KNOWLEDGE AND AWARENESS RELATED TO DIABETES MELLITUS AMONG UNIVERSITY STUDENTS IN SOUTH AFRICA: A CROSS-SECTIONAL STUDY.

Authors

  • Sanelisiwe Sibusisiwe Vaminhlanhla Ndlovu Mangosuthu University of Technology
  • Ziningi Nobuhle Jaya Mangosuthu University of Technology
  • Nokukhanya Thembane Mangosuthu University of Technology

DOI:

https://doi.org/10.51168/sjhrafrica.v6i3.1561

Keywords:

Diabetes Mellitus, Knowledge, University Students, Health Education, Type 1 Diabetes, Type 2 Diabetes

Abstract

Introduction

This study assessed diabetes mellitus (DM) knowledge among undergraduate students at a South African University of Technology. Using a cross-sectional, mixed-methods approach, the aim was to compare diabetes knowledge between students in health-related and non-health-related fields, evaluate their attitudes toward diabetes education, and assess self-perceived knowledge. With the rising global prevalence of diabetes, particularly among younger populations, this research explores awareness and education gaps regarding diabetes among university students.

Methods

The study involved 206 students aged 18-25 from health-related and non-health-related faculties. A pre-validated questionnaire, consisting of multiple-choice, true/false, and open-ended questions, covered diabetes risk factors, symptoms, complications, prevention, and management. Convenience sampling was used, and data was collected through paper-based and electronic surveys. Descriptive statistics summarized the data, while thematic analysis was applied to open-ended responses. Spearman’s correlation assessed the relationship between diabetes knowledge and the field of study.

Results

Of the participants, 89.2% were aware of diabetes. However, significant knowledge differences were observed between students in health-related and non-health-related fields. Health-related students demonstrated a more accurate understanding of diabetes types, diagnostic methods, and risk factors. In contrast, non-health students showed lower knowledge, with many unable to differentiate between Type 1 and Type 2 diabetes. Correlation analysis revealed a moderate negative relationship (r = -0.352, p < 0.01) between diabetes knowledge and field of study, indicating that non-health students possessed less knowledge. Furthermore, 32.9% of students rated their knowledge as unsatisfactory.

Conclusion

This study highlights a significant knowledge gap between health-related and non-health-related students. Health-related students showed a more comprehensive understanding, suggesting the need for broader diabetes education for all students across disciplines.

Recommendations

Diabetes education should be incorporated into university curricula, particularly for non-health students, and public health campaigns should be used to raise awareness.

References

Alhilali, M.Y., Alhilaly, Y.S. and Alkalash, S., 2023. Knowledge and Attitude of School Students About Diabetes Mellitus in the Western Region of Saudi Arabia. Cureus, 15(10). https://doi.org/10.7759/cureus.47514

Amankwah-Poku, M., 2019. A cross-sectional study of knowledge and awareness of type 2 diabetes mellitus in a student population in Ghana: do demographics and lifestyle make a difference? Health Psychology and Behavioral Medicine, 7(1), pp.234-252. https://doi.org/10.1080/21642850.2019.1637261 PMid:34040849 PMCid: PMC8114398

American Diabetes Association, 2021. Diabetes mellitus: Definition and facts. Available at: www.diabetes.org [Accessed 24 Nov. 2025]. https://doi.org/10.1016/b978-3-437-21421-9.00001-0 PMid:34175303 PMCid: PMC8570994

Asiedu, C., Owusu-Berning, E. and Erzuah, I.A., 2024. Knowledge of diabetes mellitus complication prevention among patients in the central region of Ghana. BMC Endocrine Disorders, 24(1), p.209. https://doi.org/10.1186/s12909-024-06602-9 PMid:39754174 PMCid: PMC11697910

Clarke, N., Eiland, L. and Schuster, R., 2019. Diabetes knowledge and attitudes toward diabetes screening among undergraduates attending a Historically Black College and University. Journal of Racial and Ethnic Health Disparities, 6(2), pp.309-316. doi:10.1007/s40615-018-0495-3. https://doi.org/10.1007/s40615-024-02262-z

Boeder, S.C., Thomas, R.L., Le Roux, M.J., Giovannetti, E.R., Gregory, J.M. and Pettus, J.H., 2025. Combination SGLT2 inhibitor and glucagon receptor antagonist therapy in type 1 diabetes: a randomized clinical trial. Diabetes Care, 48(1), pp.52-60. https://doi.org/10.2337/dc24-0212 PMid:38776437 PMCid: PMC11664189

