PRIMARY HEALTH CARE PHYSICIAN’S KNOWLEDGE , ATTITUDE AND PRACTICE ABOUT METABOLIC SYNDROME IN MAKKAH CITY

Dr. Yusuf Ahmed Alharbi

Joint program of family medicine in Makkah – 2012

Background:

The overall age-adjusted prevalence of metabolic syndrome in Saudi Arabia is 39.3%. Low HDL cholesterol plays a major role in the contribution to the Metabolic syndrome in Saudi Arabia.

Objectives:

To estimate knowledge of primary health care physicians in Makkah about metabolic syndrome as well as to determine their attitude toward it.

Methodology:

A cross–sectional approach was carried out among all primary health physicians, who were available at time of the study at Makkah city. Overall 126 physicians were invited to participate in the study. Overall, 117 of 126 physician who were invited to participate in the study giving a response rate of 92.9 %. Eleven questionnaires were not reliable and were excluded from final analysis. Hence, 106 questionnaires were considered. Self-administered questionnaire was utilized for data collection.

Results:

a total of 106 PHC physicians were included in the current study. More than one-third of them (38.7%) were aged over 40 years. More than half of them (56.60%) have MBBS degree, where about 8.49 % have diploma degree in family medicine. Around 13.21% have Master degree in different specialties where about 17.92 % certified family medicine board and only 3.77% have international MRCGP. Most of the participants79 (74.5%) were aware about the proper definition of metabolic syndrome. Contrary to that, most of them (74.5%) were not aware about the age-adjusted prevalence of metabolic syndrome in KSA and 77.4% of them were not aware about the metabolic syndrome diagnosis according to International Diabetic Foundation criteria. Most of the physicians (75.5%) disagreed that metabolic syndrome diagnosis is difficult to be made at PHCC at Makkah. Slightly more than half of the physicians (55.6%) agreed that patients with metabolic syndrome should be managed by specialists. Around 78.3% and 63.2% of the physicians were confident to diagnose and manage metabolic syndrome respectively. The majority of the participants were agreed that they should know more about metabolic syndrome (89.6%) and attend training courses about metabolic syndrome (87.7%). Only 12.3% of the physicians reported a history of attendance training courses about metabolic syndrome.

Conclusions:

The current results demonstrate that most of physicians are aware of metabolic syndrome as a clinical syndrome. However, their knowledge regarding its diagnosis and management is insufficient. Their attitude towards metabolic syndrome training and education is adequate.

http://www.usa-journals.com/wp-content/uploads/2014/09/Yusuf_Vol29.pdf

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