Cross-national comparison of psychosocial well-being and diabetes outcomes in adults with type 1 diabetes during the COVID-19 pandemic in US, Brazil, and Iran (vol 13, 63, 2021)

被引：2

作者：

Abdoli, Samereh ^{[1
]}

Silveira, Monica S. V. M. ^{[2
]}

Doosti-Irani, Mehri ^{[3
]}

Fanti, Paulo ^{[2
]}

Miller-Bains, Katherine ^{[4
]}

Pavin, Elizabeth Joao ^{[5
]}

Cardoso, Edimariz Buin ^{[6
]}

Vardanjani, Leila Rafee ^{[3
]}

Noorian, Kobra ^{[3
]}

Hessler, Danielle ^{[7
]}

机构：

[1] Univ Tennessee, Coll Nursing, 1200 Volunteer Blvd,Rm 155, Knoxville, TN 37996 USA

[2] Univ Estadual Campinas, Fac Med Sci, Rua Tessalia Vieira Camargo 126, BR-13083887 Campinas, SP, Brazil

[3] Shahrekourd Univ Med Sci, Sch Nursing & Midwifery, Shahrekord, Iran

[4] Oak Ridge Associated Univ, Assessment & Evaluat, Oak Ridge, TN 37831 USA

[5] Univ Estadual Campinas, Fac Med Sci, Dept Internal Med, Endocrinol Div, Rua Tessalia Vieira Camargo 126, BR-13083887 Campinas, SP, Brazil

[6] Univ Estadual Campinas, Fac Med Sci, Rua Tessalia Vieira Camargo 126, BR-13083887 Campinas, SP, Brazil

[7] Univ Calif San Francisco, Dept Family & Community Med, 500 Parnassus Ave, San Francisco, CA 94117 USA

来源：

DIABETOLOGY & METABOLIC SYNDROME | 2021年 / 13卷 / 01期

关键词：

Burnout; COVID-19; Depression; Diabetes; Distress;

D O I：

10.1186/s13098-021-00696-7

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: The COVID-19 pandemic is a global public health emergency, which presents wide-ranging negative impacts on individuals with diabetes. To examine psychosocial well-being and diabetes outcomes in individuals with type 1 diabetes during the COVID-19 pandemic, and investigate how these factors vary in different countries. Methods: Between April and June 2020 we employed a cross national comparative research study in the United States (US), Brazil, and Iran to collect data from 1788 adults with type 1 diabetes using web-based survey. Study participants answered questions relevant to diabetes distress, diabetes burnout, depressive symptoms, COVID-19 related changes, and socio-demographic characteristics. They also reported their last Hemoglobin A1c (HbA1c) and daily Time-in-Range (TiR) blood glucose. We analyzed data using comparative tests (Chi-square, Kruskal–Wallis and McNemar test), logistic and linear regression adjusted for fixed effects. Results: There were significant changes prior and during the pandemic regarding access to diabetes care, diabetes supplies and medications, healthy food and safe places to exercise in all countries (p < 0.05). Participants in Iran experienced higher levels of diabetes distress (57.1%), diabetes burnout (50%), and depressive symptoms (60.9%), followed by Brazil and US (p < 0.0001). US participants reported better glycemic control (HbA1c = 6.97%, T1R = 69.64%) compared to Brazil (HbA1c = 7.94%, T1R = 51.95%) and Iran (HbA1c = 7.47%, T1R = 51.53%) (p < 0.0001). There were also significant relationships between psychosocial well-being, diabetes outcomes, socio-demographic data, and COVID-19 related challenges in overall sample (p < 0.05). Conclusions: Regardless of differences among US, Brazil, and Iran, our findings revealed that different countries may experience similar challenges related to the COVID-19 pandemic which can impact negatively diabetes outcomes and psychosocial well-being in individuals with type 1 diabetes. Countries need to consider modifiable variables associated with poor diabetes outcomes and sub optimal psychosocial well-being and target vulnerable population using significant socio-demographic variables. © 2021, The Author(s).

引用

页数：2