Division of Preventive Medicine, Department of Medicine, School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Department of Biostatistics, School of Public Health, Boston University, Boston, MA, USA.
Diabet Med. 2021 Apr;38(4):e14503. doi: 10.1111/dme.14503. Epub 2021 Jan 7.
Diabetes distress affects approximately 36% of adults with diabetes and is associated with worse diabetes self-management and poor glycaemic control. We characterized participants' diabetes distress and studied the relationship between social support and diabetes distress.
In this cross-sectional study, we surveyed a population-based sample of adults with type 2 diabetes covered by Alabama Medicaid. We used the Diabetes Distress Scale assessing emotional burden, physician-related, regimen-related and interpersonal distress. We assessed participants' level of diabetes-specific social support and satisfaction with this support, categorized as low or moderate-high. We performed multivariable logistic regression of diabetes distress by level of and satisfaction with social support, adjusting for demographics, disease severity, self-efficacy and depressive symptoms.
In all, 1147 individuals participated; 73% were women, 41% White, 58% Black and 3% Hispanic. Low level of or satisfaction with social support was reported by 11% of participants; 7% of participants had severe diabetes distress. Participants with low satisfaction with social support were statistically significantly more likely to have severe diabetes distress than those with moderate-high satisfaction, adjusted odds ratio 2.43 (95% CI 1.30, 4.54).
Interventions addressing diabetes distress in adults with type 2 diabetes may benefit from a focus on improving diabetes-specific social support.
糖尿病困扰影响了约 36%的成年糖尿病患者，与更差的糖尿病自我管理和较差的血糖控制有关。我们描述了参与者的糖尿病困扰，并研究了社会支持与糖尿病困扰之间的关系。
在这项横断面研究中，我们调查了阿拉巴马州医疗补助计划覆盖的 2 型糖尿病的基于人群的样本。我们使用糖尿病困扰量表评估情绪负担、与医生相关、与治疗方案相关和人际困扰。我们评估了参与者的糖尿病特定社会支持水平和对这种支持的满意度，分为低或中高度。我们根据社会支持的水平和满意度对糖尿病困扰进行了多变量逻辑回归分析，调整了人口统计学、疾病严重程度、自我效能和抑郁症状。
共有 1147 人参与；73%为女性，41%为白人，58%为黑人，3%为西班牙裔。11%的参与者报告社会支持水平低或满意度低；7%的参与者有严重的糖尿病困扰。与中高度满意度相比，社会支持满意度低的参与者发生严重糖尿病困扰的可能性要大得多，调整后的优势比为 2.43（95%可信区间为 1.30-4.54）。
针对 2 型糖尿病成年患者的糖尿病困扰的干预措施可能受益于关注改善糖尿病特定的社会支持。
