.7pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 7.8pt;\" width=\"76\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e103\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 42.5pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 7.8pt;\" colspan=\"3\" width=\"57\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e172\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 128.05pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 7.8pt;\" colspan=\"2\" width=\"171\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; 1.0\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 140.35pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 7.8pt;\" colspan=\"2\" width=\"187\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; 1.0\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 9.85pt;\"\u003e\n\u003ctd style=\"width: 144.5pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 9.85pt;\" width=\"193\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp; Rural\u0026nbsp; \u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 56.7pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 9.85pt;\" width=\"76\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e77\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 42.5pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 9.85pt;\" colspan=\"3\" width=\"57\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e33\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 128.05pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 9.85pt;\" colspan=\"2\" width=\"171\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e3.90(2.42-6.27)\u0026nbsp;\u0026nbsp; \u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 140.35pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 9.85pt;\" colspan=\"2\" width=\"187\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e3.75\u003c/span\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e(2.12-6.63)**\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 512.1pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" colspan=\"9\" width=\"683\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eAge \u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 13.3pt;\"\u003e\n\u003ctd style=\"width: 144.5pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 13.3pt;\" width=\"193\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;15-30\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 56.7pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 13.3pt;\" width=\"76\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e59\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 42.5pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 13.3pt;\" colspan=\"3\" width=\"57\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e49\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 128.05pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 13.3pt;\" colspan=\"2\" width=\"171\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e2.41(1.17-4.98)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 140.35pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 13.3pt;\" colspan=\"2\" width=\"187\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e1.28\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e(\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e.44\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e-\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e3.68\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 23.75pt;\"\u003e\n\u003ctd style=\"width: 144.5pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 23.75pt;\" width=\"193\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp; 31-60\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026gt;60 \u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 56.7pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 23.75pt;\" width=\"76\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e106\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e15\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 42.5pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 23.75pt;\" colspan=\"3\" width=\"57\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e126\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e30\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 128.05pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 23.75pt;\" colspan=\"2\" width=\"171\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e1.68(.86-3.30)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; 1.0\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 140.35pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 23.75pt;\" colspan=\"2\" width=\"187\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e1.48\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e(\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e.59\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e-\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e3.72\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; 1.0\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 11.75pt;\"\u003e\n\u003ctd style=\"width: 512.1pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 11.75pt;\" colspan=\"9\" width=\"683\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eEducational status \u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal; tab-stops: .5in 1.0in 1.5in 2.0in 2.5in 3.0in 3.5in 4.0in 4.5in 406.2pt;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eUnable to read and write\u0026nbsp; \u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;70\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; 42\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; 3.33(1.83-6.07)\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; \u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e1.81\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e(\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e.61\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e-\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e5.34\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 10.95pt;\"\u003e\n\u003ctd style=\"width: 144.5pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 10.95pt;\" width=\"193\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eAble to read and write\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 63.8pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 10.95pt;\" colspan=\"3\" width=\"85\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e37\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 35.4pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 10.95pt;\" width=\"47\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e36\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 128.05pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 10.95pt;\" colspan=\"2\" width=\"171\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e2.06(1.07-3.94)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 140.35pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 10.95pt;\" colspan=\"2\" width=\"187\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e1.21\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e(\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e.43\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e-\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e3.39\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 10.0pt;\"\u003e\n\u003ctd style=\"width: 144.5pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 10.0pt;\" width=\"193\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eGrade 1-8\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 63.8pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 10.0pt;\" colspan=\"3\" width=\"85\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e26\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 35.4pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 10.0pt;\" width=\"47\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e43\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 128.05pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 10.0pt;\" colspan=\"2\" width=\"171\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e1.21(.62-2.37)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 140.35pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 10.0pt;\" colspan=\"2\" width=\"187\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e1.28(.46\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e-\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e3.61\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 8.75pt;\"\u003e\n\u003ctd style=\"width: 144.5pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 8.75pt;\" width=\"193\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eGrade 9-12\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 63.8pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 8.75pt;\" colspan=\"3\" width=\"85\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e20\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 35.4pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 8.75pt;\" width=\"47\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e30\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 128.05pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 