The association of self-efficacy and hospitalization rates in people with type-2 diabetes: A prospective cohort study.

作者: Haoyu Zhao , Jeffrey A. Johnson , Fatima Al Sayah , Allison Soprovich , Dean T. Eurich

DOI: 10.1016/J.DIABRES.2018.07.011

关键词: Confidence intervalPsychosocialMedicinePopulationInternal medicineCohort studyOdds ratioProspective cohort studyCohortType 2 diabetes

摘要: Abstract Aims Self-efficacy is presumed important in chronic disease management; we assessed the association between self-efficacy and risk of hospitalization adults with type-2 diabetes. Methods A prospective cohort was assembled December 2011 to 2013. Participants completed an extensive survey, including a previously validated 6-item assessment management self-efficacy. The (low, medium, high) all-cause within 1 year survey using multivariable logistic regression, after adjustment for sociodemographic characteristics, physical, behavioral psychosocial factors. Results Among (n = 1915), average age 64.5 (SD 10.7) years, 45.3% were women 199 (10.4%), 459 (24.0%) 1257 (65.6%) participants reported low, medium high self-efficacy, respectively. low younger, had more comorbidities, followed less healthy behaviors compared those In unadjusted analyses, associated increased (23.6% vs 9.6%; odds ratio (OR) 2.90: 95% confidence interval (95%CI 1.99, 4.23)) while no significant observed level (OR 1.28: 95%CI 0.91, 1.79). After adjustment, there difference 0.99; 0.59, 1.67) or 0.67; 0.44, 1.01) Conclusions Our results suggest that not independently lower this population. Focus on additional heath aspects are likely required improve overall health outcomes people

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