{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T14:21:47Z","timestamp":1760710907176,"version":"3.40.5"},"reference-count":69,"publisher":"Public Library of Science (PLoS)","issue":"4","license":[{"start":{"date-parts":[[2022,4,14]],"date-time":"2022-04-14T00:00:00Z","timestamp":1649894400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\"><jats:title>Background<\/jats:title><jats:p>Even though adherence to dietary counselling for patients with diabetes is essential for improving health and preventing complications, access to an adequate and quality diet is challenging for patients living in a food-insecure household. The availability of data in this regard is limited in Ethiopia. Thus, this study assessed the food security status of patients with type 2 diabetes, their adherence to dietary counselling, and contributing factors at public hospitals in Addis Ababa, Ethiopia.<\/jats:p><\/jats:sec><jats:sec id=\"sec002\"><jats:title>Methods<\/jats:title><jats:p>This was a facility-based cross-sectional study among 602 patients with Type 2 diabetes in Addis Ababa, Ethiopia, from July to August 2019. Patients were selected randomly after the total number of samples was proportionally allocated to four public hospitals. Relevant information was collected by trained data collectors using a pre-tested questionnaire. Data were entered into Epi-info version 7 and exported to SPSS version 24 for data analysis. Logistic regression analysis was employed to identify factors associated with adherence to dietary counselling.<\/jats:p><\/jats:sec><jats:sec id=\"sec003\"><jats:title>Result<\/jats:title><jats:p>The proportion of nonadherence to dietary counselling among patients with type 2 diabetes was 67.3% (95%CI: 63.5%-71.1%). Nearly half (50.7%) of the respondents were food insecure. Of these, mildly food insecure, moderately food insecure, and severely food insecure were 8.5%, 29.2%, and 13%, respectively. Physical activity (AOR = 1.7; 95%CI: 1.1\u20132.9); diabetes knowledge (AOR = 1.8; 95%CI: 1.2\u20132.6); lack of access to information (AOR = 1.6; 95%CI: 1.1\u20132.6); moderately food insecure (AOR = 2.2; 95%CI: 1.3\u20133.7); and severely food insecure (AOR = 5.6; 95%CI: 2.1\u201315.0) were the major significant factors associated with nonadherence to dietary counselling.<\/jats:p><\/jats:sec><jats:sec id=\"sec004\"><jats:title>Conclusion<\/jats:title><jats:p>Over two-thirds of patients with diabetes did not adhere to dietary counselling, which appears high. As a result, improving diabetes education, information access, and food security status should be considered to ensure dietary counselling adherence among type 2 diabetes patients.<\/jats:p><\/jats:sec>","DOI":"10.1371\/journal.pone.0265523","type":"journal-article","created":{"date-parts":[[2022,4,14]],"date-time":"2022-04-14T17:47:01Z","timestamp":1649958421000},"page":"e0265523","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":7,"title":["Food security status of patients with type 2 diabetes and their adherence to dietary counselling from selected hospitals in Addis Ababa, Ethiopia: A cross-sectional study"],"prefix":"10.1371","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7703-9577","authenticated-orcid":true,"given":"Robel","family":"Tezera","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zekariyas","family":"Sahile","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Delelegn","family":"Yilma","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Equilnet","family":"Misganaw","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3039-1394","authenticated-orcid":true,"given":"Endale","family":"Amare","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jemal","family":"Haidar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2022,4,14]]},"reference":[{"volume-title":"World Health Organization Global Report on Diabetes","year":"2016","author":"World Health Organization","key":"pone.0265523.ref001"},{"key":"pone.0265523.ref002","article-title":"Global Prevalence of Type 2 Diabetes over the Next Ten Years (2018\u20132028).","author":"A Kaiser","year":"2018","journal-title":"Diabetes"},{"key":"pone.0265523.ref003","volume-title":"IDF Diabetes Atlas","author":"International Diabetes Federation","year":"2017","edition":"8"},{"volume-title":"Global Diabetes Plan 2011\u20132021","year":"2011","author":"International Diabetes Federation","key":"pone.0265523.ref004"},{"issue":"5","key":"pone.0265523.ref005","doi-asserted-by":"crossref","first-page":"e0194819","DOI":"10.1371\/journal.pone.0194819","article-title":"Prevalence of high bloodpressure, hyperglycemia, dyslipidemia, metabolic syndrome and their determinants in Ethiopia: Evidences from the National NCDs STEPS Survey, 2015.","volume":"13","author":"YF Gebreyes","year":"2018","journal-title":"PLOS ONE."},{"issue":"2","key":"pone.0265523.ref006","first-page":"9","article-title":"Risk factors and complications of type 2 diabetes in Asians.","volume":"9","author":"R Yadav","year":"2008","journal-title":"CRIPS Vol 9 No 2."},{"key":"pone.0265523.ref007","article-title":"Adult obesity and type 2 diabetes","author":"G Mary","year":"2014","journal-title":"Public Health England"},{"key":"pone.0265523.ref008","doi-asserted-by":"crossref","first-page":"4123","DOI":"10.2147\/DMSO.S254883","article-title":"Magnitude of, and Factors Associated with Cardiovascular Disease Among Type Two Diabetes Mellitus Patients.","volume":"13","author":"A Tesfaye","year":"2020","journal-title":"Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy."},{"key":"pone.0265523.ref009","doi-asserted-by":"crossref","DOI":"10.1155\/2016\/1615735","article-title":"Fracture risk in type 2 diabetes: current perspectives and gender differences","volume":"2016","author":"GT Russo","year":"2016","journal-title":"International Journal of Endocrinology"},{"issue":"1","key":"pone.0265523.ref010","doi-asserted-by":"crossref","first-page":"74","DOI":"10.5588\/pha.14.0107","article-title":"Diabetes mellitus in Addis Ababa, Ethiopia: admissions, complications and outcomes in a large referral hospital.","volume":"5","author":"M Gizaw","year":"2015","journal-title":"Public Health Action."},{"key":"pone.0265523.ref011","doi-asserted-by":"crossref","first-page":"29","DOI":"10.9790\/1959-0142938","article-title":"Diabetic compliance: A qualitative study from the patient\u2019s perspective in developing countries.","volume":"1","author":"M. 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