在中国的2型糖尿病患者中,与心理胰岛素抵抗相关的因素
Shilong Zhang1,2, Xindan Zhang1,2, Haipeng Wang1,2
1Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China.
心理胰岛素耐药性在中国2型糖尿病患者中很常见. 女性患者,自我评估健康状况不佳的患者和经历过歧视的患者的比例更高.
科学领域:
- 内分泌学 在内分泌学.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 心理胰岛素抵抗 (PIR) 是有效的2型糖尿病管理的重要障碍.
- 了解不同人群中的PIR患病率和相关因素对于有针对性的干预至关重要.
研究的目的:
- 评估中国2型糖尿病患者心理胰岛素抵抗的状态.
- 在这个患者群体中确定与心理胰岛素抵抗相关的因素.
主要方法:
- 在中国山东省使用了多阶段分层随机抽样方法.
- 收集了660份有效的问卷,使用"我对胰岛素的看法" (MOI) 量表来评估PIR.
- 用二进制逻辑回归分析来检查相关因素.
主要成果:
- 观察到心理胰岛素抵抗的高患病率,影响了82.1%的患者.
- 与PIR相关的因素包括女性,自我评估的健康状况不佳,以及经历歧视.
- 更高的月收入和更长的2型糖尿病寿命与较低的PIR有关.
结论:
- 心理胰岛素抵抗在中国2型糖尿病患者中非常普遍.
- 干预策略应解决心理因素,性别,社会经济地位和歧视,以改善糖尿病护理.
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