老年人糖尿病患者多种财务困难指标与血糖控制的关系。
Relationship Between Multiple Measures of Financial Hardship and Glycemic Control in Older Adults With Diabetes.
机构信息
Division of General Internal Medicine, Department of Medicine, Medical College of Wisconsin, Milwaukee, USA.
Center for Advancing Population Science, Medical College of Wisconsin, Milwaukee, USA.
出版信息
J Appl Gerontol. 2021 Feb;40(2):162-169. doi: 10.1177/0733464820911545. Epub 2020 Mar 13.
To examine the relationship between multiple measures of financial hardship and glycemic control in older adults with diabetes. Using data from Health and Retirement Study (HRS), we investigated four measures of financial hardship: difficulty paying bills, ongoing financial strain, decreasing food intake due to money, and taking less medication due to cost. Using linear regression models, we investigated the relationship between each measure, and a cumulative score of hardships per person, on glycemic control (HbA1c). After adjustment, a significant relationship existed with each increasing number of hardships associated with increasing HbA1c (0.09, [95%CI 0.04, 0.14]). Difficulty paying bills (0.25, [95%CI 0.14, 0.35]) and decreased medication usage due to cost (0.17, [95%CI 0.03, 0.31]) remained significantly associated with HbA1c. In older adults, difficulty paying bills and cost-related medication nonadherence is associated with glycemic control, and every additional financial hardship was associated with an increased HbA1c by nearly 0.1%.
本研究旨在探讨多种财务困难指标与老年糖尿病患者血糖控制之间的关系。我们利用健康与退休研究（HRS）的数据，调查了四种财务困难指标：难以支付账单、持续的经济压力、因经济原因减少食物摄入以及因费用问题减少药物使用。我们使用线性回归模型，调查了每种指标与每人困难程度综合评分与血糖控制（HbA1c）之间的关系。调整后，与每增加一项困难相关的 HbA1c 呈显著正相关（0.09，[95%CI 0.04，0.14]）。难以支付账单（0.25，[95%CI 0.14，0.35]）和因费用而减少药物使用（0.17，[95%CI 0.03，0.31]）与 HbA1c 仍显著相关。在老年患者中，难以支付账单和与费用相关的药物不依从与血糖控制相关，每增加一项财务困难，HbA1c 几乎增加 0.1%。
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