Relationship of Patient Perception of General Health and Adult Diabetes Self-monitoring and Risks Reduction Behaviors

主讲人: 朱明英博士.

时间: 2013年四月24日（星期三），下午2:00-3:00

地点: E202

摘要:

Diabetes care of Americans was estimated at USD174 billion in 2007, affecting patient quality of life and productivity. Metabolic control and cardiovascular risks reduction to prevent diabetes complications are essential. Diet treatment alone was associated with patients’ perception of better general health. This study examined if adult diabetes patients’ perception of their general health is associated with 11 diabetes selfmonitoring behaviors and investigated if empirical self-monitoring behaviors can be reduced to two interpretable dimensions. This study sampled 32,738 diabetes patients aged 18+ from the United States 2007 Behavioral Risk Factor Surveillance System (BRFSS). Analyses included categorical data analysis with adjusted residuals, Multiple Correspondence Analysis and log-linear modeling to identify the main effects of diabetes monitoring variables on “self-perception of general health”. Results suggested that higher levels of self-monitoring behaviors including physical activity, fruit and vegetable consumptions and no high blood pressure were associated with “self-perception of better general health.” While insulin users, no physical activities, high blood pressure with medication, and current smokers were associated with self-perception of fair or poor general health. Multiple Correspondence Analysis affirmed two dimensions of selfmonitoring behaviors, both characterized by medication non-adherence, dimension 1 a gross “abandonment” of self-care and dimension 2 varied levels of self-monitoring behaviors. Log-linear modeling confirmed the main effects of diabetes medication, physical activity, blood pressure regulation, and smoking status. Both “race” and “age” have modifying effects on some of the self-care variables. Implications for public health promotion include provider- or software-assisted diabetes interventions.