Determinants of Quality of Life in Primary Care Patients with Diabetes: Implications for Social Workers

Ayalon, Liat; Gross, Revital; Tabenkin, Hava; Porath, Avi; Heymann, Anthony; Porter, Basil

doi:10.1093/hsw/33.3.229

Cited by 21 publications

(6 citation statements)

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“…In line with other research, we also found that patients with lower education reported lower diabetes-specific and generic HRQoL. 22 , 23 Our hypothesis is that a better education may contribute to increased HRQoL through better understanding of the nature of the disease, better coping with the disease, and eventually better diabetes care overall. Most of these associations were, however, not clinically significant.…”

Section: Discussionsupporting

confidence: 91%

Association between education and quality of diabetes care in Switzerland

Flatz¹,

Casillas²,

Stringhini³

et al. 2015

IJGM

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PurposeLow socioeconomic status is associated with higher prevalence of diabetes, worse outcomes, and worse quality of care. We explored the relationship between education, as a measure of socioeconomic status, and quality of care in the Swiss context.Patients and methodsData were drawn from a population-based survey of 519 adults with diabetes during fall 2011 and summer 2012 in a canton of Switzerland. We assessed patients and diabetes characteristics. Eleven indicators of quality of care were considered (six of process and five of outcomes of care). After bivariate analyses, regression analyses adjusted for age, sex, and diabetic complications were performed to assess the relationship between education and quality of care.ResultsOf 11 quality-of-care indicators, three were significantly associated with education: funduscopy (patients with tertiary versus primary education were more likely to get the exam: odds ratio, 1.8; 95% confidence interval [CI], 1.004–3.3) and two indicators of health-related quality of life (patients with tertiary versus primary education reported better health-related quality of life: Audit of Diabetes-Dependent Quality of Life: β=0.6 [95% CI, 0.2–0.97]; SF-12 mean physical component summary score: β=3.6 [95% CI, 0.9–6.4]).ConclusionOur results suggest the presence of educational inequalities in quality of diabetes care. These findings may help health professionals focus on individuals with increased needs to decrease health inequalities.

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Section: Discussionsupporting

confidence: 91%

Association between education and quality of diabetes care in Switzerland

Flatz¹,

Casillas²,

Stringhini³

et al. 2015

IJGM

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“…Social workers are in a particular good position to engage in advocacy, to call for equality of chances and justified unequal treatment of PWD in cases where this is an individual need. Thus, the scope of social work interventions should be widened beyond counselling and assisting PWD in their adjustment of lifestyle changes and adherence to diabetes management recommendations in order to improve the patients' medical conditions and reduce complications (Ayalon et al 2008). According to social work's 'person in environment' perspective, the focus should be wider and not only centre on PWD alone but also include their social environment and the way how PWD are treated because of their health condition.…”

Section: Discussionmentioning

confidence: 99%

Diabetes-related stigma affects the quality of life of people living with diabetes mellitus in Switzerland: implications for healthcare providers

Gredig

Bartelsen-Raemy

2016

Health Soc Care Community

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What is known about this topic• Recent studies reported that persons living with diabetes (PWD) experience stigma (discrimination and stereotypes) due to their health condition.• Surveys suggest that PWD affected by discrimination report lower scores of well-being, experience higher levels of distress and score lower in quality of life. What this paper adds• This study establishes experienced and perceived stigma of PWD living in Switzerland and thus, provides an insight into the situations in which PWD feel discriminated against and the perceived stereotypes.• Findings suggests that stigma impacts the quality of life of those PWD affected -mediated by psychological distress and depressive symptoms.• The paper gives insight into the important role of perceived stigma in this dynamic. AbstractThere is a growing body of scientific evidence that stigma represents a reality for many people living with diabetes (PWD). However, little is known about the impact of experienced stigma. Against this background, the present study aimed to establish, by means of an in-depth consideration of the situation in Switzerland, whether and how experienced and perceived stigma impact the quality of life of those PWD affected. In this cross-sectional study, an anonymous paper-and-pencil self-administered questionnaire (SAQ) was used for data collection. The SAQ drew on a qualitative elicitation study and was distributed in 2013 to the readers of a Swiss journal destined to people living with diabetes. Data were analysed using descriptive statistics and structural equation modelling. The sample included 3347 people (response rate of 16%) with type 1 and 2 diabetes, aged 16-96. Respondents who reported higher levels of perceived stigma reported higher levels of psychological distress (b = 0.37), more pronounced depressive symptoms (b = 0.33) and less social support (b = À0.22). Higher psychological distress (b = À0.29) and more pronounced depressive symptoms (b = À0.28), in turn, predicted lower quality of life. Findings suggest that stigma should be considered as an additional predictor of quality of life in PWD. Therefore, healthcare providers should support PWD's fight against stigma. Especially, social workers are called to engage in advocacy to reduce discrimination against PWD and claim equal chances for them. They are also called to develop and implement interventions to correct stereotypes about PWD.

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“…There are other diabetes-specific instruments to measure QoL, such as Audit of Diabetes-Dependent Quality of Life (ADDQoL), Diabetes Quality of Life (DQoL), Diabetes Health-Related Quality of Life (DHRQoL), etc. [ 9 10 ] These could not be used in this study for want of a locally validated translation of these tools. But the WHO QoL BREF instrument still gives a very good estimate of QoL.…”

Section: Discussionmentioning

confidence: 99%

Quality of life of a patient with type 2 diabetes: A cross-sectional study in Rural South India

Manjunath

Christopher

Gopichandran

et al. 2014

J Family Med Prim Care

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Background:With a high prevalence of diabetes in India, there is a need to study the impact of this disease on the quality of life (QoL) of the patients.Materials and Methods:This facility-based cross-sectional study assessed the QoL of patients attending the diabetic clinic using the World Health Organization (WHO) QoL BREF instrument in Tamil Nadu. The QoL was analyzed domain-wise and various socio-demographic factors affecting the QoL were studied.Results:The mean total score of the QoL scale was 58.05 (95% CI, 22.18–93.88). Domain-wise, 63% had good physical, 69% had good psychological, 27% had good social and 85% had good environmental QoL scores. Males, currently married and those with BMI more than 25 had a statistically significantly better QoL compared to their counterparts.Conclusions:Diabetes does impair the QoL of patients but not to a great extent. There is a need to specifically target and improve the QoL of women, widowed and separated, and non-obese diabetics who are at risk of a poor QoL. QoL assessment should be routinely practiced in diabetic clinics.

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Determinants of Quality of Life in Primary Care Patients with Diabetes: Implications for Social Workers

Cited by 21 publications

References 0 publications

Association between education and quality of diabetes care in Switzerland

Association between education and quality of diabetes care in Switzerland

Diabetes-related stigma affects the quality of life of people living with diabetes mellitus in Switzerland: implications for healthcare providers

Quality of life of a patient with type 2 diabetes: A cross-sectional study in Rural South India

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