Health-Seeking Behavior of Self-Reported Diabetics: A Descriptive Study of Self-reported Diabetics Utilizing Public Parks

ABSTRACTBackgroundDiabetes mellitus, particularly type 2 diabetes, is a significant global health concern, especially in low- and middle-income countries like Bangladesh. The prevalence of diabetes among adults in Bangladesh rose from 3.9% in 2010 to 8.3% in 2018, projected to nearly double by 2045. Many diabetics manage their condition outside formal health systems, influenced by their knowledge of the disease, financial resources, and access to services. Exploring their health-seeking behaviors and healthcare networks is crucial but has been underexplored.ObjectivesThis study aims to explore the health-seeking behavior, knowledge, and healthcare networks of self-reported diabetics in public parks in Dhaka, with the goal of recommending strategies for improved diabetes management.MethodsA qualitative exploratory study was conducted in two public parks, targeting self-identified diabetics aged 40 and older. Fifteen in-depth interviews were conducted with purposively selected self-reported diabetics and park healthcare providers using a semi-structured interview guide. Data was analyzed using a thematic content analysis approach.FindingsMost participants were men aged 50-60 from high socioeconomic backgrounds, with good knowledge of diabetes risk factors and the need for lifestyle changes. Common risk factors included anxiety, with complications like sexual dysfunction frequently noted. Physicians were the primary information source, while BIRDEM was the preferred healthcare provider due to its reputation and cost-effectiveness. Many participants also utilized homeopathic and herbal treatments, with about one-third reporting complications such as uncontrolled blood sugar and cardiovascular issues. Lifestyle modifications included dietary changes, exercise, medication adherence, and spiritual support. Participants spent over 1,000 takas monthly on diabetes care, mainly accessing services from park providers, who had limited formal training.ConclusionThis study explored health-seeking behaviors of self-reported diabetics, identifying key barriers such as gender disparities, financial constraints, and reliance on alternative treatments. It highlighted the need for better integration of informal healthcare providers, improved health education, and a more supportive healthcare environment. Further research on anxiety, sexual health, and gender-related barriers could help promote equity in diabetes prevention and management.