{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T21:32:43Z","timestamp":1792099963245,"version":"4.4.0"},"reference-count":40,"publisher":"Public Library of Science (PLoS)","issue":"2","license":[{"start":{"date-parts":[[2025,2,13]],"date-time":"2025-02-13T00:00:00Z","timestamp":1739404800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Arba Minch College of Health Science"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>Type 2 diabetes accounts for over 90% of all diabetes cases and is caused by a combination of behavioral risk factors. It is currently a serious health issue, particularly among women of reproductive age, as it is associated with reproductive disorders. Preventing it requires knowledge, but there is limited data on behavioral risk factors in Ethiopia.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Objective<\/jats:title>\n<jats:p>To assess knowledge of the behavioral risks of type 2 diabetes mellitus and its associated factors among women of reproductive age.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Methods<\/jats:title>\n<jats:p>A community-based cross-sectional study was conducted, with all women in the town serving as the source population. A multistage sampling method was utilized to recruit kebeles, and a systematic random technique was employed to select households at every 13th interval. We completed interview questionnaires for 623 samples. The crude odds ratio was calculated using a bivariate logistic model, and multivariate analysis was performed to control for confounding and identify associated factors among model-fitting variables using an adjusted odds ratio (AOR).<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Result<\/jats:title>\n<jats:p>The knowledge of behavioral risk factors (BRF) among women of reproductive age (WRA) is 47.0% [95% CI, 43.5\u201350.9], and significant associations were found with the following factors: average family income of between 3000 and 5000 Ethiopian Birr(ETH) 1.81 [95% CI, 1.03\u20133.18], &gt; = 5001 ETH 1.93 [95% CI, 1.02\u20133.68], diabetes mellitus (DM) in the friend or relatives 4.03 [95% CI, 1.56\u201310.46], family history of DM 9.47 [95% CI, 4.74\u201318.90], source of information: health workers 1.87 [95% CI, 1.04\u20133.34] and friend or relatives 1.65 [95% CI, 1.04\u20132.62].<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec005\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>Knowledge of behavioral risk factors for type 2 diabetes was poor among study participants. Factors such as family income, diabetes mellitus (DM) in friends or relatives, family history of DM, and sources of information were strongly associated with good knowledge. It is essential to emphasize health education about behavioral risk factors for women.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0275700","type":"journal-article","created":{"date-parts":[[2025,2,13]],"date-time":"2025-02-13T18:40:57Z","timestamp":1739472057000},"page":"e0275700","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":3,"title":["Knowledge of behavioral risk factors for type 2 diabetes mellitus and its associated factors among women of reproductive age"],"prefix":"10.1371","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8297-4452","authenticated-orcid":true,"given":"Tinsae","family":"Seyoum","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Selamnesh","family":"Tesfaye","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yohannes","family":"Shiferaw","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rahel","family":"Hailu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dagim","family":"Tefera","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zeleke","family":"Gebru","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2025,2,13]]},"reference":[{"key":"pone.0275700.ref001","year":"2021","journal-title":"Non communicable diseases"},{"key":"pone.0275700.ref002","first-page":"6275","article-title":"Pathophysiology of Type 2 Diabetes Mellitus Int J Mol Sci.","volume":"21","author":"U Galicia-Garcia","year":"2020"},{"issue":"Suppl. 