| Titre : | Understanding the determinants of health for people with type 2 diabetes. (2006) |
| Auteurs : | MADDIGAN (Sheri-L) : CAN. Institute of Health Economics. Edmonton. AB. ; FARRIS (Karen-B) : USA. College of Pharmacy. University of Iowa. Iowa City. ; FEENY (David-H) : CAN. Department of Economics. University of Alberta. ; Jeffrey-A JOHNSON ; MAJUMDAR (Sumit-R) : CAN. Department of Medicine. University of Alberta. ; University of Alberta. Department of Public Health Sciences. Edmonton. CAN |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 96, n° 9, 2006) |
| Pagination : | 1649-1655 |
| Langues: | Anglais |
| Mots-clés : | Canada ; Amérique ; Homme ; Pronostic ; Glande endocrine [pathologie] ; Métabolisme [pathologie] ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST-CNRS FmM3R0xh. Diffusion soumise à autorisation]. Objective. We assessed which of a broad range of determinants of health are most strongly associated with health-related quality of life (HRQL) among people with type 2 diabetes. Methods. Our analysis included respondents from the Canadian Community Health Survey Cycle 1.1 (2000-2001) who were aged 18 years and older and who were identified as having type 2 diabetes. We used regression analyses to assess the associations between the Health Utilities Index Mark 3 and determinants of health. Results. Comorbidities had the largest impact on HRQL, with stroke (-0.11 ; 95% confidence interval [CI]=-0.17, - 0.06) and depression (-0.11 ; 95% CI=-0.15, - 0.06) being associated with the largest deficits. Large differences in HRQL were observed for 2 markers of socioeconomic status : social assistance (-0.07 ; 95% CI=-0.12, - 0.03) and food insecurity (-0.07 ; 95% CI=-0.10, - 0.04). Stress, physical activity, and sense of belonging also were important determinants. Overall, 36% of the variance in the Health Utilities Index Mark 3 was explained. Conclusion. Social and environmental factors are important, but comorbidities have the largest impact on HRQL among people with type 2 diabetes. |
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