Brown, A., Dornhorst, A., McGowan, B., Omar, O., Leeds, A.R., Taheri, S. and Frost, G.S., 2020. Low-energy total diet replacement intervention in patients with type 2 diabetes mellitus and obesity treated with insulin: a randomized trial. BMJ Open Diabetes Research and Care, 8(1), p.e001012. https://doi.org/10.1136/bmjdrc-2019-001012 PMid:32049634 PMCid: PMC7039597

De Rochas, V.E.M.B., Keys, H., Samuels, S.K., Jo, A., Noland, G.S., Gonzales, M., Blount, S. and Mainous III, A.G., 2021. Prevalence of diabetes, prediabetes, and associated risk factors among agricultural village residents in the Dominican Republic. The American Journal of Tropical Medicine and Hygiene, 104(6), p.2241. https://doi.org/10.4269/ajtmh.19-0942 PMid:33872205 PMCid: PMC8176474

Grudziąż-Sękowska, J., Sękowski, K., Pinkas, J. and Jankowski, M., 2024. Preferred sources of information on diabetes prevention programs: a population-based cross-sectional study in Poland. BMJ open, 14(5), p.e083362. https://doi.org/10.1136/bmjopen-2023-083362 PMid:38760035 PMCid: PMC11103186

Hall, V., Thomsen, R.W., Henriksen, O. and Lohse, N., 2011. Diabetes in Sub-Saharan Africa 1999-2011: epidemiology and public health implications. A systematic review. BMC Public Health, 11, pp.1-12. https://doi.org/10.1186/1471-2458-11-564 https://doi.org/10.1186/1471-2458-11-564 PMid:21756350 PMCid:PMC3156766

Integrated African Health Observatory, 2023. Diabetes is a silent killer in Africa. Available https://doi.org/10.22215/etd/2001-04952 at: https://files.aho.afro.who.int/afahobckpcontainer/production/files/iAHO_Diabetes_Regi https://doi.org/10.2174/1573399819666230413094200 onal_Factsheet.pdf [Accessed 24 January 2025]. PMid:37069712

International Diabetes Federation, 2019. IDF Diabetes Atlas, 9th edition. Available at: https://www.diabetesatlas.org [Accessed22Nov.2024]. https://doi.org/10.1016/j.diabres.2018.05.033

PMid:29871760

International Diabetes Federation, 2021. IDF Diabetes Atlas, 10th edition. Available at: https://www.diabetesatlas.org [Accessed 22 Nov. 2024]. https://doi.org/10.2174/1573399819666230413094200 PMid:37069712

Jones, M. and Taylor, S., 2021. Differences in diabetes knowledge among health and non-health students. Journal of Medical Education, 27(3), pp.105-162. https://doi.org/10.1007/s10389-020-01243-w

Khamaiseh, A. and Alshloul, M., 2019. Diabetes knowledge among health sciences students in Saudi Arabia and Jordan. Jordan Medical Journal, 53(1). https://doi.org/10.23889/suthesis.58801 https://doi.org/10.23889/SUthesis.58801

Kolačko Š, Kokot A, Čuljak N, Predović J, Hrvačić M, Luetić F, Bašković M. Knowledge of Students in Health and Non-Health Studies about Diabetes Mellitus Type 1. Southeastern European Medical Journal: SEEMEDJ. 2023;7(2):57-65. https://doi.org/10.26332/seemedj.v7i2.290

Mohildein, S., 2018. Diabetes awareness in Sub-Saharan African countries: The role of health education. African Health Sciences, 18(4), pp.1102-1112. https://doi.org/10.36615/9780906785058-10

Mohsen, N., Al-Rashidi, M., and Mohildein, S., 2021. Knowledge gaps about diabetes among university students in non-health-related faculties: A cross-sectional study. Journal of Diabetes Education, 47(3), pp.211-218. doi:10.1177/0145721721994715.

