Diabetes in South African older adults: prevalence and impact on quality of life and functional disability - as assessed using SAGE Wave 1 data

Diabetes in South African older adults: prevalence and impact on quality of life and functional disability - as assessed using SAGE Wave 1 data
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DOI：
10.1080/16549716.2018.1449924
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发表时间：
2018-04-27
期刊：
GLOBAL HEALTH ACTION
影响因子：
2.6
通讯作者：
Levitt, Naomi S.
Levitt, Naomi S.
中科院分区：
医学3区
文献类型：
--
作者：
Werfalli, Mahmoud;Kassanjee, Reshma;Levitt, Naomi S.

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背景：糖尿病是一种慢性疾病，有严重的晚期并发症。众所周知，它会影响生活质量和造成残疾，这可能会影响个人的能力，以管理和维持长期的健康和wellings.Objectives：检查自我报告糖尿病的患病率，以及糖尿病和每个健康相关的生活质量和残疾之间的关联南非的老年人。研究糖尿病和这两个指标之间的直接关系，以及适度效应，即糖尿病患者和非糖尿病患者之间其他因素和这些幸福指标之间的关联是否不同。方法：南非全球老龄化和成人健康研究（SAGE）第1波50岁及以上参与者数据的二次分析（2007-2008年）。评估自我报告的糖尿病患病率。多变量回归描述了生活质量（WHOQoL）和残疾（WHODAS）与糖尿病之间的关系，同时控制了选定的社会人口统计学特征，健康风险行为和共病状况。结果：自报糖尿病患病率为9.2%（95%CI：7.8，10.9），随年龄增长而增加。糖尿病患者的WHOQoL评分较低（累加效应：-4.2; 95%CI：-9.2，0.9; p值< 0.001），残疾程度较高（乘法效应：2.1; 95%CI：1.5，2.9; p值< 0.001）。较低的生活质量和更大的残疾都涉及到没有在一个关系，教育程度低，财富少，体力活动少和大量的慢性conditions.Conclusions：糖尿病与生活质量较低，更大的残疾之间的老年南非人。需要注意提高卫生系统的能力，以满足南澳大利亚州老年糖尿病患者不断变化的需求，并促进社区的社会支持网络。
Background: Diabetes is a chronic disease with severe late complications. It is known to impact the quality of life and cause disability, which may affect an individual's capacity to manage and maintain longer-term health and well-being.Objectives: To examine the prevalence of self-report diabetes, and association between diabetes and each of health-related quality of life and disability amongst South Africa's older adults. To study both the direct relationship between diabetes and these two measures, as well as moderation effects, i.e. whether associations between other factors and these measures of well-being differed between individuals with diabetes and those without.Methods: Secondary analyses of data on participants aged 50 years and older from the Study on global AGEing and adult health (SAGE) in South Africa Wave 1 (2007-2008) were conducted. Prevalence of self-reported diabetes was assessed. Multivariable regressions describe the relationships between each of quality of life (WHOQoL) and disability (WHODAS), and diabetes, while controlling for selected socio-demographic characteristics, health risk behaviours and co-morbid conditions. In the regression models, we also investigated whether diabetes moderates the relationships between these additional factors and WHOQoL/WHODAS.Results: Self-reported diabetes prevalence was 9.2% (95% CI: 7.8,10.9) and increased with age. Having diabetes was associated with poorer WHOQoL scores (additive effect: -4.2; 95% CI: -9.2,0.9; p-value < 0.001) and greater disability (multiplicative effect: 2.1; 95% CI: 1.5,2.9; p-value < 0.001). Lower quality of life and greater disability were both related to not being in a relationship, lower education, less wealth, lower physical activity and a larger number of chronic conditions.Conclusions: Diabetes is associated with lower quality of life and greater disability amongst older South Africans. Attention needs to be given to enhancing the capacity of health systems to meet the changing needs of ageing populations with diabetes in SA as well as facilitating social support networks in communities.