1","key":"pone.0275700.ref003","doi-asserted-by":"crossref","first-page":"S13","DOI":"10.2337\/dc18-S002","article-title":"Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes disease","volume":"41","author":"American Diabetes Association.","year":"2018","journal-title":"Diabetes Care. January"},{"key":"pone.0275700.ref004","author":"IDF","year":"2021","journal-title":"International Diabetes Federation_Atlas_10th_Edition_"},{"issue":"11","key":"pone.0275700.ref005","first-page":"1985","article-title":"Risk of Cause-Specific Death in Individuals With Diabetes: A Competing Risks Analysis","volume":"39","author":"M Baena-D\u00edez J","year":"2016","journal-title":"Diabetes Care"},{"key":"pone.0275700.ref006","first-page":"85","article-title":"Predictors of vascular complications among type 2 diabetes mellitus patients at University of Gondar Referral Hospital: a retrospective follow-up study","volume":"18","author":"F Wolde H","year":"2018","journal-title":"BMC Endocrine Disorders"},{"issue":"4","key":"pone.0275700.ref007","first-page":"427","volume":"12","author":"S Rezai","year":"2016","journal-title":"Diabetes prevention: Reproductive age women affected by insulin resistance. women health"},{"key":"pone.0275700.ref008","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1016\/j.diabres.2018.02.023","article-title":"IDF Diabetes Atlas: Global estimates of diabetes prevalence for 2017 and projections for 2045","volume":"138","author":"N Cho H","year":"2018","journal-title":"diabetes research and clinical practice diabetes research and clinical practice"},{"key":"pone.0275700.ref009","article-title":"IDF Diabetes Atlas: Global, regional and country-level diabetes prevalence estimates for 2021 and projections for 2045","author":"H Sun","year":"2021","journal-title":"Diabetes Research and Clinical Practice"},{"issue":"1","key":"pone.0275700.ref010","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1177\/0145721710392247","article-title":"Awareness of Diabetes Risk Factors and Prevention Strategies Among a Sample of Low-Income Latinos With No Known Diagnosis of Diabetes.","volume":"37","author":"C Rosal M","year":"2011","journal-title":"The Diabetes educator"},{"issue":"4","key":"pone.0275700.ref011","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1007\/s11892-014-0475-3","article-title":"Behavioral Contributions to the Pathogenesis of Type 2 Diabetes.","volume":"14","author":"D Spruijt-Metz","year":"2014","journal-title":"Curr Diab Rep. April 01"},{"key":"pone.0275700.ref012","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1186\/s13643-018-0801-y","article-title":"Modifiable and emerging risk factors for type 2 diabetes in Africa: a systematic review and meta-analysis protocol","volume":"7","author":"A Issaka","year":"2018","journal-title":"Systematic Reviews"},{"key":"pone.0275700.ref013","doi-asserted-by":"crossref","first-page":"1159","DOI":"10.1001\/jama.2010.297","article-title":"Association of socioeconomic position with health behaviours and mortality","volume":"303","author":"SS Stringhini S","year":"2010","journal-title":"JAMA"},{"issue":"Article ID 9240398","key":"pone.0275700.ref014","first-page":"9","article-title":"High Hidden Burden of Diabetes Mellitus among Adults Aged 18 Years and Above in Urban Northwest Ethiopia.","volume":"2020","author":"F Wolde H","year":"2021","journal-title":"Journal of Diabetes Research."},{"issue":"4","key":"pone.0275700.ref015","first-page":"110","article-title":"Knowledge of Risk Factors and Screening for Diabetes Mellitus Among Youths in Southwestern Nigeria American Journal of Health Research.","volume":"5","author":"O Aturaka S","year":"2017"},{"key":"pone.0275700.ref016","first-page":"7066","article-title":"Knowledge and awareness levels of diabetes mellitus risk factors among nondiabetic visitors of primary health care centers: a multicenter study","volume":"25","author":"M Abdulghani H","year":"2021","journal-title":"European Review for Medical and Pharmacological Sciences"},{"issue":"5","key":"pone.0275700.ref017","first-page":"33","article-title":"Awareness-and-knowledge-towards-type-2-diabetes-mellitus-risk-factors-in-northern-saudi-arabia","volume":"7","author":"I