Orok, E., Kabiawu, Y., Aderohunmu, Z. and Obiwulu, D., 2024. Knowledge, attitude, and perceived risks related to diabetes mellitus among university students in Southwestern Nigeria. Heliyon, 10(4). https://doi.org/10.1016/j.heliyon.2024.e25793 PMid:38384547 PMCid:PMC10878925

Phoosuwan, N., Ongarj, P. and Hjelm, K., 2022. Knowledge on diabetes and its related factors among the people with type 2 diabetes in Thailand: a cross-sectional study. BMC Public Health, 22(1), p.2365. https://doi.org/10.1186/s12889-022-14831-0 PMid:36527016 PMCid: PMC9758850

Rao, U.S., Zin, T., RN, K.K.W., Subramaniam, S.A., Shan, T.B., Mogan, K.A. and Ismail, A.S.B., 2018. Cross-sectional study on knowledge, attitude, and practice regarding diabetes mellitus among medical and non-medical students. Research Journal of Pharmacy and Technology, 11(11), pp.4837-4841. https://doi.org/10.5958/0974-360x.2018.00879.

Reddy, P., Govender, N., Govender, G.M., and Reddy, P., 2021. Demographic stratification of Type 2 diabetes and comorbidities in district healthcare in KwaZulu-Natal. South African Family Practice, 63(1), a5218. doi:10.4102/safp.v63i1.5218. https://doi.org/10.4102/safp.v63i1.5218

Robert, A.A., Al Awad, A.D., and Al Dawish, M.A., 2021. Current status of knowledge and awareness of diabetes mellitus in Saudi Arabia. Current Diabetes Reviews, 17(5), pp.26-32. https://doi.org/10.2174/1573399816999201012200841 PMid:33045977

Sadikan, M.Z., Adam, A., Singh, S., Chi, W.S., Htay, M.N.N. and Yusof, H.M., 2024. Comparing the knowledge and awareness of diabetes mellitus among pre-clinical and clinical medical students. International Journal of Transformative Health Professions Education, 2(1), pp.99-108. https://doi.org/10.71354/ijthpe.02.01.25

Saeedi, P., Salpea, P., Karuranga, S., Petersohn, I., Malanda, B., Gregg, E.W., Unwin, N., Wild, S.H. and Williams, R., 2020. Mortality attributable to diabetes in 20-79-year-old adults, 2019 estimates: Results from the International Diabetes Federation Diabetes Atlas. Diabetes research and clinical practice, 162, p.108086. https://doi.org/10.1016/j.diabres.2020.108086 PMid:32068099

Sataloff, R.T. and Vontela, S., 2021. Response rates in survey research. Journal of Voice, 35(5), pp.683-684. https://doi.org/10.1016/j.jvoice.2020.12.043 PMid:33546940

Smith, J., Brown, L., and Davis, P., 2022. Knowledge disparities in diabetes mellitus between health-related and non-health-related students. Journal of Health Education Research, 35(4), pp.245-256. https://doi.org/10.4314/ajpherd.v16i3.60914

Statistics South Africa, 2021. Mortality and Causes of Death in South Africa, 2021. Pretoria: Statistics South Africa. https://doi.org/10.21203/rs.3.rs-243579/v1

Werfalli, M., Khatib, F., and Sutherland, D., 2020. Knowledge, attitudes, and practices regarding diabetes management in low-resource settings: A literature review. Global Health Action, 13(1), p.1841249. https://doi.org/10.1080/16549716.2017.1413917 PMid:29261449 PMCid: PMC5757230

Wu, T., Zhang, H., and Li, S., 2022. Diabetes knowledge among healthcare students: A comparative study. International Journal of Diabetes Education, 48(2), pp.147-153. https://doi.org/10.36106/ijsr/4004701

Xu, Y., Zhang, D., Liu, K., Guo, Y. and Yang, Y., 2016. Self-reported knowledge on diabetes and its related factors among Chinese college students: a cross-sectional study. BMJ open, 6(9), p.e011963. https://doi.org/10.1136/bmjopen-2016-011963 PMid:27609848 PMCid: PMC5020855

Downloads

Published

2025-03-01

How to Cite

Ndlovu, S. S. V. ., Jaya , Z. N. ., & Thembane, N. (2025). KNOWLEDGE AND AWARENESS RELATED TO DIABETES MELLITUS AMONG UNIVERSITY STUDENTS IN SOUTH AFRICA: A CROSS-SECTIONAL STUDY. Student’s Journal of Health Research Africa, 6(3), 11. https://doi.org/10.51168/sjhrafrica.v6i3.1561

Issue

Section

Section of Non-communicable Diseases Research

Most read articles by the same author(s)