Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China.
NHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, Shandong, China.
Front Endocrinol (Lausanne). 2024 Jul 5;15:1368132. doi: 10.3389/fendo.2024.1368132. eCollection 2024.
The aim of this study was to understand the psychological insulin resistance status among Chinese patients with type 2 diabetes and investigate its associated factors in these patients.
A multi-stage stratified random sampling was performed to randomly select patients with type 2 diabetes from the eastern, central, and western regions in Shandong Province, China, and 660 valid questionnaires were collected. Psychological insulin resistance was assessed by the scale of My Opinion on Insulin (MOI). Factors associated with psychological insulin resistance were examined in a binary logistic model.
Four-fifths of the patients with type 2 diabetes (82.1%) had psychological insulin resistance. Being female (OR = 1.770, 95% CI: 1.063-2.950, < 0.05), having a monthly income of greater than 4,000 Renminbi (approximately $1,540) (OR = 0.444, 95% CI: 0.216-0.915, < 0.05), living with type 2 diabetes for 11 years or more (OR = 0.387, 95% CI: 0.238-0.630, < 0.05), self-rated poor health (OR = 1.706, 95% CI: 1.092-2.664, < 0.05), and moderate discrimination against type 2 diabetes (OR = 1.924, 95% CI: 1.166-3.175, < 0.05) were associated with psychological insulin resistance.
The prevalence of psychological insulin resistance among Chinese patients with type 2 diabetes is relatively high. Approaches are needed to address the issue of psychological insulin resistance of type 2 diabetes.
本研究旨在了解中国 2 型糖尿病患者的心理胰岛素抵抗状况，并探讨其相关因素。
采用多阶段分层随机抽样方法，从山东省东部、中部和西部地区抽取 2 型糖尿病患者，共收集 660 份有效问卷。采用胰岛素态度量表（MOI）评估心理胰岛素抵抗。采用二元逻辑回归模型分析心理胰岛素抵抗的相关因素。
2 型糖尿病患者中有五分之四（82.1%）存在心理胰岛素抵抗。女性（OR=1.770，95%CI：1.063-2.950，<0.05）、月收入大于 4000 元人民币（约合 1540 美元）（OR=0.444，95%CI：0.216-0.915，<0.05）、患 2 型糖尿病 11 年或以上（OR=0.387，95%CI：0.238-0.630，<0.05）、自评健康状况较差（OR=1.706，95%CI：1.092-2.664，<0.05）和中度对 2 型糖尿病的歧视（OR=1.924，95%CI：1.166-3.175，<0.05）与心理胰岛素抵抗有关。
中国 2 型糖尿病患者的心理胰岛素抵抗发生率相对较高。需要采取措施解决 2 型糖尿病的心理胰岛素抵抗问题。