8.75pt;\" colspan=\"2\" width=\"171\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e1.33(.64-2.77)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 140.35pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 8.75pt;\" colspan=\"2\" width=\"187\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e1.26\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e(.49-3.18)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 4.15pt;\"\u003e\n\u003ctd style=\"width: 144.5pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 4.15pt;\" width=\"193\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eDiploma and above\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 63.8pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 4.15pt;\" colspan=\"3\" width=\"85\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e27\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 35.4pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 4.15pt;\" width=\"47\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e54\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 128.05pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 4.15pt;\" colspan=\"2\" width=\"171\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; 1.0\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 140.35pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 4.15pt;\" colspan=\"2\" width=\"187\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; 1.0\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 73.35pt;\"\u003e\n\u003ctd style=\"width: 144.5pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 73.35pt;\" width=\"193\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eOccupation \u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eFarmer \u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;Civil\u0026nbsp; servants \u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; Merchant \u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eHousewife\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eDaily laborer\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 63.8pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 73.35pt;\" colspan=\"3\" width=\"85\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e57\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e45\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e17\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e31\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e30\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 40.05pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 73.35pt;\" colspan=\"2\" width=\"53\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e24\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e91\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e33\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e34\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e23\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 126.05pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 73.35pt;\" colspan=\"2\" width=\"168\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e1.82(0.88-3.75)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e.38(0.19-.75)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e.39(.18-.88)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e.70(.34-1.45)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; 1.0\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; \u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 137.7pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 73.35pt;\" width=\"184\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e1.68\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e(0.54-\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e5.17\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e.86(\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e.32\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e-\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e2.32\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e.87\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e(\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e.29\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e-\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e2.59\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e.51\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e(\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e.18\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e-\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e1.45\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; 1.0\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 512.1pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" colspan=\"9\" width=\"683\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eWealth status\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 11.75pt;\"\u003e\n\u003ctd style=\"width: 144.5pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 11.75pt;\" width=\"193\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp; Poor\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 63.8pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 11.75pt;\" colspan=\"3\" width=\"85\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e71\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 40.05pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 11.75pt;\" colspan=\"2\" width=\"53\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e57\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 126.05pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 11.75pt;\" colspan=\"2\" width=\"168\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e1.66(.85-3.27)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 137.7pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 11.75pt;\" width=\"184\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e.84\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e(.\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e35\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e-\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e2.03\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 9.2pt;\"\u003e\n\u003ctd style=\"width: 144.5pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 9.2pt;\" width=\"193\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp; Middle\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp; Rich \u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 63.8pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 9.2pt;\" colspan=\"3\" width=\"85\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e52\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e39\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 40.05pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 9.2pt;\" colspan=\"2\" width=\"53\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e84\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e82\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 126.05pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 9.2pt;\" colspan=\"2\" width=\"168\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e.98(.51-1.90)\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; \u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp; 1.0\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; \u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 137.7pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 9.2pt;\" width=\"184\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e.\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e 73\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e(\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e.32\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e-\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e1.69\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; 1.0\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 512.1pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" colspan=\"9\" width=\"683\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eType of DM\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 13.3pt;\"\u003e\n\u003ctd style=\"width: 144.5pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 13.3pt;\" width=\"193\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eType 1\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 63.8pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 13.3pt;\" colspan=\"3\" width=\"85\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e67\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 40.05pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 13.3pt;\" colspan=\"2\" width=\"53\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e62\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 126.05pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 13.3pt;\" colspan=\"2\" width=\"168\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e1.0\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 137.7pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 13.3pt;\" width=\"184\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e1.0\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 12.35pt;\"\u003e\n\u003ctd style=\"width: 144.5pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 12.35pt;\" width=\"193\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eType 2\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 