A descriptive cross-sectional study conducted at the outpatient medical clinics of Al-Thawra General Hospital in Ibb City, Yemen, has evaluated knowledge, attitudes, and practices concerning diabetes-related complications among patients living with the condition. The investigation focused on identifying how familiar patients were with potential microvascular and macrovascular outcomes, while also examining the socio-demographic and clinical factors that correlated with patient awareness, behavioral outlooks, and day-to-day management routines.

Diabetes mellitus represents a widespread health challenge globally that can lead to extensive vascular complications if not detected and managed effectively.

The study protocol utilized a convenience sampling method to recruit 384 diabetic patients who attended the medical outpatient clinics at Al-Thawra General Hospital. Data collection took place over an extended window spanning from March 1, 2025, through December 29, 2025. Information regarding complication awareness, personal outlooks, and self-care practices was systematically captured using a purpose-designed questionnaire developed specifically for the study.

Analysis of the survey data, performed using SPSS version 27, revealed a median knowledge score of 10.0, with an interquartile range extending from 8.0 to 11.0 across the patient cohort. In parallel, participants demonstrated a median attitude score of 27.0 with an interquartile range of 24.0 to 29.0, whereas the median practice score was recorded at 24.0 with an interquartile range of 19.0 to 28.0. Researchers categorized overall complication knowledge as moderate to high, characterized patient attitudes as positive, and observed that reported management practices remained moderate.

Statistical evaluation identified significant positive correlations linking knowledge, attitude, and practice scores together, with p-values falling below 0.0001 across all pairwise comparisons. Beyond these direct associations, multivariable regression identified distinct predictors shaping patient responses. Higher educational attainment was significantly associated with improved attitude scores, registering a regression coefficient of 3.45 with a p-value below 0.001.

For practice, urban residence was an independent predictor (p = 0.026), and inconsistent follow up was also a significant independent predictor (p < 0.001). In addition, male gender was identified as a significant predictor with a p-value of 0.001, while specific management plans were also significantly associated with practice outcomes across a p-value range of less than 0.001 to 0.008.

The authors concluded that while patients demonstrated positive attitudes and reasonable foundational knowledge regarding diabetes-related complications, day-to-day self-care and preventive practices remained only moderate. Given these associations, the study recommends regular, structured diabetes education to support a productive life.

Subject of Research: Evaluation of diabetes complication knowledge, attitudes, and practices among outpatients in Yemen

Article Title: Knowledge, attitudes, and practices toward diabetes‑related complications and associated factors among patients with diabetes attending the medical outpatient clinics of Al‑Thawra general hospital, Ibb, Yemen: a cross‑sectional study

Article References: Abdo, B., Shomais, A., Salam, A., Baalwi, A., Nahshal, A., Dahish, A., Al nuzaili, A., Lutf, E., Al Faqeeh, G., Sharian, R., Al Bana’a, R., & Al-Shehari, W. A. (2026). Knowledge, attitudes, and practices toward diabetes‑related complications and associated factors among patients with diabetes attending the medical outpatient clinics of Al‑Thawra general hospital, Ibb, Yemen: a cross‑sectional study. BMC Primary Care. https://doi.org/10.1186/s12875-026-03629-3

Image Credits: AI Generated

DOI: 10.1186/s12875-026-03629-3

Keywords: Diabetes Mellitus, Yemen, Al-Thawra General Hospital, Cross-Sectional Study, Diabetic Complications, Patient Knowledge, Patient Attitudes, Clinical Practices, Outpatient Clinics, Microvascular Complications, Macrovascular Complications, Ibb City, SPSS Analysis, Health Literacy, Chronic Disease Follow-up, Preventive Care