Differences in social relations between persons with type 2 diabetes and the general population
Differences in social relations between persons with type 2 diabetes and the general population
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DOI：
10.1177/1403494813482535
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发表时间：
2013-06-01
影响因子：
3.4
通讯作者：
Willaing, Ingrid
中科院分区：
文献类型：
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作者：
Hempler, Nana Folmann;Ekholm, Ola;Willaing, Ingrid
目的：社会支持不足和缺乏社会网络是一般人群发病和死亡的公认危险因素。良好的社会关系，如社会支持和网络联系，与2型糖尿病患者更好的自我管理和更少的社会心理问题有关。本研究的目的是调查2型糖尿病患者的社会关系是否比一般人群差。方法：我们在三种情况下进行了横截面调查：专科糖尿病诊所（SDC） （n = 1084），由2型糖尿病患者组成的网络小组（WP） （n = 1491）和来自2010年丹麦健康和发病率调查的样本，代表一般人群（n = 15,165）。我们用多元逻辑回归比较了社会关系。结果：与一般人群相比，2型糖尿病患者更经常没有伴侣（SDC, OR 1.75, 95% CI 1.49-2.06； WP, OR 1.64, 95% CI 1.43-1.87），每月与家人见面少于一次（SDC, OR 1.78, 95% CI 1.40-2.27； WP, OR 2.35, 95% CI 1.94-2.84），并且在患病时更不确定他们是否可以依靠他人的帮助（WP, OR 1.23, 95% CI 1.08-1.41）。结论：我们的研究结果表明，2型糖尿病患者的社会关系比一般人群差。从公共卫生的角度来看，需要特别注意在2型糖尿病患者中加强现有网络和建立替代网络。
Aims: Poor social support and lack of social network are well-established risk factors for morbidity and mortality in general populations. Good social relations, such as social support and network contacts, are associated with better self-management and fewer psychosocial problems in persons with type 2 diabetes. The aim of this study was to investigate whether persons with type 2 diabetes have poorer social relations than the general population. Methods: We conducted a cross-sectional survey in three settings: a specialist diabetes clinic (SDC) (n = 1084), a web panel (WP) consisting of persons with type 2 diabetes (n = 1491) and a sample from the 2010 Danish Health and Morbidity Survey, representative of the general population (n = 15,165). We compared social relations using multivariate logistic regression. Results: Compared to the general population, persons with type 2 diabetes more often lived without a partner (SDC, OR 1.75, 95% CI 1.49-2.06; WP, OR 1.64, 95% CI 1.43-1.87), met with family less than once a month (SDC, OR 1.78, 95% CI 1.40-2.27; WP, OR 2.35, 95% CI 1.94-2.84) and were less certain they could count on help from others in case of illness (WP, OR 1.23, 95% CI 1.08-1.41). Conclusions: Our findings suggest that persons with type 2 diabetes have poorer social relations than the general population. From a public health point of view, special attention is needed with regards to strengthening existing networks and establishing alternative networks among persons with type 2 diabetes.