COVID-19, ethnicity and cardiometabolic disease self-management in UK primary care

Highton, Patrick J; Hadjiconstantinou, Michelle; Schreder, Sally; Seidu, Samuel; Davies, Melanie J.; Khunti, Kamlesh

doi:10.1016/j.dsx.2020.11.013

Cited by 6 publications

(10 citation statements)

References 19 publications

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“…These strategies increase individuals’ trust and expectations with regard to maintaining positive behaviors [ 23 ]. However, health outcomes have deteriorated in the COVID-19 period because of factors such as increasing anxiety, stress and social isolation, difficulty in adhering to drug treatment, reduced physical activity, increased periods of immobility and changing eating habits which affect lifestyle behaviors, and disrupted sleep quality [ 25 ]. The results of the research supported H1: The COVID-19 pandemic has an effect on self-management in people with type 2 diabetes.…”

Section: Discussionmentioning

confidence: 99%

The effect of the COVID-19 pandemic on self-management in patients with type 2 diabetics

Utli

Doğru

2021

Primary Care Diabetes

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Aims: The research was conducted with the aim of determining the effect of the COVID-19 pandemic on levels of self-management in individuals with type 2 diabetes. Methods: This cross-sectional descriptive type of study was conducted between 21 December 2020 and 1 April 2021. It was performed with 378 individuals with type 2 diabetes attending the endocrinology clinic and outpatients' department of a government hospital who agreed to participate in the research. In the collection of data, a Patient Identification Form, Visual Analog Scales (an Anxiety VAS and a Stress VAS), and the Diabetes Self-Management Questionnaire (DSMQ) were used. The Wilcoxon test, Independent Sample t test, One-Way Anova and binary logistic regression were used in the analysis of data. Results: The Diabetes Self-Management Questionnaire (DSMQ) total mean score of the individuals with type 2 diabetes participating in the study during the COVID-19 pandemic was 5.25 ± 1.04. Their anxiety total mean score was 0.32 ± 1.56, and their total mean stress score was 7.06 ± 1.62. Being male, over the age of 65, married and having a diagnosis of diabetes for 6-11 years, increased smoking, the COVID-19 pandemic, reduced physical activity (not walking) and support obtained from health professionals, and increased anxiety and stress levels were found to be risk factors affecting diabetic self-management. Conclusions: The findings show that the COVID-19 pandemic has had a negative effect on the selfmanagement levels of individuals with type 2 diabetes.

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Section: Discussionmentioning

confidence: 99%

The effect of the COVID-19 pandemic on self-management in patients with type 2 diabetics

Utli

Doğru

2021

Primary Care Diabetes

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“…Although individual and household-level data linking depressive symptoms and overcrowding to Covid-19 history may be limited, the global literature has established that the Covid-19 pandemic itself may be associated with a greater level of depressive symptoms among adults 28 , 29 , 30 and that its trajectory may be influenced by overcrowding 31 , 32 , 33 potentially worsening health disparities according to race, ethnicity and socioeconomic status 12 . Whereas depressive symptoms may be manifestations of stress, which in turn, could adversely affect immune response against microorganisms, including SARS-CoV-2, overcrowding may increase the opportunity for SARS-CoV-2 exposure potentially leading to a greater frequency of Covid-19 as the number of household members residing with older adults increases.…”

Section: Discussionmentioning

confidence: 99%

“…The clinical presentation, course and prognosis of Covid-19 can range from asymptomatic to mild, moderate and severe symptomatology, potentially leading to hospitalization, intensive care unit (ICU) admission and death 4 , 6 , 11 . Accumulating evidence from observational studies and meta-analyses has identified high-risk groups who may be more likely than others to experience the detrimental health consequences of Covid-19 4 , 6 , 11 , 12 , 13 .…”

