Analysis of the attitudes of people with type 2 diabetes mellitus in Primary Health Care.

Revista da Escola de Enfermagem da U S P Pub Date : 2026-10-12 eCollection Date: 2026-01-01 DOI:10.1590/1980-220X-REEUSP-2025-0549en
Amilton Diniz Dos Santos, Ravena Melo Silva, Maria Rita Sousa Silva, Irisdalva França Soares Brito, Maria Edileuza Soares Moura
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Abstract

Objective: To analyze the attitudes of people with type 2 diabetes mellitus toward the disease.

Method: This cross-sectional study was conducted in Primary Health Care with 129 participants diagnosed with type 2 diabetes mellitus. The Diabetes Attitude Questionnaire (ATT-19) was administered. Statistical analysis included logistic regression, assessment of multicollinearity, model fit assessment, and statistical significance testing.

Results: Participants were predominantly female (n = 84; 65.12%), self-identified as mixed-race (n = 63; 48.84%), retired (n = 73; 56.59%), had completed elementary school (n = 49; 37.98%), and were married or living in a stable union (n = 64; 49.61%). Male sex showed a trend toward an association with a negative attitude (OR = 2.66; 95%CI: 0.97-8.10; p = 0.067), whereas living alone demonstrated a protective effect (OR = 0.10; 95%CI: 0.01-0.73; p = 0.032).

Conclusion: A predominance of negative attitudes toward type 2 diabetes mellitus, as measured by the ATT-19, was identified. A more negative attitude was associated with male sex, whereas living alone had a protective effect, indicating the need for strategies focused on attitudes in Primary Health Care.

2型糖尿病患者对初级保健的态度分析。
目的:分析2型糖尿病患者对糖尿病的态度。方法:对129名确诊为2型糖尿病患者的初级卫生保健机构进行横断面研究。采用糖尿病态度问卷(ATT-19)。统计分析包括逻辑回归、多重共线性评估、模型拟合评估和统计显著性检验。结果:参与者以女性为主(n = 84, 65.12%),自认为是混血儿(n = 63, 48.84%),退休(n = 73, 56.59%),小学毕业(n = 49, 37.98%),已婚或有稳定伴侣(n = 64, 49.61%)。男性表现出与消极态度相关的趋势(OR = 2.66; 95%CI: 0.97-8.10; p = 0.067),而独居表现出保护作用(OR = 0.10; 95%CI: 0.01-0.73; p = 0.032)。结论:对2型糖尿病持消极态度的人占主导地位,这是由at -19测量得出的。较为消极的态度与男性有关,而独居则具有保护作用,这表明需要制定侧重于初级保健态度的战略。
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