Self-rated Health among Young People with Type 1 Diabetes in Relation to Risk Factors in a Longitudinal Study

Abstract

Care for type 1 diabetes mellitus should both alleviate the physical complications of the disease and improve overall quality of life. The Wisconsin Diabetes Registry, comprising a population-based cohort that is followed longitudinally from diagnosis of type 1 diabetes, provided the authors with a unique opportunity to examine quality of life in children, adolescents, and young adults with type 1 diabetes and its relation to both sociodemographic and clinical risk factors. The authors analyzed data from 1987-2002 with a mean of 10.2 years' duration of diabetes (n = 569). They used ordinal-scaled self-rated global health as a measure of quality of life. In this paper, they propose a random-effects model for drawing inferences on individuals regarding the relation of longitudinally measured quality of life to multiple risk factors. Results showed that male gender, higher parental socioeconomic level, younger age at diabetes diagnosis, shorter diabetes duration, no hospitalization in the preceding 6 months, lower glycosylated hemoglobin level, and questionnaire responses by a person other than the subject were independently associated with better reported health. The authors found that individuals varied in their reported health even after adjustment for all identified risk factors. This could imply either that there is variability in perception even with the same health status or that there are independent unmeasured risk factors for poor health in persons with type 1 diabetes.

Fatores associados à qualidade de vida de jovens com diabetes mellitus do tipo 1

“…The worst assessment of QoL among older adolescents was demonstrated in the largest study (12)(13)18,20) . Nevertheless, opposite results have also been found in literature (9,21) .…”

“…A study has demonstrated that self-assessed health was better among white adolescents (p<0.012) (18) . Caucasian youths obtained better scores in the Impact and Worries domains (p< 0.05) (19) .…”

Fifteen-year follow-up of quality of life in type 1 diabetes mellitus

“…One potential explanation for this finding is the relatively high scores of these HRQOL parameters at baseline compared with patients on CSII. Although speculative, this observation can be attributed to a relative short diabetes duration [7] . In a recent Cochrane review, CSII was preferred over MDI with respect to HRQOL [11] .…”

“…Previous studies have underlined the importance of this association by revealing a negative association between HRQOL and diabetes prognosis [3][4][5] . In T1DM, a relevant deterioration of HRQOL and glycaemic control during the disease course has been reported [6,7] . In contrast, reports have also found no association between duration of diabetes and scores on quality of life scales [8,9] .…”

The Effect of Partnership Care Plan on Metabolic Control of Iraqi Diabetic Adolescents

“…The prevalence in teenagers has been increasing during the last decade [5]. Based on estimations, there is one diabetic case per 400 to 500 teenagers in the world [6]. Type1 diabetes is considered a chronic and difficult disease for teenagers and their families.…”