Department of Psychiatry, McGill University, Montreal, Quebec, Canada.
Diabetes Res Clin Pract. 2012 Jan;95(1):162-8. doi: 10.1016/j.diabres.2011.10.019. Epub 2011 Nov 8.
Diabetes control is a multifaceted process involving successful adherence to a self-care regimen as indicated by improved health outcomes. The aim of this study was to ascertain the construct validity of self-reported diabetes control in a population-based survey.
This study assessed 1848 participants with type 2 diabetes who took part in the Montreal Diabetes Health and Wellbeing Study in Quebec, Canada. Participants were administered the diabetes complications index as well as sociodemographic and health questions.
Fair/poor diabetes control was associated with being less likely to check blood glucose weekly, being less likely to drink alcohol, being more likely to report being physically inactive, reporting fair/poor eating habits, being obese and having 1 or more diabetes complications. When all variables were included in a regression model the two variables most strongly associated with poor fair/poor diabetes control were reporting fair/poor eating habits (odds ratio 1.36, 95% CI 1.00-1.85) and having 2 or more diabetes complications (odds ratio 1.60, 95% CI 1.06-2.40).
Results from this study indicate that self-rated diabetes control has associations with diabetes-specific self-care behaviours and outcomes, and is a general indicator of self-care and diabetes-related complications in a population-based survey.
糖尿病的控制是一个多方面的过程，涉及到成功地遵循自我护理方案，从而改善健康结果。本研究的目的是确定基于人群的调查中自我报告的糖尿病控制的结构效度。
本研究评估了加拿大魁北克省蒙特利尔糖尿病健康和幸福感研究中的 1848 名 2 型糖尿病患者。参与者接受了糖尿病并发症指数以及社会人口统计学和健康问题的评估。
较差的糖尿病控制与每周较少检查血糖、较少饮酒、更可能报告身体不活动、报告较差的饮食习惯、肥胖和有 1 种或多种糖尿病并发症有关。当所有变量都包含在回归模型中时，与较差的糖尿病控制最相关的两个变量是报告较差的饮食习惯（比值比 1.36，95%可信区间 1.00-1.85）和有 2 种或更多糖尿病并发症（比值比 1.60，95%可信区间 1.06-2.40）。
本研究的结果表明，自我评估的糖尿病控制与糖尿病特定的自我护理行为和结果相关，并且是基于人群的调查中自我护理和与糖尿病相关并发症的一般指标。