63.8pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 12.35pt;\" colspan=\"3\" width=\"85\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e113\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 40.05pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 12.35pt;\" colspan=\"2\" width=\"53\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e143\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 126.05pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 12.35pt;\" colspan=\"2\" width=\"168\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e.73(.48-1.12)\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; \u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 137.7pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 12.35pt;\" width=\"184\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e1.30\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e(\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e.70\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e-\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e2.43\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 512.1pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" colspan=\"9\" width=\"683\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eDuration of DM\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 10.95pt;\"\u003e\n\u003ctd style=\"width: 144.5pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 10.95pt;\" width=\"193\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026lt;5\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 63.8pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 10.95pt;\" colspan=\"3\" width=\"85\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e110\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 40.05pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 10.95pt;\" colspan=\"2\" width=\"53\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e99\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 126.05pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 10.95pt;\" colspan=\"2\" width=\"168\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e3.93(2.01-7.71)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 137.7pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 10.95pt;\" width=\"184\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e2.81\u003c/span\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e(\u003c/span\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e1.21\u003c/span\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e-\u003c/span\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e6.50\u003c/span\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e)*\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 27.15pt;\"\u003e\n\u003ctd style=\"width: 144.5pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 27.15pt;\" width=\"193\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e5-10\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026gt;10\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 63.8pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 27.15pt;\" colspan=\"3\" width=\"85\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e57\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e13\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 40.05pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 27.15pt;\" colspan=\"2\" width=\"53\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e60\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e46\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 126.05pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 27.15pt;\" colspan=\"2\" width=\"168\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e3.36(1.65-6.87)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; 1.0\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 137.7pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 27.15pt;\" width=\"184\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e2.79\u003c/span\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e(\u003c/span\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e1.15\u003c/span\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e-\u003c/span\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e6.73\u003c/span\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e)*\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp; 1.0\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 512.1pt; border: none; padding: 0in 5.4pt 0in 5.4pt;\" colspan=\"9\" width=\"683\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eNutrition education \u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 7.8pt;\"\u003e\n\u003ctd style=\"width: 144.5pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 7.8pt;\" width=\"193\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; No \u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 63.8pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 7.8pt;\" colspan=\"3\" width=\"85\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e89\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 40.05pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 7.8pt;\" colspan=\"2\" width=\"53\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e26\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 126.05pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 7.8pt;\" colspan=\"2\" width=\"168\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp; 6.73(4.07-11.15)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 137.7pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 7.8pt;\" width=\"184\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e5.88\u003c/span\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e(\u003c/span\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e3.30\u003c/span\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e-\u003c/span\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e10.48\u003c/span\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e)**\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 15.75pt;\"\u003e\n\u003ctd style=\"width: 144.5pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 15.75pt;\" width=\"193\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; Yes \u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 63.8pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 15.75pt;\" colspan=\"3\" width=\"85\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e91\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 40.05pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 15.75pt;\" colspan=\"2\" width=\"53\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e179\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 126.05pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 15.75pt;\" colspan=\"2\" width=\"168\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp; 1.0\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 137.7pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 15.75pt;\" width=\"184\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; 1.0\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 8.6pt;\"\u003e\n\u003ctd style=\"width: 512.1pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 8.6pt;\" colspan=\"9\" width=\"683\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003ePhysical exercise\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 10.0pt;\"\u003e\n\u003ctd style=\"width: 144.5pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 10.0pt;\" width=\"193\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eNo\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 63.05pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 10.0pt;\" colspan=\"2\" width=\"84\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e118\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 40.8pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 10.0pt;\" colspan=\"3\" width=\"54\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e78\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 126.05pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 10.0pt;\" colspan=\"2\" width=\"168\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e3.10(2.04-4.70)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 137.7pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 10.0pt;\" width=\"184\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e1.12\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e(\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e.64\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e-\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e1.96\u003c/span\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 45.5pt;\"\u003e\n\u003ctd style=\"width: 144.5pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 45.5pt;\" width=\"193\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eYes\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eMake choice when Eating out\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eNo\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eYes\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 63.05pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 45.5pt;\" colspan=\"2\" width=\"84\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e62\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e113\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e67\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 