Ahmed A","year":"2018","journal-title":"International Journal of Medical Research & health Sciences"},{"issue":"1","key":"pone.0275700.ref018","first-page":"8","article-title":"Knowledge of Risk Factors and Complications of Diabetes in the Indian Ethnic Population of Malaysia Undiagnosed to Have Diabetes.","volume":"4","author":"S Ahmed S","year":"2019","journal-title":"International Journal of Diabetes Research"},{"issue":"1","key":"pone.0275700.ref019","doi-asserted-by":"crossref","first-page":"15","DOI":"10.4103\/0256-4947.51813","article-title":"Tahab A Z A Knowledge of diabetes risk factors and preventive measures among attendees of a primary care center in eastern Saudi Arabia","volume":"29","author":"S Aljoudi A","year":"2009","journal-title":"Ann Saudi Med"},{"issue":"9","key":"pone.0275700.ref020","doi-asserted-by":"crossref","first-page":"1086","DOI":"10.5455\/ijmsph.2014.190620143","article-title":"Knowledge About Risk Factors, Symptoms And Complications Of Diabetes Among Adults In South India.","volume":"3","author":"M Anil C","year":"2014","journal-title":"International Journal of Medical Science and Public Health"},{"issue":"1","key":"pone.0275700.ref021","doi-asserted-by":"crossref","DOI":"10.1186\/s12889-020-09956-z","article-title":"Public knowledge of risk factors and warning signs for cardiovascular disease among young and middle-aged adults in rural Tanzania.","volume":"20","author":"AJ Muhihi","year":"2020","journal-title":"BMC Public Health."},{"key":"pone.0275700.ref022","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1186\/1756-0500-7-599","article-title":"Awareness regarding risk factors of type 2 diabetes among individuals attending a tertiary-care hospital in Bangladesh: a cross-sectional study","volume":"7","author":"J Mumu S","year":"2014","journal-title":"BMC Research Notes"},{"issue":"5","key":"pone.0275700.ref023","doi-asserted-by":"crossref","first-page":"378","DOI":"10.4172\/2155-6156.1000378","article-title":"Assessment of Diabetes Knowledge and its Associated Factors among Type 2 Diabetic Patients in Mekelle and Ayder Referral Hospitals, Ethiopia.","volume":"5","author":"K Berhe K","year":"2014","journal-title":"Journal of Diabetes and Metabolism."},{"issue":"6","key":"pone.0275700.ref024","first-page":"110","article-title":"Assessment of the level and associated factors with knowledge and practice of Diabetes Mellitus among Diabetic Patients attending at FelegeHiwot Hospital, Northwest Ethiopia Clinical Medicine Research.","volume":"2","author":"A Feleke S","year":"2013"},{"issue":"2","key":"pone.0275700.ref025","doi-asserted-by":"crossref","first-page":"e0170040","DOI":"10.1371\/journal.pone.0170040","article-title":"Knowledge, attitude, practices and their associated factors towards diabetes mellitus among non diabetes community members of Bale Zone administrative towns, South East Ethiopia. A cross-sectional study","volume":"12","author":"W Kassahun C","year":"2017","journal-title":"PLoS ONE"},{"key":"pone.0275700.ref026","first-page":"198","article-title":"Diabetes knowledge among non-diabetic hypertensive patients in Calabar, Nigeria.","volume":"36","author":"E Ofem E","year":"2020","journal-title":"Pan African Medical Journal."},{"key":"pone.0275700.ref027","article-title":"Diabetes Risk Factor Knowledge Varies Among Multiracial College Students.","author":"LL Mongiello","year":"2015","journal-title":"J Immigrant Minority Health"},{"key":"pone.0275700.ref028","first-page":"e011963","article-title":"Self-reported knowledge on diabetes and its related factors among Chinese college students: a cross-sectional study","volume":"6","author":"Y Xu","year":"2016","journal-title":"BMJ Open Access Maced J Med Sci"},{"issue":"8","key":"pone.0275700.ref029","first-page":"19","article-title":"Knowledge of type-ii diabetes mellitus and its complications among population of siraha district, nepal.","volume":"4","author":"S Prakash","year":"2016","journal-title":"International Journal of Innovative and Applied Research"},{"key":"pone.0275700.ref030","doi-asserted-by":"crossref","first-page":"928","DOI":"10.1186\/s12889-018-5639-7","article-title":"Knowledge