Type 2 diabetes mellitus in relation to place of residence: evaluation of selected aspects of socio-demographic status, course of diabetes and quality of life – a cross-sectional study
Journal Title: Annals of Agricultural and Environmental Medicine - Year 2013, Vol 20, Issue 4
Abstract
Introduction and objective: This study aims at answering what are the differences in socio-demographic status of patients with type 2 diabetes living in the city and the countryside and what is the impact of a place of residence on the level of metabolic control, the incidence of complications of diabetes and quality of life (QoL). Materials and methods: 274 patients were divided into 2 groups: residents of rural areas-28.2% (n=77) and residents of urban areas-71.9% (n=197). Self-reported questionnaires was used: EQ-5D, DQL-BCI and DSC-R. Results: The group of residents of the countryside was characterized by a lower income and education level and a higher number of persons with disability pension. Patients living in the country had a higher body mass index in comparison to town inhabitants (32.6kg/m[sup]2[/sup] vs 30.9kg/m[sup][/sup]2, p=0.008) and shorter diabetes duration (8.4 versus 11.3 years, p=0.008). There were no differences between residents of the countryside and towns in terms of the method of treatment (oral antidiabetic drugs: 70.1% and 65.5%, p=0.3, Insulin: 29.9% and 36.5%, p=0.3, respectively), occurring chronic complications of diabetes (retinopathy: 14.3% and 14.2%, neuropathy: 6.5% and 7.6%, coronary heart disease: 44.45 and 37.1%, respectively) and the availability of diabetologists. Patients living in the countryside did not differ from town inhabitants in metabolic control and QoL assessment (EQ-5D index: 0.80 vs 0.79, p=0.9, EQ-VAS: 56.2 vs 54.3, p=0.2, DQL-BCI: 56.0 vs 53.9, p=0.1, DSC-R: 29.6 vs 29.4, p=0.7). Conclusions: The socio-demographic differences between groups dependent on the place of living did not exert a significant influence on the level of metabolic control of diabetes, the incidence of late complications or QoL assessment in the population studied.
Authors and Affiliations
Marta Dudzińska, Jerzy Tarach, Agnieszka Zwolak, Maria Kurowska, Joanna Malicka, Agata Smoleń, Andrzej Nowakowski
Keywords
Related Articles
- EP ID EP80723
- DOI -
- Views 83
- Downloads 0
Pain-coping strategies in women with ischemic heart disease
Introduction and objective: The objective of the study was evaluation of the level and structure of anxiety and fear, and the characteristics of pain coping strategies used by females with ischemic heart disease (IHD). T...
[i]Toxoplasma gondii[/i] in protected wildlife in the Tatra National Park (TANAP), Slovakia
[i]Toxoplasma gondii[/i] is an obligatory intracellular protozoan parasite that infects a broad spectrum of warm-blooded vertebrate species. As a part of the food chain, farm animals play a significant role in transmissi...
Dental care for cancer patients undergoing radiotherapy of the head and neck region
Despite the considerable progress that has been made in radiotherapy in recent years, the side effects of ionising radiation treatment still constitute a major therapeutic problem on account of the multi-sidedness of the...
Effect of isopropyl methylphosphonofluoridate (IMPF) poisoning on selected immunological parameters of angiogenesis
introduction and objective. Acetylcholinesterase (AChE) and cholinergic receptors play an important role in the immune system, including lymphocyte-induced angiogenesis. However, their exact role is not fully understood....
Detection of TBEV RNA in Ixodes ricinus ticks in north-eastern Poland
TBEV (Flaviviridae, [i]Flavivirus[/i]) is an etiologic agent of tick-borne encephalitis (TBE), the most important arboviral human infection involving the central nervous system. The disease is endemic in a zone extending...