@article{Shrestha_Kosalram_Gopichandran_2013, title={Gender Difference in Care of Type 2 Diabetes}, volume={52}, url={https://www.jnma.com.np/jnma/index.php/jnma/article/view/565}, DOI={10.31729/jnma.565}, abstractNote={<p><strong>Introduction:</strong> Biologically male and female have similar diabetes prevalence. Gender differences in the social structure bring differences in life style modifications and all other self care behaviors in type 2 diabetes. The primary purpose of this study was to assess the gender difference in care of type 2 diabetes in Western region, Nepal.  </p> <p><strong>Methods:</strong> Hundred men and hundred women respondents participated in a cross-sectional study conducted in two hospitals in Pokhara, Nepal. A pre-tested questionnaire was administered to each of the respondents.</p> <p><strong>Results:</strong> Dry mouth (χ2 = 3.977, P = 0.046) and abdominal pain (χ2 = 3.840, P = 0.050) were reported as symptoms of diabetes in 51% and 31% women compared to 37% and 19% men respectively. The study revealed that women had low self-efficacy with respect to their diabetes care (35%) in comparison to men (65%). There was significant association between gender and diet practices which showed men have 0.328 (95% CI: 0.184 - 0.585) times less chances of bad dietary practices compared to women. After adjusting for age, education, occupation and self-efficacy, men were less likely to have bad dietary practices (OR= 0.513, 95% CI: 0.266, 0.992).</p> <p><strong>Conclusions:</strong> The result of this study provided evidence that there are gender differences in reporting of symptoms, mode of diagnosis and certain self-management behaviors. Therefore there is a need to design gender specific behavior change communication strategies for better management of type 2 <strong>diabetes.</strong><br><br><strong>Keywords:</strong> diabetes care; gender; self-efficacy; self-management.</p>}, number={189}, journal={Journal of Nepal Medical Association}, author={Shrestha, Aamod Dhoj and Kosalram, Kalpana and Gopichandran, Vijayaprasad}, year={2013}, month={Mar.}, pages={245–250} }