Research Article
Study of Health-Related Quality of Life and Healthcare
UtilizationamongType2DiabeticPopulationinanUrbanAreaof
Eastern Nepal
Sangita Shah ,
1
Nilambar Jha,
1
Deepak Kumar Yadav ,
1
Prajjwal Pyakurel ,
1
Sanjib Kumar Sharma ,
2
and Suman Bahadur Singh
1
1
School of Public Health and Community Medicine, B.P.Koirala Institute of Health Sciences, Dharan, Nepal
2
Department of Internal Medicine, B.P.Koirala Institute of Health Sciences, Dharan, Nepal
Correspondence should be addressed to Sangita Shah; sangita.shah@bpkihs.edu
Received 8 September 2020; Revised 7 November 2020; Accepted 14 December 2020; Published 24 December 2020
Academic Editor: Alexander Schreiber
Copyright © 2020 Sangita Shah et al. is is an open access article distributed under the Creative Commons Attribution License,
which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Introduction. Diabetes mellitus is a major cause of morbidity and mortality and places huge burden on public health funding.
Diabetes affects quality of life through associated complications, comorbidity, and disease burden. Consequently, people have
frequent healthcare visits. is study assessed quality of life and healthcare utilization patterns among type 2 diabetic populations
in an urban area of eastern Nepal. Methods. A cross-sectional study was conducted among 270 participants of age ≥20 years with
type 2 diabetes in Itahari using a semistructured questionnaire. A D-39 questionnaire was used to assess quality of life. Five wards
were selected by systematic random sampling, and the population was proportionate according to the sample size. Multiple linear
regressions were conducted to identify the factors associated with quality of life and its domains. Results. e highest mean
score ± SD was found in the domain anxiety and worry (57.34 ± 11.08). About 18.5% of the participants perceived extremely
affected quality of life. Hypertension (55.55%) was the most common comorbidity. Age, marital status, literacy, alcohol, disease
duration, comorbidity, and complications were significantly associated with overall quality of life. In last 6 months of duration,
93.7% had hospital visits. Among them, 8.1% had emergency visit and 5.9% were admitted in the hospital. Conclusion. People with
diabetes in this study were more affected in the domain anxiety and worry. e frequency of healthcare access and utilization in
patients with type 2 diabetes was high. e quality of life among them could be improved by taking care on healthy behavior,
comorbid conditions, and complications.
1. Introduction
Due to social and economic transition, leading to behavioral
and metabolic risk factors, diabetes is leading as an emerging
major public health problem in Nepal, with rising prevalence
and its complications, especially in urban populations [1, 2].
It is a chronic, incurable, costly, and largely preventable
noncommunicable disease which is responsible for millions
of deaths globally [3].
Diabetes has multidimensional effect in QOL such as
social, physical, and role functioning, worries about the
future, and emotional and general well-being [4]. For this,
people living with diabetes require regular visits to several
healthcare professionals and utilization of the service of
clinics and outpatient centres [5, 6]. is study assist
healthcare practitioners, institution, policy makers, and
community people to better understand quality of life and
healthcare utilization in type 2 diabetes mellitus [7].
is study is aimed to assess the health-related quality of
life and healthcare utilization among type 2 diabetic pop-
ulation in an urban area of eastern Nepal.
2. Materials and Methods
A community-based cross-sectional study was conducted
among 270 type 2 diabetes patients residing in Itahari, a
Hindawi
International Journal of Endocrinology
Volume 2020, Article ID 8839905, 9 pages
https://doi.org/10.1155/2020/8839905