Diabetes and health-related quality of life among American Indians: the role of psychosocial factors

被引:8
作者
Scarton, Lisa [1 ]
Hebert, Luciana E. [2 ]
Goins, R. Turner [3 ]
Umans, Jason G. [4 ,5 ]
Jiang, Luohua [6 ]
Comiford, Ashley [7 ]
Chen, Sixia [8 ]
White, Ashley [8 ]
Ritter, Tara [7 ]
Manson, Spero M. [9 ]
机构
[1] Univ Florida, Coll Nursing, 1225 Ctr Dr, Gainesville, FL 32603 USA
[2] Washington State Univ, Dept Med Educ & Clin Sci, Seattle, WA USA
[3] Western Carolina Univ, Coll Hlth & Human Sci, Cullowhee, NC 28723 USA
[4] Georgetown Howard Univ Ctr Clin & Translat Sci, Washington, DC USA
[5] MedStar Hlth Res Inst, Washington, DC USA
[6] Univ Calif Irvine, Dept Epidemiol, Irvine, CA USA
[7] Cherokee Nat, Tahlequah, OK USA
[8] Univ Oklahoma, Hlth Sci Ctr, Norman, OK 73019 USA
[9] Univ Colorado, Colorado Sch Publ Hlth, Anschutz Med Campus, Aurora, CO USA
关键词
Type; 2; diabetes; Health related quality of life; American Indian; Psychosocial; POSTTRAUMATIC-STRESS-DISORDER; SOCIAL SUPPORT; ALASKA NATIVES; ASSOCIATIONS; RESILIENCE; PEOPLE; CARE; COMPLICATIONS; SATISFACTION; BEHAVIORS;
D O I
10.1007/s11136-021-02830-4
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Purpose Little is known about the association of psychosocial factors with health-related quality of life (HRQoL) among American Indians with type 2 diabetes (T2D). This study described functional social support, emotional support, coping, resilience, post-traumatic stress disorder, and HRQoL, among American Indians by diabetes status and, among those with diabetes, examined the association of these factors with HRQoL. Methods Using data from the Cherokee Nation Health Survey collected between 2017 and 2019, we evaluated differences in each measure of interest according to diabetes status, using t-test and Chi-squared tests of association. We used weighted multiple logistic regression to examine associations between multiple psychosocial factors and HRQoL among those with diabetes. Results Compared to individuals without diabetes, participants with diabetes rated their functional social support (4.62 vs. 4.56, respectively) and coping (2.65 vs. 2.61, respectively) slightly lower and were more likely to report >= 15 days of poor physical (14% vs. 26%, respectively) and mental health (14% vs. 17%, respectively) in the past month. Odds of reporting poor overall health increased more than sixfold for those who were dissatisfied/very dissatisfied with life (AOR = 6.70). Resilience scores reduced odds of reporting >= 15 days with poor physical health, while experiences of post-traumatic stress doubled these odds. Conclusion Our study yielded insights into the risk as well as protective factors associated with diabetes outcomes in a large sample of American Indians with T2D. Researchers should design pragmatic trials that deepen understanding of preventive as well as treatment leverage through greater attention to experiences that compromise HRQoL.
引用
收藏
页码:2497 / 2507
页数:11
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