Abstract
A cross-sectional survey of 507 in- and out-patients, with diagnosed Type 2 diabetes mellitus (T2DM) was undertaken to study
the relationships between personal, disease and treatment-related factors and diabetes control in a tertiary care hospital.
On multivariate logistic regression analysis, self-efficacy (odds ratio (OR) = 2.94; 95% confidence interval (CI) = 1.92–4.54);
P < 0.001) was the single most important determinant of current diabetes control (HbA1c ≤ 7%), along with absence of hyperglycemic
symptoms in the past year (OR = 1.83; 95% CI = 1.15–2.93, P < 0.01), current treatment with oral medication (OR = 1.77; 95% CI = 1.17–2.66; P < 0.007), and adherence to dietary restrictions (OR = 2.7; 95% CI = 1.28–5.88; P < 0.009). Self-efficacy was itself influenced by educational status, employment, availability of family support, and positive
mental attitudes. Our findings suggest that health care delivery inputs, patients’ personal characteristics including education
and attitude, and family support for care are complexly processed to determine patients’ ability to manage their disease,
which ultimately influences disease outcomes.
the relationships between personal, disease and treatment-related factors and diabetes control in a tertiary care hospital.
On multivariate logistic regression analysis, self-efficacy (odds ratio (OR) = 2.94; 95% confidence interval (CI) = 1.92–4.54);
P < 0.001) was the single most important determinant of current diabetes control (HbA1c ≤ 7%), along with absence of hyperglycemic
symptoms in the past year (OR = 1.83; 95% CI = 1.15–2.93, P < 0.01), current treatment with oral medication (OR = 1.77; 95% CI = 1.17–2.66; P < 0.007), and adherence to dietary restrictions (OR = 2.7; 95% CI = 1.28–5.88; P < 0.009). Self-efficacy was itself influenced by educational status, employment, availability of family support, and positive
mental attitudes. Our findings suggest that health care delivery inputs, patients’ personal characteristics including education
and attitude, and family support for care are complexly processed to determine patients’ ability to manage their disease,
which ultimately influences disease outcomes.
- Content Type Journal Article
- Category Original Paper
- Pages 1-10
- DOI 10.1007/s10900-011-9496-x
- Authors
- Kavita Venkataraman, Department of Obstetrics and Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, 119228 Singapore
- Anjur Tupil Kannan, Department of Community Medicine, University College of Medical Sciences and Guru Tegh Bahadur Hospital, Delhi, 110095 India
- Om Prakash Kalra, Department of Medicine, University College of Medical Sciences and Guru Tegh Bahadur Hospital, Delhi, 110095 India
- Jasvinder Kaur Gambhir, Department of Biochemistry, University College of Medical Sciences and Guru Tegh Bahadur Hospital, Delhi, 110095 India
- Arun Kumar Sharma, Department of Community Medicine, University College of Medical Sciences and Guru Tegh Bahadur Hospital, Delhi, 110095 India
- K. R. Sundaram, Department of Biostatistics, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India
- V. Mohan, Dr Mohan’s Diabetes Specialties Centre and Madras Diabetes Research Foundation Chennai, Chennai, Tamilnadu, India
- Journal Journal of Community Health
- Online ISSN 1573-3610
- Print ISSN 0094-5145