40.8pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 45.5pt;\" colspan=\"3\" width=\"54\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e127\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e59\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e146\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 126.05pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 45.5pt;\" colspan=\"2\" width=\"168\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; 1.0\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; 4.17(2.72-6.40)\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; \u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; text-indent: .5in; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e1.0\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 137.7pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 45.5pt;\" width=\"184\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e1.0\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e3.49(\u003c/span\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e2.09\u003c/span\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e-\u003c/span\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif; color: black;\"\u003e5.83\u003c/span\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e)**\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 11.45pt;\"\u003e\n\u003ctd style=\"width: 144.5pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 11.45pt;\" width=\"193\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003eSocial support \u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 63.05pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 11.45pt;\" colspan=\"2\" width=\"84\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 40.8pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 11.45pt;\" colspan=\"3\" width=\"54\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 126.05pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 11.45pt;\" colspan=\"2\" width=\"168\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 137.7pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 11.45pt;\" width=\"184\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 7.05pt;\"\u003e\n\u003ctd style=\"width: 144.5pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 7.05pt;\" width=\"193\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp; Strong social support\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp; Moderate social support \u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 63.05pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 7.05pt;\" colspan=\"2\" width=\"84\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;13\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;40\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 40.8pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 7.05pt;\" colspan=\"3\" width=\"54\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; 46\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; 70\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 126.05pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 7.05pt;\" colspan=\"2\" width=\"168\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp; 1.0\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp; 2.02(.98-4.19)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 137.7pt; border: none; padding: 0in 5.4pt 0in 5.4pt; height: 7.05pt;\" width=\"184\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e1.0\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e2.09(.90-4.86)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr style=\"height: 14.1pt;\"\u003e\n\u003ctd style=\"width: 144.5pt; border: none; border-bottom: solid green 1.5pt; padding: 0in 5.4pt 0in 5.4pt; height: 14.1pt;\" width=\"193\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003ePoor social support\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 63.05pt; border: none; border-bottom: solid green 1.5pt; padding: 0in 5.4pt 0in 5.4pt; height: 14.1pt;\" colspan=\"2\" width=\"84\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e1 27\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 40.8pt; border: none; border-bottom: solid green 1.5pt; padding: 0in 5.4pt 0in 5.4pt; height: 14.1pt;\" colspan=\"3\" width=\"54\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; 89\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 126.05pt; border: none; border-bottom: solid green 1.5pt; padding: 0in 5.4pt 0in 5.4pt; height: 14.1pt;\" colspan=\"2\" width=\"168\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp; 5.05(2.58-9.89) \u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 137.7pt; border: none; border-bottom: solid green 1.5pt; padding: 0in 5.4pt 0in 5.4pt; height: 14.1pt;\" width=\"184\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: justify; line-height: normal;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 10.0pt; font-family: 'Times New Roman',serif;\"\u003e3.84(1.74-8.46)**\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"border: none;\" width=\"193\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd style=\"border: none;\" width=\"76\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd style=\"border: none;\" width=\"8\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd style=\"border: none;\" width=\"1\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd style=\"border: none;\" width=\"47\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd style=\"border: none;\" width=\"6\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd style=\"border: none;\" width=\"165\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd style=\"border: none;\" width=\"4\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003ctd style=\"border: none;\" width=\"184\"\u003e\u0026nbsp;\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\n\u003ch1 style=\"text-align: justify; margin: 12.0pt 0in 12.0pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003eNote: * = p-value\u0026lt;0.05, ** = p-value \u0026lt; 0.01 and DM = diabetes Miletus, COR= Crude Odd Ratio, AOR = Adjusted Odd Ratio \u003c/span\u003e\u003c/h1\u003e\n\u003ch1 style=\"text-align: justify; margin: 12.0pt 0in 12.0pt 0in;\"\u003e\u003cspan style=\"font-size: 12.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/h1\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":true,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true},"keywords":"Nutrition education , Diabetes, Diet, Ethiopia","lastPublishedDoi":"10.21203/rs.2.11382/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.2.11382/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"ABSTRACT\nBackground: Adherence to healthy meal plan can delay and prevent complications from diabetes. However, feeding habits of the patients is not well known in many developing countries including Ethiopia.\nObjective: The purpose of this study was to assess the dietary adherence and associated factors among diabetes patient at Felege Hiwot Referral Hospital, Bahirdar City Northwest Ethiopia.\nMethods: Institution-based cross-sectional study was conducted among systematically selected 385 diabetes patients from March to April, 2017 at Felege-Hiwot Referral hospital, Bahir Dar Northwest Ethiopia. Quantitative data were collected by using a pre-tested and structured questionnaire. To supplement their experiences, views and perception, participants were selected purposely for in-depth interviews. Logistic regression was used to identify associations between dependent and explanatory variables. Statically significant was considered at p value \u003c 0.05 with 95% CI. The qualitative data were analyzed in content line by line with quantitative findings.\nResults: The overall proportion of poor dietary adherence among diabetes patients was 46.8% (95% CI: 41.1- 52.0). Living in rural (AOR=3. 75;95% CI: 2.12-6.63), duration of diabetes less than 5 years (AOR=2. 81; 95% CI: 1.22-6.50), didn’t get nutrition education (AOR=5. 88; 95% CI: 3.30-10.48), poor social support (AOR=3. 84; 95% CI: 1.74-8.46) and didn’t make choices on food when they ate out (AOR=3. 49; 95% CI: 2.09-5.81) were significantly associated with poor dietary practice.\nConclusion: Considerable numbers of diabetes patients in this study were non-adhered to the recommended diet and to improve their dietary practice; attention should be given to nutrition education.\nKeywords: Nutrition education , Diabetes, Diet, Ethiopia.","manuscriptTitle":"NUTRITION EDUCATION AND COUNSELING AT HOSPITAL DETERMINES DIETARY ADHERENCE OF DIABETES PATIENTS","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2019-07-15 03:47:06","doi":"10.21203/rs.2.11382/v1","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"6bb69325-ed06-43c6-ae83-88551be5787f","owner":[],"postedDate":"July 15th, 2019","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"posted","subjectAreas":[{"id":16559,"name":"Endocrinology \u0026 Metabolism"},{"id":16560,"name":"Nutrition \u0026 Dietetics"}],"tags":[],"updatedAt":"","versionOfRecord":[],"versionCreatedAt":"2019-07-15 03:47:06","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-2257","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"identity":"rs-2257","version":["v1"]},"buildId":"_2-kVJe1T_tPrBINL-cwx","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}