Diabetes and COVID-19: psychosocial consequences of the COVID-19 pandemic in people with diabetes in Denmark-what characterizes people with high levels of COVID-19-related worries?
Diabetes and COVID-19: psychosocial consequences of the COVID-19 pandemic in people with diabetes in Denmark-what characterizes people with high levels of COVID-19-related worries?
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DOI：
10.1111/dme.14319
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发表时间：
2020-05-29
影响因子：
3.5
通讯作者：
Willaing, I.
中科院分区：
文献类型：
--
作者：
Joensen, L. E.;Madsen, K. P.;Willaing, I.
目的 绘制丹麦 COVID-19 大流行初期糖尿病患者对 COVID-19 的具体担忧和整体心理社会健康状况，并探讨糖尿病患者的特征以及与 COVID-19 大流行相关的高度担忧。方法通过向两个用户小组的 2430 名成年成员（> 18 岁）分发在线调查问卷来进行横断面调查，该小组由自愿分享糖尿病生活信息的糖尿病患者组成。调查问卷包括有关 COVID-19 特定担忧的项目，以及与糖尿病、社会人口和健康状况、社会关系、糖尿病特定社会支持、糖尿病困扰和糖尿病特定行为变化相关的担忧。通过描述性统计和逻辑回归对反应进行分析。结果 糖尿病患者有与其糖尿病相关的 COVID-19 特异性担忧。超过一半的人担心如果感染了 COVID-19，会因糖尿病而受到过度影响，约三分之一的人担心被定性为糖尿病高危人群，并且如果感染则无法控制糖尿病。 Logistic 回归显示，女性、患有 1 型糖尿病、糖尿病并发症和糖尿病困扰、感到孤独和孤独以及改变糖尿病行为与更加担心 COVID-19 和糖尿病相关。结论 糖尿病患者有与糖尿病相关的 COVID-19 特定担忧，这与较差的心理社会健康有关。这些担忧应通过针对糖尿病患者的具体问题和需求的支持以及经常更新有关 COVID-19 和糖尿病的新知识来解决。
Aim To map COVID-19-specific worries and overall psychosocial health among people with diabetes in the initial phase of the COVID-19 pandemic in Denmark, and to explore characteristics of people with diabetes and high levels of worries related to the COVID-19 pandemic.Methods A cross-sectional survey was conducted by distributing online questionnaires to 2430 adult members (> 18 years) of two user panels consisting of people with diabetes who have volunteered to share information about their life with diabetes. The questionnaire included items on COVID-19-specific worries as well as such worries related to diabetes, sociodemographic and health status, social relations, diabetes-specific social support, diabetes distress and changes in diabetes-specific behaviours. Responses were analysed with descriptive statistics and logistic regressions.Results People with diabetes have COVID-19-specific worries related to their diabetes. More than half were worried about being overly affected due to diabetes if infected with COVID-19, about one-third about being characterized as a risk group due to diabetes and not being able to manage diabetes if infected. Logistic regressions showed that being female, having type 1 diabetes, diabetes complications and diabetes distress, feeling isolated and lonely, and having changed diabetes behaviours were associated with being more worried about COVID-19 and diabetes.Conclusion People with diabetes have COVID-19-specific worries related to their diabetes which is associated with poorer psychosocial health. These worries should be addressed through support targeting specific questions and needs of individuals with diabetes as well as frequent updates on new knowledge regarding COVID-19 and diabetes.