Unmet Needs for Informal Care Among People With Type 2 Diabetes in Rural Communities in Vietnam.

Unmet Needs for Informal Care Among People With Type 2 Diabetes in Rural Communities in Vietnam. | 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 Unmet Needs for Informal Care Among People With Type 2 Diabetes in Rural Communities in Vietnam. Dan Wolf Meyrowitsch, Jannie Nielsen, Ib Christian Bygbjerg, Jens Søndergaard, and 4 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-138524/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 BACKGROUND From a diabetes management perspective, informal care has proven at least as important as care from health professionals when targeting poorly controlled diabetes. The objective of this study was to identify determinants associated with unmet needs for informal support among people with type-2 diabetes in rural communities of Vietnam. METHODS A cross-sectional survey was conducted from December 2018 to February 2019 in a rural area of northern Vietnam. From 2 districts in Thai Binh Province, Vietnam, 806 people with type-2 diabetes participated in a survey designed to assess who were their most important informal caregivers (ICGs) and to measure the association between demographic and socio-economic predictors and unmet needs of informal support of relevance for diabetes self-care using bivariate and multivariate analyses. RESULTS The spouse was reported as the most important ICG (62.9%) followed by a daughter or son (28.4%). 32.0% of the people with type-2 diabetes reported at least one type of unmet need for informal support. The most commonly reported unmet needs of informal care were: transport to health facilities and company when seeking formal care (20.5%), financial support related to costs of diabetes self-management (18.5%), and reminders to engage in physical exercise (14.5%). People living alone reported the highest odds ratio (OR) for unmet need of informal care (OR=4.41; CI95%: 2.19-8.88), followed by those being poor as compared to being wealthy (OR=3.79; CI95%: 1.25-11.52) and those being unemployed as compared to being retired (OR=2.85; CI95%: 1.61-5.05). CONCLUSIONS Almost one-third of people with type-2 diabetes reported at least one type of unmet need for informal care. These findings provide a basis for development of new modalities for strengthening support provided by ICGs in rural communities in Vietnam and in other low- and middle-income countries. Endocrinology & Metabolism Type-2 diabetes informal care unmet needs Full Text Tables Due to technical limitations, tables PDF is only available as a download in the Supplemental Files section. Supplementary Files UnmetneedsforinformalcareTables.pdf 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. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. 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-138524","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Research","associatedPublications":[],"authors":[{"id":7302470,"identity":"c86070ca-8fcd-4768-9d56-5c25dc773c61","order_by":0,"name":"Dan Wolf Meyrowitsch","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAAsklEQVRIiWNgGAWjYDCCA0D8AcxgAxJsCcRpYZxBshZmHpK08B0/nfjY5s/hPL4DbGkSDGVphLVInsndbJzbdrhY8gDbMQmGczmEtRgcyN0mndtwOHHDAfY2Cca2CiK0nH+7/bfFH5K03MjdxszABtICdBhjGxEOk7zxdrNkb1t64szDbMkWCeeI8D7f+dyNH378sU7sO95meONDWTJhLQjADMQJpGgYBaNgFIyCUYAbAAA3iT/N+1m3+QAAAABJRU5ErkJggg==","orcid":"https://orcid.org/0000-0003-1108-8987","institution":"University of Copenhagen","correspondingAuthor":true,"submittingAuthor":false,"prefix":"","firstName":"Dan","middleName":"Wolf","lastName":"Meyrowitsch","suffix":""},{"id":7302471,"identity":"8034a17f-b982-4f9f-80fb-0e38711fc523","order_by":1,"name":"Jannie Nielsen","email":"","orcid":"","institution":"GH: Emory University Hubert Department of Global Health","correspondingAuthor":false,"submittingAuthor":false,"prefix":"","firstName":"Jannie","middleName":"","lastName":"Nielsen","suffix":""},{"id":7302472,"identity":"0a8d0aec-fff5-4f4c-9c5c-8fd773b634be","order_by":2,"name":"Ib Christian Bygbjerg","email":"","orcid":"","institution":"Department of Public Health, University of Copenhagen.","correspondingAuthor":false,"submittingAuthor":false,"prefix":"","firstName":"Ib","middleName":"Christian","lastName":"Bygbjerg","suffix":""},{"id":7302473,"identity":"536f2eb2-1965-43e8-a6d5-7a21b99f112a","order_by":3,"name":"Jens Søndergaard","email":"","orcid":"","institution":"Department of Public Health, University of Southern Denmark.","correspondingAuthor":false,"submittingAuthor":false,"prefix":"","firstName":"Jens","middleName":"","lastName":"Søndergaard","suffix":""},{"id":7302474,"identity":"110d6b5e-67bb-4ace-8eef-fb193ab15c90","order_by":4,"name":"Diep Khong Thi","email":"","orcid":"","institution":"Thai Binh University of Medicine and Pharmacy: Thai Binh Medical University","correspondingAuthor":false,"submittingAuthor":false,"prefix":"","firstName":"Diep","middleName":"Khong","lastName":"Thi","suffix":""},{"id":7302475,"identity":"80b41217-8d5d-423e-bd51-95090854c277","order_by":5,"name":"Dieu Bui Thi Huyen","email":"","orcid":"","institution":"Thai Binh University of Medicine and Pharmacy","correspondingAuthor":false,"submittingAuthor":false,"prefix":"","firstName":"Dieu","middleName":"Bui Thi","lastName":"Huyen","suffix":""},{"id":7302476,"identity":"5fe201d4-2767-448f-8994-f6b74c4d9218","order_by":6,"name":"Tine M. Gammeltoft","email":"","orcid":"","institution":"Department of Anthropology, University of Copenhagen","correspondingAuthor":false,"submittingAuthor":false,"prefix":"","firstName":"Tine","middleName":"M.","lastName":"Gammeltoft","suffix":""},{"id":7302477,"identity":"61b8f356-59e8-4d86-b4ca-cc4e4a16fe8c","order_by":7,"name":"Thanh