Assunção Maria Cecília F, Santos Iná S, Valle Neiva C J
Departamento de Nutrição, Faculdade de Nutrição, Universidade Federal de Pelotas, Pelotas, RS, Brazil.
Rev Saude Publica. 2005 Apr;39(2):183-90. doi: 10.1590/s0034-89102005000200007. Epub 2005 May 9.
To identify factors associated to poor glycemic control among diabetic patients seen at primary health care centers.
A cross-sectional study was carried out in a sample of 372 diabetic patients attending 32 primary health care centers in southern Brazil. Data on three hierarchical levels of health unit infrastructure, medical care and patient characteristics were collected.
The frequency of poor glycemic control was 50.5%. Multivariate analysis (multilevel method) showed that patients with body mass indexes below 27 kg/m2, patients on oral hypoglycemic agents or insulin, and patients diagnosed as diabetic over five years prior to the interview were more likely to present poor glycemic control when compared to their counterparts.
Given the hierarchical data structuring, all associations found suggest that factors associated to hyperglycemia are related to patient-level characteristics.
确定在初级卫生保健中心就诊的糖尿病患者中与血糖控制不佳相关的因素。
对巴西南部32个初级卫生保健中心的372名糖尿病患者进行了一项横断面研究。收集了关于卫生单位基础设施、医疗护理和患者特征三个层次的数据。
血糖控制不佳的发生率为50.5%。多变量分析（多水平方法）显示，与对照组相比，体重指数低于27kg/m²的患者、使用口服降糖药或胰岛素的患者以及在访谈前五年以上被诊断为糖尿病的患者更有可能出现血糖控制不佳的情况。
鉴于分层数据结构，所有发现的关联表明，与高血糖相关的因素与患者层面的特征有关。
