1. The complex interplay between clinical and person-centered diabetes outcomes in the two genders
- Author
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Rossi, Maria Chiara, Lucisano, Giuseppe, Pintaudi, Basilio, Bulotta, Angela, Gentile, Sandro, Scardapane, Marco, Skovlund, Soren Eik, Vespasiani, Giacomo, Nicolucci, Antonio, Memmo, R., Forte, E., Tuccinardi, F., Griffo, A., Leotta, S., Fontana, L., Altomare, M., Pellegrini, L., Chiaramonte, F., Malci, F., Moscatelli, C., Tatti, P., Neri, M., Santantonio, G., Rabini, R. A., Rosati, S., D'Angelo, F., Maolo, G., Polenta, B., Lardelli, S., Tesi, A. M., Cotti, L., Garrapa, G., Viola, R., Manuela, M., Lizzadro, F., Cartechini, M. G., Busciantella Ricci, N., Agostinelli, G., Vespasiani, G., Meloncelli, I., Galetta, M., Marconi, V., Carini, L., Crema, I., Clementi, L., Manfrini, S., Olivi, L., Foglini, P., Maricotti, R., Pantanetti, P., Spalluto, A., Andreani, M., Martinelli, G., Chiambretti, A., Fornengo, R., Di Vito, L., Albertone, M., Magliano, V., Cortale, D., Bogazzi, A. R., Rivelli, M., Del Rosso, S. B., Picataggi, F., Bonfani, P., Baccaro, E., Comoglio, M., Manti, R., Boscolo, O., Laiolo, C., Clerico, A., Richiardi, L., Sinato, K., Saglietti, G., Monge, L., Carlesi, G. P., Garrone, S., Magro, G., Paverin, C., Gaviglio, D., Grassi, G., Di Benedetto, A., Russo, M., Pintaudi, B., Di Vieste, G., Saitta, G., Garofalo, A., Vitale, F., Bernardo, L., Lo Presti, A., Fulantelli, M. A., Mattina, G., Cortese, M., Parrinello, A., Gioia, D., Conti, M., Provenzano, V., Ferrara, L., Ferranti, R., Chiodo, R., and De Francesco, C.
- Subjects
Gerontology ,Adult ,Male ,030209 endocrinology & metabolism ,Type 2 diabetes ,03 medical and health sciences ,Social support ,0302 clinical medicine ,Quality of life (healthcare) ,Sex Factors ,Gender-disparities ,Diabetes mellitus ,Surveys and Questionnaires ,Health care ,Adaptation, Psychological ,medicine ,Humans ,030212 general & internal medicine ,Aged ,Aged, 80 and over ,Diabetes-related distress ,business.industry ,Medical record ,Research ,Public Health, Environmental and Occupational Health ,Social Support ,General Medicine ,Middle Aged ,medicine.disease ,Health Surveys ,Self Care ,Distress ,Diabetes Mellitus, Type 2 ,Chronic Disease ,Quality of Life ,Psychological wellbeing ,Female ,business ,Psychosocial ,Clinical psychology - Abstract
Background New approaches to cope with clinical and psychosocial aspects of type 2 diabetes (T2DM) are needed; gender influences the complex interplay between clinical and non-clinical factors. We used data from the BENCH-D study to assess gender-differences in terms of clinical and person-centered measures in T2DM. Methods Clinical quality of care indicators relative to control of HbA1c, lipid profile, blood pressure, and BMI were derived from electronic medical records. Ten self-administered validated questionnaires (SF-12 Health Survey; WHO-5 well-being index; Problem Areas in Diabetes (PAID) 5, Health Care Climate Questionnaire, Patients Assessment of Chronic Illness Care, Diabetes Empowerment Scale, Diabetes Self-care Activities, Global Satisfaction for Diabetes Treatment, Barriers to Taking Medications, Perceived Social Support) were adopted as person-centered outcomes indicators. Results Overall, 26 diabetes clinics enrolled 2,335 people (men: 59.7%; women: 40.3%). Lower percentages of women reached HbA1c levels 40 (high levels of diabetes-related distress) (p 40 was associated with a higher likelihood of HbA1c ≥8.0% in women (OR = 1.15; 95%CI 1.05–1.25) but not in men (OR = 1.00; 95%CI 0.93–1.08). Conclusions In T2DM, women show poorer clinical and person-centered outcomes indicators than men. Diabetes-related distress plays a role as a correlate of metabolic control in women but not in men. The study provides new information about the interplay between clinical and person-centered indicators in men and women which may guide further improvements in diabetes education and support programs.
- Published
- 2017