and perception on type2 diabetes and hypertension among HIV clients utilizing care and treatment services: a cross sectional study from Mbeya and Dar es Salaam regions","volume":"18","author":"B Kagaruki G","year":"2018","journal-title":"Tanzania. BMC Public Health"},{"key":"pone.0275700.ref031","first-page":"2015","article-title":"\u201cDiabetes knowledge, attitude and practice (KAP) study among Iranian in-patients with type-2 diabetes: A cross-sectional study,\u201d","author":"M Niroomand","year":"2015","journal-title":"Diab Met Syndr: Clin Res Rev"},{"key":"pone.0275700.ref032","doi-asserted-by":"crossref","first-page":"1906","DOI":"10.3390\/ijerph15091906","article-title":"Knowledge, Attitudes and Practices Regarding Diabetes in the General Population: A Cross-Sectional Study from Pakistan.","volume":"15","author":"H Gillani A","year":"2018","journal-title":"Int J Environ Res Public Health"},{"issue":"4","key":"pone.0275700.ref033","doi-asserted-by":"crossref","first-page":"431","DOI":"10.32394\/rpzh.2020.0137","article-title":"Knowledge On Risk Factors For Type 2 Diabetes Mellitus Among Secondary School Students.","volume":"71","author":"A Gora","year":"2020","journal-title":"Rocz Panstw Zakl Hig"},{"issue":"12","key":"pone.0275700.ref034","first-page":"154","article-title":"Knowledge Of Diabetes Mellitus, Risk Factors And Complications Among The General Public In Kuala Lumpur.","volume":"4","author":"M Qamar","year":"2015","journal-title":"World Journal of Pharmaceutical Research"},{"issue":"10","key":"pone.0275700.ref035","doi-asserted-by":"crossref","first-page":"e0240850","DOI":"10.1371\/journal.pone.0240850","article-title":"Assessment of knowledge and perceptions towards diabetes mellitus and its associated factors among people in Debre Berhan town, northeast Ethiopia.","volume":"15","author":"WS Shiferaw","year":"2020","journal-title":"Plos One."},{"issue":"3","key":"pone.0275700.ref036","first-page":"255","article-title":"Knowledge of secondary school students about type 2 diabetes risk factors","volume":"19","author":"K Katarzyna","year":"2013","journal-title":"Medycyna Og\u00f3lna i Nauki o Zdrowiu"},{"issue":"8","key":"pone.0275700.ref037","doi-asserted-by":"crossref","first-page":"2802","DOI":"10.18203\/2320-6012.ijrms20203089","article-title":"Knowledge, skills of female health workers regarding selected non communicable diseases risk reduction and client satisfaction: a pilot study from western part of Rajasthan","volume":"8","author":"M Nebhinani","year":"2018","journal-title":"International Journal of Research in Medical Sciences"},{"issue":"25","key":"pone.0275700.ref038","first-page":"259","article-title":"Knowledge of Diabetes Mellitus among Pregnant Women in Three Districts of Nepal.","volume":"11","author":"S Shresha","year":"2013","journal-title":"J Nepal Health Res Counc"},{"key":"pone.0275700.ref039","doi-asserted-by":"crossref","first-page":"e024556","DOI":"10.1136\/bmjopen-2018-024556","article-title":"Knowledge of diabetes and its determinants: a cross-sectional study among adults in a Japanese community","volume":"9","author":"YM Oba S","year":"2019","journal-title":"BMJ Open"},{"issue":"3","key":"pone.0275700.ref040","doi-asserted-by":"crossref","first-page":"e0214479","DOI":"10.1371\/journal.pone.0214479","article-title":"Public knowledge, attitudes and practices toward diabetes mellitus: A cross-sectional study from Jordan","volume":"14","author":"M Alsous","year":"2019","journal-title":"PLoS ONE"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0275700","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,13]],"date-time":"2025-02-13T18:41:17Z","timestamp":1739472077000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0275700"}},"subtitle":[],"editor":[{"given":"Tomislav","family":"Bulum","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2025,2,13]]},"references-count":40,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2025,2,13]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0275700","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,13]]}}}