Type 2 diabetes mellitus in relation to place of residence: evaluation of selected aspects of socio-demographic status, course of diabetes and quality of life – a cross-sectional study

Marta Dudzińska 1, Jerzy S. Tarach 1, Agnieszka Zwolak 2, Maria Kurowska 1, Joanna Malicka 1, Agata Smoleń 3, Andrzej Nowakowski 1
1 - Department of Endocrinology, Medical University, Lublin, Poland
2 - Chair of Internal Medicine and Department of Internal Medicine in Nursing, Medical University, Lublin, Poland
3 - Department of Mathematics and Medical Biostatistics, Medical University, Lublin, Poland
Ann Agric Environ Med
2013; 20 (4):
ICID: 1081408
Article type: Original article
 
 
Introduction and objective: This study aims at answering what are the differences in socio-demographic status of patients with type 2 diabetes living in the city and the countryside and what is the impact of a place of residence on the level of metabolic control, the incidence of complications of diabetes and quality of life (QoL).
Materials and methods: 274 patients were divided into 2 groups: residents of rural areas-28.2% (n=77) and residents of urban areas-71.9% (n=197). Self-reported questionnaires was used: EQ-5D, DQL-BCI and DSC-R.
Results: The group of residents of the countryside was characterized by a lower income and education level and a higher number of persons with disability pension. Patients living in the country had a higher body mass index in comparison to town inhabitants (32.6kg/m2 vs 30.9kg/m2, p=0.008) and shorter diabetes duration (8.4 versus 11.3 years, p=0.008). There were no differences between residents of the countryside and towns in terms of the method of treatment (oral antidiabetic drugs: 70.1% and 65.5%, p=0.3, Insulin: 29.9% and 36.5%, p=0.3, respectively), occurring chronic complications of diabetes (retinopathy: 14.3% and 14.2%, neuropathy: 6.5% and 7.6%, coronary heart disease: 44.45 and 37.1%, respectively) and the availability of diabetologists. Patients living in the countryside did not differ from town inhabitants in metabolic control and QoL assessment (EQ-5D index: 0.80 vs 0.79, p=0.9, EQ-VAS: 56.2 vs 54.3, p=0.2, DQL-BCI: 56.0 vs 53.9, p=0.1, DSC-R: 29.6 vs 29.4, p=0.7).
Conclusions: The socio-demographic differences between groups dependent on the place of living did not exert a significant influence on the level of metabolic control of diabetes, the incidence of late complications or QoL assessment in the population studied.
PMID 24364471 - click here to show this article in PubMed
  FULL TEXT STATS

Recommend this article to:

Name:
E-mail:
From:
Language:


Related articles in IndexCopernicus™
     Quality of Life [49 related records]
     compilcations [0 related records]
     metabolic control [3 related records]
     Rural and urban population [2 related records]
     type 2 diabetes mellitus [3 related records]



 

Related articles

 Stadnicka, C Łepecka-Klusek,
The quality of life of women suffering from polycy...
Purpose: To assess how certain clinical symptoms of polycystic ovary syndrome (PCOS) affect the quality of life of women, their activity, and their sexual lives. Materials and methods: The World Health Organization quality of life questionnaire (...
ABSTRACT
D Hempel,  Politynska,
Psychological, physical, and social situation of p...
Purpose: To assess the physical and psychosocial situation and needs of Polish patients with Hodgkin lymphoma (HL), who had undergone radical chemoradiotherapy. Materials and methods: 50 Hodgkin lymphoma patients were asked to complete an institu...
ABSTRACT
 Ghaseminejad,  Tavafian,
Physical health improvement and quality of life am...
Physical health improvement and quality of life among nurses suffering from Low back Pain: a clinical trial from Yazd, IranIntroduction: Since training to nurses with low back pain , will be effective at Preventing or reducing physical disability and...
ABSTRACT