Understanding the determinants of health for people with type 2 diabetes.

Content Provider	Semantic Scholar
Author	Maddigan, Sheri L. Feeny, David Majumdar, Sumit Ranjan Farris, Karen B. Johnson, Jeffrey A.
Copyright Year	2006
Abstract	OBJECTIVE We assessed which of a broad range of determinants of health are most strongly associated with health-related quality of life (HRQL) among people with type 2 diabetes. METHODS Our analysis included respondents from the Canadian Community Health Survey Cycle 1.1 (2000-2001) who were aged 18 years and older and who were identified as having type 2 diabetes. We used regression analyses to assess the associations between the Health Utilities Index Mark 3 and determinants of health. RESULTS Comorbidities had the largest impact on HRQL, with stroke (-0.11; 95% confidence interval [CI] = -0.17, -0.06) and depression (-0.11; 95% CI = -0.15, -0.06) being associated with the largest deficits. Large differences in HRQL were observed for 2 markers of socioeconomic status: social assistance (-0.07; 95% CI=-0.12, -0.03) and food insecurity (-0.07; 95% CI=-0.10, -0.04). Stress, physical activity, and sense of belonging also were important determinants. Overall, 36% of the variance in the Health Utilities Index Mark 3 was explained. CONCLUSION Social and environmental factors are important, but comorbidities have the largest impact on HRQL among people with type 2 diabetes.
Starting Page	1552
Ending Page	1553
Page Count	2
File Format	PDF HTM / HTML
Alternate Webpage(s)	http://www.bvsde.paho.org/bvsacd/cd67/Understanding.pdf
PubMed reference number	16873750v1
Volume Number	96
Issue Number	9
Journal	American journal of public health
Language	English
Access Restriction	Open
Subject Keyword	Cerebrovascular accident Cognition Disorders Confidence Intervals Depressive disorder Diabetes Mellitus Diabetes Mellitus, Non-Insulin-Dependent Exercise Largest Mental association Regression Analysis Sample Variance
Content Type	Text
Resource Type	Article