Informal caregiving among people supporting a person with type 2 diabetes in rural communities of Northern Vietnam: A cross-sectional study of caregiver burdens

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Objective
The prevalence of type 2 diabetes mellitus (T2DM) in Vietnam has doubled from 3% to 6% over the last decades, with potential consequences for persons with diabetes and their caregivers. This study aimed to assess caregiver burdens and factors associated with caregiver burden.

Method
A cross-sectional study was conducted in 2019, using data from 1,241 informal caregivers (ICGs). Caregiver burden was scored from 0–32 using 8 questions from the Zarit Burden Interview (ZBI). Quantile regression analysis was used to identify factors associated with caregiver burden.

Results
The median score of the ZBI was 7.0 (Q1-Q3: 2.0–10.0), indicating that the burden among caregiver of persons with T2DM is not high. Quantile regression showed that the higher the monthly income, the lower the burden among caregivers (50% quantile and 75% quantile of burden: -0.004). Lower educational level (25%Q: 4.0, 50%Q; 3.0, 75%Q: 2.16), being a farmer (25%Q: 2.0) and providing care to other people besides the person with T2DM (25%Q: 2.0, 50%Q; 2.54, 75%Q: 1.66) were associated with higher burden on caregivers.

Conclusion
The study found that caregivers facing additional life stressors, such as low income or other caregiving responsibilities, reported higher levels of burden. These findings could inform the development of interventions targeted at supporting informal caregivers in rural areas in low- and middle-income countries.
OriginalsprogEngelsk
Artikelnummere0304821
TidsskriftPLoS ONE
Vol/bind19
Udgave nummer5
Antal sider13
ISSN1932-6203
DOI
StatusUdgivet - 2024

Bibliografisk note

Funding Information:
The study was funded by the Ministry of Foreign Affairs of Denmark (DANIDA). The funders played no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. We would like to thank the health authorities and health workers at all levels in Thai Binh Province for their facilitation of our work. Special thanks are extended to the village health workers from 8 communes in Thai Binh Province for their invaluable support in collecting information. We are also grateful to all the persons from Quynh Phu and Vu Thu district who participated in the interviews.

Publisher Copyright:
© 2024 Bui et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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