Faculty of Medicine, Miguel Hernandez University of Elche, Sant Joan D'Alacant, Spain.
Faculty of Medicine, Miguel Hernandez University of Elche, Sant Joan D'Alacant, Spain
Fam Med Community Health. 2022 Nov;10(4). doi: 10.1136/fmch-2022-001700.
This study aimed to determine the association of health determinants, lifestyle and socioeconomic variables on healthcare use in people with diabetes in Europe.
A cross-sectional study was conducted using data from the European Health Interview Survey wave 2 (ie, secondary analysis).
The sample included data from 25 European countries.
The sample included 16 270 patients with diabetes aged 15 years or older (49.1% men and 50.9% women).
The survey data showed that 58.2% of respondents had seen their primary care physician in the past month and 22.6% had been admitted to the hospital in the past year. Use of primary care was associated with being retired (prevalence ratio (PR) 1.13, 95% CI 1.07 to 1.19) and having very poor self-perceived health (PR 1.80, 95% CI 1.51 to 2.15), long-standing health problems (PR 1.14, 95% CI 1.04 to 1.24), high blood pressure (PR 1.06, 95% CI 1.03 to 1.10) and chronic back pain (PR 1.07, 95% CI 1.04 to 1.11). Hospital admission was associated with very poor self-perceived health (PR 3.03, 95% CI 2.14 to 4.31), accidents at home (PR 1.54, 95% CI 1.40 to 1.69), chronic obstructive pulmonary disease (COPD) (PR 1.34, 95% CI 1.22 to 1.47), high blood pressure (PR 1.08, 95% CI 1.01 to 1.17), chronic back pain (PR 0.91, 95% CI 0.84 to 0.98), moderate difficulty walking (PR 1.33, 95% CI 1.21 to 1.45) and severe difficulty walking (PR 1.67, 95% CI 1.51 to 1.85).
In the European diabetic population, the high cumulative incidences of primary care visits and hospital admissions are associated with labour status, alcohol consumption, self-perceived health, long-standing health problems, high blood pressure, chronic back pain, accidents at home, COPD and difficulty walking.
本研究旨在确定健康决定因素、生活方式和社会经济变量与欧洲糖尿病患者医疗保健使用之间的关联。
使用欧洲健康访谈调查第 2 波（即二次分析）的数据进行横断面研究。
样本包括来自 25 个欧洲国家的数据。
样本包括 16270 名年龄在 15 岁或以上的糖尿病患者（49.1%为男性，50.9%为女性）。
调查数据显示，58.2%的受访者在过去一个月内看过初级保健医生，22.6%的受访者在过去一年住院过。使用初级保健与退休（患病率比（PR）1.13，95%置信区间（CI）1.07 至 1.19）和自我感知健康状况极差（PR 1.80，95%CI 1.51 至 2.15）、长期健康问题（PR 1.14，95%CI 1.04 至 1.24）、高血压（PR 1.06，95%CI 1.03 至 1.10）和慢性背痛（PR 1.07，95%CI 1.04 至 1.11）相关。住院与自我感知健康状况极差（PR 3.03，95%CI 2.14 至 4.31）、家中事故（PR 1.54，95%CI 1.40 至 1.69）、慢性阻塞性肺疾病（COPD）（PR 1.34，95%CI 1.22 至 1.47）、高血压（PR 1.08，95%CI 1.01 至 1.17）、慢性背痛（PR 0.91，95%CI 0.84 至 0.98）、中度行走困难（PR 1.33，95%CI 1.21 至 1.45）和严重行走困难（PR 1.67，95%CI 1.51 至 1.85）相关。
在欧洲糖尿病患者人群中，初级保健就诊和住院的高累积发生率与工作状态、饮酒、自我感知健康、长期健康问题、高血压、慢性背痛、家中事故、COPD 和行走困难有关。
