{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T23:32:27Z","timestamp":1781911947276,"version":"3.54.5"},"update-to":[{"DOI":"10.12688\/f1000research.141978.1","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2023,12,8]],"date-time":"2023-12-08T00:00:00Z","timestamp":1701993600000}},{"DOI":"10.12688\/f1000research.141978.2","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2023,12,8]],"date-time":"2023-12-08T00:00:00Z","timestamp":1701993600000}}],"reference-count":10,"publisher":"F1000 Research Ltd","license":[{"start":{"date-parts":[[2023,12,8]],"date-time":"2023-12-08T00:00:00Z","timestamp":1701993600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["f1000research.com"],"crossmark-restriction":false},"short-container-title":["F1000Res"],"abstract":"<ns3:p>Background Diabetic patients are always in contact with medical sharps, such as pen needles, lancets, and syringes. Sometimes, patients improperly dispose of these items and cause needle stick injuries. This study aimed to identify factors that improve appropriate manner in which individuals with diabetes who require insulin therapy dispose of medical sharps. Methods In December 2019, a cross-sectional investigation was undertaken amongst insulin therapy-dependent diabetic patients visiting Jakarta\u2019s Fatmawati General Hospital. A questionnaire was formulated to appraise medical sharps\u2019 disposal procedure. The data gathered the questionnaire, including age, gender, educational level, employment status, length of time as a diabetic, duration of insulin treatment, and receipt of formal medical training, were also recorded. Results Of 103 diabetic patients, 77.3% were over 50 years old, 58.3% were female, 68% were a low level of education, 74.8% were not working, 84.5% were diagnosed with diabetes for more than 5 years, 53.4% were using insulin therapy for more than 5 years, and only 65% had got formal training on medical sharp products disposal. Nearby 83.5% still recap the pen needle insulin with the inner needle cap after injecting insulin, and 92.2% still threw medical sharps on the street when traveling outside. Approximately 81.6% of respondents stored their unused needles and lancets in a secured manner that was inaccessible to children. The practice score for proper medical sharps disposal increased from 4.5 to 6.0 as a result of formal training provided by healthcare professionals, as determined by the Mann Whitney Test (p=0.001). Conclusions Formal training by healthcare workers was the only factor that improved medical sharps disposal practice among diabetic patients using insulin therapy.<\/ns3:p>","DOI":"10.12688\/f1000research.141978.3","type":"journal-article","created":{"date-parts":[[2023,12,8]],"date-time":"2023-12-08T09:55:07Z","timestamp":1702029307000},"page":"1290","update-policy":"https:\/\/doi.org\/10.12688\/f1000research.crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Factors Associated with Improving Appropriate Medical Sharps Disposal Practice Among Diabetic Patients Using Insulin Therapy"],"prefix":"10.12688","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9991-4002","authenticated-orcid":false,"given":"Ryan","family":"Herardi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hafidz Naeriansyah","family":"Djajawiguna","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sri","family":"Wahyuningsih","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ida Ayu","family":"Kshanti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shahnaz","family":"Medina","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lingga Etantyo","family":"Praditya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2560","published-online":{"date-parts":[[2023,12,8]]},"reference":[{"key":"ref3","doi-asserted-by":"publisher","first-page":"359","DOI":"10.1186\/s12889-015-1673-x","article-title":"Understanding Sharps Injuries in Home: The Safe Home Care Qualitative Methods Study to Identify Pathways for Injury Prevention.","volume":"15","author":"P Markkanen","year":"2015 Apr 11","journal-title":"BMC Public Health."},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1-7","DOI":"10.1155\/2016\/1897517","article-title":"Knowledge and Self-Reported Practice of Insulin Injection Device Disposal among Diabetes Patients in Gondar Town, Ethiopia: A Cross-Sectional Study.","volume":"2016","author":"A Mekuria","year":"2016","journal-title":"J. Diabetes Res."