Self-reported diabetes is associated with self-management behaviour: a cohort study
| العنوان: | Self-reported diabetes is associated with self-management behaviour: a cohort study |
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| المؤلفون: | Douglas G. Manuel, Baiju R. Shah |
| المصدر: | BMC Health Services Research BMC Health Services Research, Vol 8, Iss 1, p 142 (2008) |
| بيانات النشر: | Springer Science and Business Media LLC, 2008. |
| سنة النشر: | 2008 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Self Disclosure, Adolescent, Health Behavior, Disease, Health administration, Cohort Studies, 03 medical and health sciences, 0302 clinical medicine, Diabetes mellitus, Health care, Diabetes Mellitus, medicine, Humans, 030212 general & internal medicine, Aged, Ontario, Self-management, business.industry, lcsh:Public aspects of medicine, Health Policy, Public health, lcsh:RA1-1270, Retrospective cohort study, Health Services, Middle Aged, medicine.disease, Health Surveys, 3. Good health, Self Care, Socioeconomic Factors, Family medicine, Multivariate Analysis, Female, business, 030217 neurology & neurosurgery, Research Article, Cohort study |
| الوصف: | Background The purposes of this cohort study were to establish how frequently people with physician-diagnosed diabetes self-reported the disease, to determine factors associated with self-reporting of diabetes, and to evaluate subsequent differences in self-management behaviour, health care utilisation and clinical outcomes between people who do and do not report their disease. Methods We used a registry of physician-diagnosed diabetes as a reference standard. We studied respondents to a 2000/01 population-based health survey who were in the registry (n = 1,812), and we determined the proportion who reported having diabetes during the survey. Baseline factors associated with self-report and subsequent behavioural, utilisation and clinical differences between those who did and did not self-report were defined from the survey responses and from linkage with administrative data sources. Results Only 75% of people with physician-diagnosed diabetes reported having the disease. People who did self-report were more likely to be male, to live in rural areas, to have longer disease duration and to have received specialist physician care. People who did not report having diabetes in the survey were markedly less likely to perform capillary blood glucose monitoring in the subsequent two years (OR 0.05, 95% CI 0.02 to 0.08). They were also less likely to receive specialist physician care (OR 0.55, 95% CI 0.37 to 0.86), and were less likely to require hospital care for hypo- or hyperglycaemia (OR 0.09, 95% CI 0.01 to 0.28). Conclusion Many people with physician-diagnosed diabetes do not report having the disease, but most demographic and clinical features do not distinguish these individuals. These individuals are much less likely to perform capillary glucose monitoring, suggesting that their diabetes self-management is inadequate. Clinicians may be able to use the absence of glucose monitoring as a screening tool to identify people needing a detailed evaluation of their disease knowledge. |
| تدمد: | 1472-6963 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::12144c7b92c310475c8b5b184cc232d2Test https://doi.org/10.1186/1472-6963-8-142Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....12144c7b92c310475c8b5b184cc232d2 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14726963 |
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