Section: Introductionmentioning

confidence: 99%

“…Previously conducted epidemiologic studies have contributed to a better understanding of the host characteristics that may influence susceptibility to Covid-19 infection and/or detrimental Covid-19 related outcomes for the purpose of risk stratification 7 , 8 , 9 . High-risk groups who are overrepresented among Covid-19 cases include men 6 , 7 , 8 , 18 , older adults 6 , 7 , 15 , 16 , minorities 3 , 7 , 12 , obese individuals 11 , 18 and those with pre-existing chronic conditions 6 , 7 , 15 , 16 , including hypertension 3 , 6 , diabetes 3 , 11 , 14 , coronary artery disease 3 , 6 , 11 , 19 , cerebrovascular disease 2 , 3 , 6 , 11 , arrhythmias 11 , 13 , heart failure 3 , 6 , 11 , 20 , chronic kidney disease 12 , 18 , 20 , chronic respiratory disease 11 , 20 , cancer 12 , 20 and multimorbidities. 12 , 18 These risk factors have been linked to a wide range of Covid-19 outcomes, including severity 3 , 7 , 9 , 21 , 22 , hospitalization ...…”

Section: Introductionmentioning

confidence: 99%

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Socio-demographic, lifestyle and health characteristics as predictors of self-reported Covid-19 history among older adults: 2006-2020 Health and Retirement Study

Beydoun

Hossain

et al. 2022

American Journal of Infection Control

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“…In particular, many people with chronic diseases have faced great challenges during the pandemic lockdown. Due to the inaccessibility of certain healthcare services during the pandemic, some patients have engaged in self-care or self-management strategies to deal with cardiometabolic diseases, including diabetes mellitus, hypertension, cardiovascular diseases and chronic kidney disease [33] . Self-care programmes may improve a patient's awareness, knowledge, attitude, self-care behaviour and efficacy of chronic disease management [34,35] .…”

Section: Positive Changes In People's Behaviour and Lifestylementioning

confidence: 99%

Positive Impacts of the COVID-19 Pandemic and Public Health Measures on Healthcare

Hoo¹,

Loh²,

Ch’ng³

et al. 2021

Prog Micobes Mol Biol

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In the midst of the COVID-19 pandemic, several unexpected positive outcomes have surfaced. The WHO public health measures have positively transformed people’s behaviour and lifestyles. The pandemic has prompted more focus on self-care and health awareness. Hand hygiene practice has been greatly emphasised. The acceptance rate for the use of personal protective equipment, such as face masks, has been remarkable. People with co-morbid conditions are paying more attention to their primary illnesses by improving diets and exercise methods. People are more willing to accept and act on public health messages. The pandemic lockdowns have not only successfully mitigated the transmission of coronavirus, but they have also indirectly reduced the hospital admission rates for endemic community respiratory infections and trauma-related emergencies like motor vehicle accidents. Fetomaternal health and wellness have significantly improved during the pandemic. The abrupt emergence of COVID-19 has also led to a massive societal shift on tobacco smoking cessation. Smokers are compelled to reflect on the harmful effects of cigarette smoking in relation to COVID-19. Issues of mental, relational and sexual health are put in the spotlight during the pandemic. People are investing more time in themselves, family and relationships. The world has seen an unprecedented global race in healthcare innovation and technology development in tackling the same global issue. Artificial intelligence, including robots and drones, have been rapidly developed and employed for healthcare as well as food and delivery services in order to minimise human physical contact. This article discusses several unforeseen positive impacts on healthcare that emerged from the COVID-19 public health measures that have been implemented. The positive impacts of the COVID-19 pandemic should be highlighted in order to provide hope to our community.

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COVID-19, ethnicity and cardiometabolic disease self-management in UK primary care

Cited by 6 publications

References 19 publications

The effect of the COVID-19 pandemic on self-management in patients with type 2 diabetics

The effect of the COVID-19 pandemic on self-management in patients with type 2 diabetics

Socio-demographic, lifestyle and health characteristics as predictors of self-reported Covid-19 history among older adults: 2006-2020 Health and Retirement Study

Positive Impacts of the COVID-19 Pandemic and Public Health Measures on Healthcare

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