Changes in Self-management During the COVID-19 Pandemic Among Adults with Type 2 Diabetes at a Federally Qualified Health Center.

Changes in Self-management During the COVID-19 Pandemic Among Adults with Type 2 Diabetes at a Federally Qualified Health Center.
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DOI:
10.1007/s10903-022-01351-7
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发表时间:
2022-10
影响因子:
1.9
通讯作者:
Rosland AM
Rosland AM
中科院分区:
医学4区
文献类型:
--
作者:
Zupa MF;Perez S;Palmisano G;Kieffer EC;Piatt GA;Valbuena FM;Deverts DJ;Yabes JG;Heisler M;Rosland AM

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新冠肺炎大流行影响了成年糖尿病患者进行自我管理的方式,对脆弱人群的影响可能更大。我们在一家联邦合格的健康中心评估了大流行对成年2型糖尿病患者糖尿病自我管理的影响。参与者在2020年7月至10月期间接受了西班牙语和英语的电话调查。大多数受访者(74%)是拉丁裔,他们更喜欢说西班牙语,他们的平均年龄为54岁,平均糖化血红蛋白为9.2%。53%的人报告在大流行期间体力活动减少。43%的人更难获得健康的食物,38%的人报告说吃得更健康。61%的人获得医疗保健的难度增加。许多人感到更孤立(49%)和更有压力(51%)。糖尿病自我管理的变化对这个低资源社区的大多数拉丁裔患者来说既有积极的也有消极的,这可能需要采取量身定制的方法来减轻大流行对身心健康的负面影响。网上版载有补充材料,可在10.1007/s10903-022-01351-7查阅。
The COVID-19 pandemic affected how adults with diabetes perform self-management, and impacts may be greater among vulnerable populations. We assessed the impact of the pandemic on diabetes self-management among adults with type 2 diabetes at a Federally Qualified Health Center. Participants were surveyed by phone in Spanish and English from July to October of 2020. Most respondents (74%) were Latino and preferred to speak Spanish, with mean age of 54 years and mean HbA1c of 9.2%. Fifty-three percent reported less physical activity during the pandemic. While 43% had more difficulty obtaining healthy food, 38% reported eating more healthfully. Sixty-one percent had increased difficulty accessing medical care. Many felt more socially isolated (49%) and stressed (51%). Changes in diabetes self-management were both positive and negative for majority Latino patients in this low-resource community, which may require tailored approaches to mitigate negative impacts of the pandemic on physical and mental health. The online version contains supplementary material available at 10.1007/s10903-022-01351-7.
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