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- Title
Gender differences in the association between lifestyle behaviors and diabetes distress in a community sample of adults with type 2 diabetes 在成年2型糖尿病患者的一个社区样本中生活行为方式与糖尿病心理痛苦之间关系的性别差异
- Authors
Lipscombe, Carla; Smith, Kimberley J.; Gariepy, Geneviève; SCHmitz, Norbert
- Abstract
Background The present study examined the association between moderate and severe diabetes distress ( DD) and lifestyle behaviors (physical activity, smoking, alcohol consumption) in a community sample of adults with type 2 diabetes mellitus ( T2DM). Methods A total of 1971 adults with T2DM were recruited using mixed methods sampling. Participants were considered eligible if they had a doctor diagnosis of T2DM (≤10 years), were insulin naïve, aged 40-75 years, and were from Quebec, Canada. Participants provided information on DD, lifestyle behaviors, sociodemographic, and diabetes-related factors. Multinomial logistic regressions examined the association between moderate and severe DD and each lifestyle behavior, according to gender. Effect estimates can be interpreted as probability ratios ( PR). Results In females, physical inactivity was associated with an increased likelihood of moderate distress ( PR 2.2; 95% confidence interval [ CI] 1.49-3.24) and severe distress ( PR 1.80; 95% CI 1.00-3.24). In males, only severe distress was associated with physical inactivity ( PR 1.92; 95% CI 1.00-3.66). Current smoking was associated with a greater probability of severe distress in males ( PR 3.0; 95% CI 1.54-5.84) and females ( PR 1.32; 95% CI 0.67-2.60); however this effect was stronger in males. No association was found between alcohol consumption and DD in females. In males, frequent alcohol consumption was associated with a reduced probability of moderate ( PR 0.56; 95% CI 0.34-0.91) and severe distress ( PR 0.47; 95% CI 0.21-1.06). Conclusions The findings of this study suggest important gender differences in the association between DD and lifestyle behaviors.
- Subjects
PEOPLE with diabetes; GENDER differences (Psychology); HEALTH behavior research; LIFESTYLES; ALCOHOL drinking; SMOKING
- Publication
Journal of Diabetes, 2016, Vol 8, Issue 2, p269
- ISSN
1753-0393
- Publication type
Article
- DOI
10.1111/1753-0407.12298