},{"key":"ref5","first-page":"135-140","article-title":"Knowledge, attitude and practices (kap) on disposal of sharp waste, used for home management of type-2 diabetes mellitus, in New Delhi.","volume":"25","author":"A Singh","year":"2011","journal-title":"J. Health Res."},{"key":"ref6","doi-asserted-by":"publisher","first-page":"155-158","DOI":"10.2337\/ds17-0033","article-title":"Factors contributing to appropriate sharps disposal in the community among patients with diabetes.","volume":"31","author":"L Huang","year":"2018","journal-title":"Diabetes Spectr."},{"key":"ref7","doi-asserted-by":"publisher","first-page":"1-12","DOI":"10.3390\/ijerph16132251","article-title":"Factors Contributing to Sharp Waste Disposal at Health Care Facility Among Diabetic Patients in North-East Peninsular Malaysia.","volume":"16","author":"U Hasan","year":"2019","journal-title":"Int. J. Environ. Res. Public Health."},{"key":"ref8","doi-asserted-by":"publisher","first-page":"1-7","DOI":"10.1186\/s12930-018-0049-7","article-title":"Practices related to sharps disposal among diabetic patients in Sri Lanka.","volume":"17","author":"K Atukorala","year":"2018","journal-title":"Asia Pac. Fam. Med."},{"key":"ref12","article-title":"How should I dispose of used needles or sharps?","year":"2019"},{"key":"ref13","doi-asserted-by":"crossref","article-title":"The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: guidelines for reporting observational studies.","author":"E Von Elm","DOI":"10.1097\/EDE.0b013e3181577654"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"60-66","DOI":"10.1177\/1932296819882926","article-title":"Patterns of sharps handling and disposal among insulin-using patients with diabetes mellitus.","volume":"15","author":"J Montoya","year":"2021","journal-title":"J. Diabetes Sci. Technol."},{"key":"ref15","doi-asserted-by":"publisher","first-page":"3356","DOI":"10.3390\/ijerph16183356","article-title":"Effectiveness of Diabetes Community Sharp Disposal Education Module in Primary Care: An Experimental Study in North-East Peninsular Malaysia.","volume":"16","author":"U Hasan","year":"2019","journal-title":"J. Environ. Res. Public Health."}],"container-title":["F1000Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/f1000research.com\/articles\/12-1290\/v3\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/f1000research.com\/articles\/12-1290\/v3\/pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/f1000research.com\/articles\/12-1290\/v3\/iparadigms","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,13]],"date-time":"2023-12-13T06:30:09Z","timestamp":1702449009000},"score":1,"resource":{"primary":{"URL":"https:\/\/f1000research.com\/articles\/12-1290\/v3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,8]]},"references-count":10,"URL":"https:\/\/doi.org\/10.12688\/f1000research.141978.3","relation":{"has-review":[{"id-type":"doi","id":"10.5256\/f1000research.159706.r228705","asserted-by":"subject"},{"id-type":"doi","id":"10.5256\/f1000research.159706.r228705","asserted-by":"object"}]},"ISSN":["2046-1402"],"issn-type":[{"value":"2046-1402","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12,8]]},"assertion":[{"value":"Indexed","URL":"https:\/\/f1000research.com\/articles\/12-1290\/v3#article-reports","order":0,"name":"referee-status","label":"Referee status","group":{"name":"current-referee-status","label":"Current Referee Status"}},{"value":"10.5256\/f1000research.158913.r223386, Velma Herwanto, Faculty of Medicine, Tarumanagara University, West Jakarta, Jakarta, 16 Nov 2023, version 2, 1 approved, 1 approved with reservations","URL":"https:\/\/f1000research.com\/articles\/12-1290\/v2#referee-response-223386","order":0,"name":"referee-response-223386","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"10.5256\/f1000research.159706.r228705, Ahmad Fariz Malvi Zamzam Zein, Department of Internal Medicine, Faculty of Medicine, University of Swadaya Gunung Jati, Cirebon, West Java, 13 Dec 2023, version 3, indexed","URL":"https:\/\/f1000research.com\/articles\/12-1290\/v3#referee-response-228705","order":1,"name":"referee-response-228705","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"The author(s) declared that no grants were involved in supporting this work","order":2,"name":"grant-information","label":"Grant Information"},{"value":"This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.","order":0,"name":"copyright-info","label":"Copyright"}]}}