College of Nursing, Taibah University, Universities Road, Medina, Saudi Arabia; School of Nursing, George Mason University, Fairfax, VA 22030, USA.
School of Nursing, George Mason University, Fairfax, VA 22030, USA.
J Diabetes Complications. 2018 Jan;32(1):83-88. doi: 10.1016/j.jdiacomp.2017.09.013. Epub 2017 Sep 23.
The goal of this study was to examine the self-rated health (SRH) of adolescents with type 1 diabetes (T1D).
A logistic regression analysis of baseline data from adolescents in the United States included in the T1D Exchange Clinic Registry in 2010-2012 was conducted. Participants were 13-18years old at the time of enrollment in the registry and had been diagnosed with T1D at least one year before enrollment (n=5799).
Half (49.0%) of the participants were female, 46.3% were ages 16-18years, 22.5% were non-white, 35.7% did not have private/military health insurance, and 78.8% had HbA1c levels >7.5%, indicating poor T1D management, 20.7% reported having diabetes-related stress often or very often, and 46.4% used insulin injections or pens rather than a pump. In total, 10.3% (n=600) of the participants rated their health as poor or fair and 59.3% (n=3439) rated their health as very good or excellent. Participants with poor or fair SRH were more likely than those with very good or excellent SRH to be female (adjusted OR=1.7(1.4, 2.1)), 16 to 18years old (OR=2.1(1.7, 2.5)), and non-white (OR=2.7(2.2, 3.4)), to be without private or military insurance (OR=2.4(2.1, 3.0)), to have HbA1c levels >7.5% (OR=3.3(2.4, 4.7)), to report having diabetes-related stress often or very often (OR=6.1(5.1, 7.2)), and to use an injection or pen rather than a pump (OR=2.1(1.6, 2.4)).
Because adolescents with T1D who report lower SRH are more likely to have uncontrolled blood glucose and frequent diabetes-related stress, use of pumps and stress-reduction strategies may improve SRH among adolescents with T1D.
本研究旨在探讨 1 型糖尿病（T1D）青少年的自感健康状况（SRH）。
对 2010-2012 年参与美国 T1D 交换诊所登记处的青少年的基线数据进行逻辑回归分析。参与者在登记时年龄为 13-18 岁，并且在登记前至少一年被诊断患有 T1D（n=5799）。
参与者中有一半（49.0%）为女性，46.3%为 16-18 岁，22.5%为非白种人，35.7%没有私人/军事医疗保险，78.8%的糖化血红蛋白（HbA1c）水平>7.5%，表明 T1D 管理不善，20.7%报告经常或非常频繁出现糖尿病相关压力，46.4%使用胰岛素注射笔而不是胰岛素泵。总的来说，10.3%（n=600）的参与者自评健康状况差或一般，59.3%（n=3439）自评健康状况非常好或极好。自评健康状况差或一般的参与者更有可能是女性（调整后的比值比[OR]=1.7（1.4, 2.1））、16-18 岁（OR=2.1（1.7, 2.5））、非白种人（OR=2.7（2.2, 3.4））、没有私人或军事保险（OR=2.4（2.1, 3.0））、HbA1c 水平>7.5%（OR=3.3（2.4, 4.7））、报告经常或非常频繁出现糖尿病相关压力（OR=6.1（5.1, 7.2））、使用注射笔而不是胰岛素泵（OR=2.1（1.6, 2.4））。
因为报告 SRH 较低的 T1D 青少年更有可能血糖控制不佳且经常出现糖尿病相关压力，因此使用胰岛素泵和减压策略可能会改善 T1D 青少年的 SRH。
