|Reporting Organization:||McGill University|
|Total Budget ($CAD):||$ 45,000|
|Timeframe:||June 1, 2017 - June 30, 2018|
Julia von Oettingen
|Haiti - $ 45,000.00 (100.00%)|
|Nutrition (33.4 %)|
|Mental Health (33.3 %)|
|Non-Communicable Diseases (33.3 %)|
The main objective of this research project is to understand the impact of socio-economic, psychosocial and cultural factors, as well as the impact of nutrition and physical activity on quality of life, self-efficacy and blood glucose control in children and adolescents with diabetes in Haiti, a low-income country.
|Gender and age:||Adolescent females Adolescent males Children, girls Children, boys Under-5 children|
|Descriptors:||Other Haitian youth with type 1 diabetes; Families of youth with T1D, healthcare facilitiies and healthcare professionals providing care to T1D youth|
|Total Direct Population:||Unspecified|
1) Determine the socioeconomic status, health literacy level, and diabetes self-efficacy of Haitian youth with T1D
2) Evaluate the psychosocial and physical health status of children with diabetes in our cohort,
3) Investigate the diet and activity related lifestyle habits of children with diabetes in our cohort, and
4) Assess the relationship between these variables and glycemic control, health related quality of life and clinical phenotypes.
1) Perform the psychometric evaluation of the health litteracy, health-related quality of life, self-esteem and self-efficacy questionnaires in children with diabetes in Haiti, and in Haitian children with diabetes in Montreal.
2) We will also assess how results compare between the two study sites.
Haitian youth with diabetes residing in Haiti have low SES, often lag behind in school and have high rates of unemployment. Depression is highly prevalent and self-esteem tends to be low. Poor glycemic control is extremely common, possibly preventing detection of a predictive effect of SES, psychosocial metrics or quality of life. Quality of life is suboptimal and is associated with lower self-esteem. Depression and self-esteem may be impacting self-management skills. Despite this adversity, youth do not subjectively perceive their current health as poor, and view their social status comparable to peers. This research project has provided the first comprehensive evaluation of social determinants of diabetes in Haiti. It will inform clinical practice in Haiti and potentially other low-income countries.