Research Article
Knowledge and self-reported practice of insulin injection device disposal and associated factors among diabetes patients in Addis Ababa, Ethiopia: A cross-sectional study
Aynalem Loha, Fekadu Aga and Amanuel Fanta*
Published: 26 September, 2022 | Volume 6 - Issue 1 | Pages: 020-026
Background: Diabetes mellitus is a serious long-term condition with a major impact on the lives and well-being, of societies worldwide. Poor disposal practices of devices potentially result in personal injury and injuries to people in the household and the general community. This study aimed to assess the knowledge and self-reported practice of insulin injection device disposal and associated factors among diabetes patients in TASH, Addis Ababa, Ethiopia.
Method: A cross-sectional study was conducted among 182 adults with diabetes. The study participants were selected through systematic random sampling. Data were collected from March/17/2020 - May/18/2020. Patients were interviewed using a structured questionnaire. Data were entered into Epi-data version 4. 6 and exported to SPSS version 25.0 for analysis. Bivariable and multivariable logistic regression with crude and adjusted odds ratios along with the 95% confidence interval was computed and interpreted accordingly. Good practice and adequate knowledge were defined based on median calculation; a result above the median value of good practice and adequate knowledge with a p - value < 0.05 was considered to declare a result as statistically significant.
Results: About 54% of the participants had inadequate knowledge about safe insulin injection waste disposal. More than two-thirds (73%) of respondents had poor practice and 92.3% of respondents did not know how to dispose of lancets after use.
Conclusion: This study revealed that the knowledge and practice of diabetic patients were inadequate and poor towards safe insulin injection waste disposal in the study area. Educating patients and awareness creation training on proper insulin injection device disposal should be considerable.
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DOI: 10.29328/journal.cjncp.1001042
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Keywords:
Diabetes; Disposal; Injection device; Knowledge; Practice
References
- Cunha GHD, Barbosa RVA, Fontenele MSM, Lima MAC, Franco KB, Fechine FV. Insulin therapy waste produced in the households of people with diabetes monitored in Primary Care. Rev Bras Enferm. 2017 May-Jun;70(3):618-625. English, Portuguese. doi: 10.1590/0034-7167-2016-0406. PMID: 28562812.
- Saeedi P, Petersohn I, Salpea P, Malanda B, Karuranga S, Unwin N, Colagiuri S, Guariguata L, Motala AA, Ogurtsova K, Shaw JE, Bright D, Williams R; IDF Diabetes Atlas Committee. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th Diabetes Res Clin Pract. 2019 Nov;157:107843. doi: 10.1016/j.diabres.2019.107843. Epub 2019 Sep 10. PMID: 31518657.
- Basazn Mekuria A, Melaku Gebresillassie B, Asfaw Erku D, Taye Haile K, Melese Birru E. Knowledge and Self-Reported Practice of Insulin Injection Device Disposal among Diabetes Patients in Gondar Town, Ethiopia: A Cross-Sectional Study. J Diabetes Res. 2016;2016:1897517. doi: 10.1155/2016/1897517. Epub 2016 Sep 25. PMID: 27738637; PMCID: PMC5055957.
- Emine Kýr Bicer PhD R. Medical Waste Management in Patients with Diabetic Foot Ulcers: A Pilot Study in Turkey. International Journal of Caring Sciences. 2019;12(2):1-9.
- Biçer EK. An Important Environmental Risk from Patients with Diabetes using Insulin: Disposal of Medical Waste. J Infect.5(2):182-8.
- Yazie TD, Tebeje MG, Chufa KA. Healthcare waste management current status and potential challenges in Ethiopia: a systematic review. BMC Res Notes. 2019 May 23;12(1):285. doi: 10.1186/s13104-019-4316-y. PMID: 31122274; PMCID: PMC6533748.
- Biçer EK. An Important Environmental Risk from Patients with Diabetes using Insulin: Disposal of Medical Waste. Journal of Diabetes Research.5(2):182-8.
- Musselman KT, Sicat BL, Thomas MH, Harpe SE. Patients’ knowledge of and practices relating to the disposal of used insulin needles. 2010.
- Authority CS. Population and housing census of Ethiopia. Addis Ababa: Central Statistics Authority. 2007.
- Singh AP, Chapman RS. Knowledge, attitude and practices (KAP) on disposal of sharp waste, used for home management of type-2 diabetes mellitus, in New Delhi, India. Journal of Health Research. 2011;25(3):135-40.
- Ishtiaq O, Qadri AM, Mehar S, Gondal GM, Iqbal T, Ali S, Mati-ur-Rahman, Janjua NZ. Disposal of syringes, needles, and lancets used by diabetic patients in Pakistan. J Infect Public Health. 2012 Apr;5(2):182-8. doi: 10.1016/j.jiph.2012.02.002. Epub 2012 Mar 30. PMID: 22541266.
- Govender D, Ross A. Sharps disposal practices among diabetic patients using insulin. S Afr Med J. 2012 Feb 23;102(3 Pt 1):163-4. doi: 10.7196/samj.5085. PMID: 22380912.
- Quiwa L, Jimeno C. Knowledge, attitudes and practices on the disposal of sharps in patients of the UP-Philippine General Hospital Diabetes Clinic. Journal of the ASEAN Federation of Endocrine Societies. 2014;29(2):141.
- Hasan UA, Mohd Hairon S, Yaacob NM, Daud A, Abdul Hamid A, Hassan N, Ariffin MF, Yi Vun L. Factors Contributing to Sharp Waste Disposal at Health Care Facility Among Diabetic Patients in North-East Peninsular Malaysia. Int J Environ Res Public Health. 2019 Jun 26;16(13):2251. doi: 10.3390/ijerph16132251. PMID: 31247892; PMCID: PMC6651231.