HEALTH PROMOTION MODEL: PEER HEALTH EDUCATION TOWARD DECREASING RISK OF DIABETES MELLITUS TYPE II
Keywords:Health promotion model, Peer health education, Diabetes mellitus
Objective: The increased number of Diabetes Mellitus (DM) disease over years, we suggest the effort to make primary prevention in community groups. Peer Health Education (PHE) can be used as a method for promoting health in these community groups. Through PHE, it is expected that community groups that have the risk of DM disease can improve knowledge about healthy lifestyle behavior and conduct behavior change to achieve optimal health degree and avoid DM disease. The objectives of the research are to analyze knowledge of cadre before and after education, to analyze knowledge of housewife before and after education, and to analyze the risk of DM before and after education using PHE.
Methods: The research design used queasy experiments, the number of research subjects is 119 people. Data was analyzed using the Wilcoxon test.
Results: The result of research showed that there was a difference of knowledge of cadre before and after education, there was a difference of knowledge of housewife before and after education, and there was a decrease of DM risk factor before and after education using PHE model.
Conclusion: Health promotion model is effective in reducing the risk factor of DM type II through food management and exercise to decrease body mass index and abdominal circumference. Suggestions for health agencies always provide efforts and training to generate cadre motivation and encourage cadres to always be positive toward the risk of health problems in the main community against the prevention of non-communicable diseases (DM).
American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care 2010;33 Suppl 1:S62-9.
Shaw JE, Sicree RA, Zimmet PZ. Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Res Clin Pract 2010;87 Suppl 1:4 14.
World Health Organization. Indonesia NCD Profile. 2010. Available from: http://www.who.int/nmh/countries/idn_en.pdf. [Last accessed on 2018 Oct 21].
National Institute of Health Research and Development. Population Health Basic Health Research RISKESDAS 2007. Indonesia Jakarta: Ministry of Health Republic of Indonesia Jakarta; 2009.
Ministry of Health Republic of Indonesia. Diabetes Mellitus Health Survey; 2013. Available from: http://www.depkes.go.id/development/ site/jkn/index.php?cid=2383&id. [Last accessed on 2018 Jul 01].
Hameed I, Masoodi SR, Mir SA, Nabi M, Ghazanfar K, Ganai BA, et al. Type 2 diabetes mellitus: From a metabolic disorder to an inflammatory condition. World J Diabetes 2015;6:598-612.
Shoelson SE, Lee J, Goldfine AB. Inflammation and insulin resistance. J Clin Invest 2006;116:1793-801.
Stachowiak G, Pertyński T, Pertyńska-Marczewska M. Metabolic disorders in menopause. Prz Menopauzalny 2015;14:59-64.
Bonnie RJ, Stratton K, Kwan LY. Public Health Implications of Raising the Minimum Age of Legal Access to Tobacco Products. Washington, DC: National Academies Press; 2015.
Duncanson K, Burrows T, Collins C. Peer education is a feasible method of disseminating information related to child nutrition and feeding between new mothers. BMC Public Health 2014;14:1262.
Kumar S, Bothra V, Mairembam DS. A dedicated public health cadre: Urgent and critical to improve health in India. Indian J Community Med 2016;41:253-5.
De Tata V. Age-related impairment of pancreatic beta-cell function: Pathophysiological and cellular mechanisms. Front Endocrinol (Lausanne) 2014;5:138.
Petersen KF, Dufour S, Shulman GI. Decreased insulin-stimulated ATP synthesis and phosphate transport in muscle of insulin-resistant offspring of Type 2 diabetic parents. PLoS Med 2005;2:e233.
Zhang Y, Chu L. Effectiveness of systematic health education model for Type 2 diabetes patients. Int J Endocrinol 2018;2018:6530607.
Asif M. The prevention and control the Type-2 diabetes by changing lifestyle and dietary pattern. J Educ Health Promot 2014;3:1.
Arafat M, Salam A, Arafat O. The association of Type 2 diabetes with obesity and other factors: In multinational community. Int J Pharm Pharm Sci 2014;6 Suppl 9:257-60.
Sloane B, Zimmer C. The power of peer health education. Am Coll Health 1993;41:241-5.
Renuga E, Ramakrishnan SR, Rani NV, Thennarasu P, Kannan G. Impact of continuous patient counselling of knowledge, attitudes, and practices and medication adherence of diabetic patients attending outpatient pharmacy services. Asian J Pharm Clin Res 2016;9:364-9.