{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T23:53:39Z","timestamp":1784332419629,"version":"3.55.0"},"reference-count":39,"publisher":"Public Library of Science (PLoS)","issue":"5","license":[{"start":{"date-parts":[[2024,5,31]],"date-time":"2024-05-31T00:00:00Z","timestamp":1717113600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100011054","name":"Danish International Development Agency","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100011054","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Objective<\/jats:title>\n<jats:p>The prevalence of type 2 diabetes mellitus (T2DM) in Vietnam has doubled from 3% to 6% over the last decades, with potential consequences for persons with diabetes and their caregivers. This study aimed to assess caregiver burdens and factors associated with caregiver burden.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Method<\/jats:title>\n<jats:p>A cross-sectional study was conducted in 2019, using data from 1,241 informal caregivers (ICGs). Caregiver burden was scored from 0\u201332 using 8 questions from the Zarit Burden Interview (ZBI). Quantile regression analysis was used to identify factors associated with caregiver burden.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>The median score of the ZBI was 7.0 (Q1-Q3: 2.0\u201310.0), indicating that the burden among caregiver of persons with T2DM is not high. Quantile regression showed that the higher the monthly income, the lower the burden among caregivers (50% quantile and 75% quantile of burden: -0.004). Lower educational level (25%Q: 4.0, 50%Q; 3.0, 75%Q: 2.16), being a farmer (25%Q: 2.0) and providing care to other people besides the person with T2DM (25%Q: 2.0, 50%Q; 2.54, 75%Q: 1.66) were associated with higher burden on caregivers.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>The study found that caregivers facing additional life stressors, such as low income or other caregiving responsibilities, reported higher levels of burden. These findings could inform the development of interventions targeted at supporting informal caregivers in rural areas in low- and middle-income countries.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0304821","type":"journal-article","created":{"date-parts":[[2024,5,31]],"date-time":"2024-05-31T19:59:25Z","timestamp":1717185565000},"page":"e0304821","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":5,"title":["Informal caregiving among people supporting a person with type 2 diabetes in rural communities of Northern Vietnam: A cross-sectional study of caregiver burdens"],"prefix":"10.1371","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2043-4135","authenticated-orcid":true,"given":"Dieu Huyen","family":"Thi Bui","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bai Xuan","family":"Nguyen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1629-1864","authenticated-orcid":true,"given":"Jens","family":"S\u00f8ndergaard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6723-2370","authenticated-orcid":true,"given":"Tine M.","family":"Gammeltoft","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ib Christian","family":"Bygbjerg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jannie","family":"Nielsen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan Wolf","family":"Meyrowitsch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2024,5,31]]},"reference":[{"key":"pone.0304821.ref001","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1038\/nrendo.2017.151","article-title":"Global aetiology and epidemiology of type 2 diabetes mellitus and its complications","volume":"14","author":"Y Zheng","year":"2018","journal-title":"Nat Rev Endocrinol"},{"key":"pone.0304821.ref002","doi-asserted-by":"crossref","first-page":"S62","DOI":"10.2337\/dc10-S062","article-title":"American Diabetes Association (2010) Diagnosis and Classification of Diabetes Mellitus","volume":"33","journal-title":"Diabetes Care"},{"key":"pone.0304821.ref003","doi-asserted-by":"crossref","first-page":"S17","DOI":"10.2337\/dc22-S002","article-title":"American Diabetes Association Professional Practice Committee (2022) Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes-2022","volume":"45","journal-title":"Diabetes Care"},{"key":"pone.0304821.ref004","article-title":"Correlation between the burden of family caregivers and health status of people with diabetes mellitus","author":"ND Kristianingrum","year":"2021","journal-title":"J Public Health Res"},{"key":"pone.0304821.ref005","doi-asserted-by":"crossref","first-page":"1033","DOI":"10.1186\/s12889-021-11022-1","article-title":"Factors associated with informal caregiving and its effects on health, work, and social activities of adult informal caregivers in Malaysia: findings from the National Health and Morbidity Survey 2019","volume":"21","author":"Y-L Kong","year":"2021","journal-title":"BMC Public Health"},{"key":"pone.0304821.ref006","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1177\/014572179802400504","article-title":"The family and type 2 diabetes: a framework for intervention","volume":"24","author":"L Fisher","year":"1998","journal-title":"Diabetes Educ"},{"key":"pone.0304821.ref007","article-title":"Diabetes: What Challenges Lie Ahead for Vietnam?","author":"NB Ngoc","year":"2020","journal-title":"Annals of Global Health"},{"key":"pone.0304821.ref008","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1177\/1742395320949633","article-title":"Caregiver role development in chronic disease: A qualitative study of informal caregiving for veterans with diabetes","volume":"18","author":"B Fields","year":"2022","journal-title":"Chronic Illness"},{"key":"pone.0304821.ref009","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1177\/1742395317690032","article-title":"Associations between Having an Informal Caregiver, Social Support, and Self-care among Low-income Adults with Poorly Controlled Diabetes","volume":"13","author":"ED Bouldin","year":"2017","journal-title":"Chronic Illn"},{"key":"pone.0304821.ref010","unstructured":"Schulz R, Eden J, Adults C on FC for O, Services B on HC, Division H and M, National Academies of Sciences E (2016) Family Caregiving Roles and Impacts. 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