Liverpool John Moores University, UK.
J Health Psychol. 2022 Jun;27(7):1659-1678. doi: 10.1177/13591053211001419. Epub 2021 Mar 25.
The relationship between multimorbidity and self-rated health is well established. This study examined self-rated health in relation to multimorbidity, glycaemia and body weight specifically in adults with type 2 diabetes. Bootstrapped hierarchical logistic regression and structural equation modelling (SEM) were used to analyse survey data from 280 adults with type 2 diabetes. The odds of 'fair/bad/very bad' self-rated health increased 10-fold in patients with three (OR = 10.11 (3.36-30.40)) and four conditions (OR = 10.58 (2.9-38.25)), irrespective of glycaemic control ( < 0.001). The relationship between multimorbidity and perceived health was more pronounced in male patients. SEM generated a model with good fit, χ (CMIN) = 5.10, df = 3, = 0.164, χ (CMIN)/df = 1.70, RMSEA = 0.05, CFI = 0.97, TLI = 0.95 and NFI = 0.94; self-rated health mediated relations between multimorbidity and BMI. Overall, this study highlights the potential of self-rated health to mediate relationships between multimorbidity and BMI, but not glycaemic control, in adults with type 2 diabetes.
多种疾病与自我报告健康状况之间的关系已得到充分证实。本研究专门探讨了 2 型糖尿病患者中多种疾病、血糖和体重与自我报告健康状况之间的关系。使用 bootstrap 分层逻辑回归和结构方程模型（SEM）分析了来自 280 名 2 型糖尿病患者的调查数据。无论血糖控制情况如何（<0.001），患有三种（OR=10.11（3.36-30.40））和四种疾病的患者“一般/差/非常差”自我报告健康状况的几率增加了 10 倍。多种疾病与感知健康之间的关系在男性患者中更为明显。SEM 生成了一个拟合良好的模型，χ（CMIN）=5.10，df=3，=0.164，χ（CMIN）/df=1.70，RMSEA=0.05，CFI=0.97，TLI=0.95 和 NFI=0.94；自我报告的健康状况调节了多种疾病与 BMI 之间的关系。总的来说，这项研究强调了自我报告的健康状况在 2 型糖尿病成人中调节多种疾病与 BMI 之间关系的潜力，但不能调节血糖控制。