Nguyen Duc","email":"","orcid":"","institution":"Thai Binh University of Medicine and Pharmacy","correspondingAuthor":false,"submittingAuthor":false,"prefix":"","firstName":"Thanh","middleName":"Nguyen","lastName":"Duc","suffix":""}],"badges":[],"createdAt":"2020-12-30 20:23:51","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-138524/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-138524/v1","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":13571263,"identity":"f5bf0bac-1631-43ef-b021-0afdd839ba4a","added_by":"auto","created_at":"2021-09-17 03:46:58","extension":"pdf","order_by":1,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":273431,"visible":true,"origin":"","legend":"","description":"","filename":"UnmetneedsforinformalcareManuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-138524/v1_covered.pdf"},{"id":4733439,"identity":"60fb1e95-e04e-434c-8b2b-1d8f6dfe57df","added_by":"auto","created_at":"2021-01-05 23:40:03","extension":"pdf","order_by":1,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":336189,"visible":true,"origin":"","legend":"","description":"","filename":"UnmetneedsforinformalcareManuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-138524/v1_stamped.pdf"},{"id":4733326,"identity":"0907bf7d-ae5d-43db-97f8-8508586ef7e7","added_by":"auto","created_at":"2021-01-05 23:37:00","extension":"pdf","order_by":1,"title":"","display":"","copyAsset":false,"role":"supplement","size":109439,"visible":true,"origin":"","legend":"","description":"","filename":"UnmetneedsforinformalcareTables.pdf","url":"https://assets-eu.researchsquare.com/files/rs-138524/v1/fbd15aa90a08d1f875cebcfe.pdf"}],"financialInterests":"","formattedTitle":"\u003cp\u003eUnmet Needs for Informal Care Among People With Type 2 Diabetes in Rural Communities in Vietnam.\u003c/p\u003e","fulltext":[{"header":"Full Text","content":"\u003cp\u003eThis preprint is available for \u003ca href='/article/rs-138524/latest.pdf' target='_blank'\u003edownload as a PDF\u003c/a\u003e.\u003c/p\u003e"},{"header":"Tables","content":"\u003cp\u003eDue to technical limitations, tables PDF is only available as a download in the Supplemental Files section.\u003c/p\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":false,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":true,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":true,"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":"Type-2 diabetes, informal care, unmet needs","lastPublishedDoi":"10.21203/rs.3.rs-138524/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-138524/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003eBACKGROUND \u003c/p\u003e\u003cp\u003eFrom a diabetes management perspective, informal care has proven at least as important as care from health professionals when targeting poorly controlled diabetes. The objective of this study was to identify determinants associated with unmet needs for informal support among people with type-2 diabetes in rural communities of Vietnam. \u003c/p\u003e\u003cp\u003eMETHODS \u003c/p\u003e\u003cp\u003eA cross-sectional survey was conducted from December 2018 to February 2019 in a rural area of northern Vietnam. From 2 districts in Thai Binh Province, Vietnam, 806 people with type-2 diabetes participated in a survey designed to assess who were their most important informal caregivers (ICGs) and to measure the association between demographic and socio-economic predictors and unmet needs of informal support of relevance for diabetes self-care using bivariate and multivariate analyses. \u003c/p\u003e\u003cp\u003eRESULTS \u003c/p\u003e\u003cp\u003eThe spouse was reported as the most important ICG (62.9%) followed by a daughter or son (28.4%). 32.0% of the people with type-2 diabetes reported at least one type of unmet need for informal support. The most commonly reported unmet needs of informal care were: transport to health facilities and company when seeking formal care (20.5%), financial support related to costs of diabetes self-management (18.5%), and reminders to engage in physical exercise (14.5%). People living alone reported the highest odds ratio (OR) for unmet need of informal care (OR=4.41; CI95%: 2.19-8.88), followed by those being poor as compared to being wealthy (OR=3.79; CI95%: 1.25-11.52) and those being unemployed as compared to being retired (OR=2.85; CI95%: 1.61-5.05). \u003c/p\u003e\u003cp\u003eCONCLUSIONS \u003c/p\u003e\u003cp\u003eAlmost one-third of people with type-2 diabetes reported at least one type of unmet need for informal care. These findings provide a basis for development of new modalities for strengthening support provided by ICGs in rural communities in Vietnam and in other low- and middle-income countries.\u003c/p\u003e","manuscriptTitle":"Unmet Needs for Informal Care Among People With Type 2 Diabetes in Rural Communities in Vietnam.","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2021-01-05 23:33:58","doi":"10.21203/rs.3.rs-138524/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":"71336aa9-bf69-429a-9e7a-6263dd4236ac","owner":[],"postedDate":"January 5th, 2021","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"posted","subjectAreas":[{"id":1688815,"name":"Endocrinology \u0026 Metabolism"}],"tags":[],"updatedAt":"2021-01-05T23:34:00+00:00","versionOfRecord":[],"versionCreatedAt":"2021-01-05 23:33:58","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-138524","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-138524","identity":"rs-138524","version":["v1"]},"buildId":"ApUGefWb6u5IBVtyqm6d5","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}