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Factors affecting screening for diabetic complications in the community: a multilevel analysis

OBJECTIVES: The objective of the present study was to identify the factors that affect screening for diabetic complications by sex in the community. METHODS: This study used individual-level data from the 2013 Community Health Survey (CHS) for 20,806 (male, 9,958; female, 10,848) adults aged 30 year...

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Autores principales: Han, Jin A, Kim, Soo Jeong, Kim, Gawon, Kim, Eun Ji, Lee, Soon Young
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Epidemiology 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4914545/
https://www.ncbi.nlm.nih.gov/pubmed/27156347
http://dx.doi.org/10.4178/epih.e2016017
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author Han, Jin A
Kim, Soo Jeong
Kim, Gawon
Kim, Eun Ji
Lee, Soon Young
author_facet Han, Jin A
Kim, Soo Jeong
Kim, Gawon
Kim, Eun Ji
Lee, Soon Young
author_sort Han, Jin A
collection PubMed
description OBJECTIVES: The objective of the present study was to identify the factors that affect screening for diabetic complications by sex in the community. METHODS: This study used individual-level data from the 2013 Community Health Survey (CHS) for 20,806 (male, 9,958; female, 10,848) adults aged 30 years or older who were diagnosed with diabetes. Community-level data for 253 communities were derived from either CHS or national statistics. A chi-square test and multilevel logistic regression analysis was performed. RESULTS: There were significant differences in the rate of screening for diabetic complications according to individual-level and community-level variables. In the multilevel analysis, the community-level variance ratio of the null model was 7.4% and 9.2% for males and females, respectively. With regard to community-level variables, males were affected by the city type, number of physicians, and their living environment, while females were affected by number of physicians, natural and living environments, and public transportation. CONCLUSIONS: The factors that influenced individual willingness to undergo screening for diabetic complications differed slightly by sex; however, both males and females were more likely to undergo screening when they recognized their health status as poor or when they actively sought to manage their health conditions. Moreover, in terms of community-level variables, both males and females were affected by the number of physicians. It is essential to provide sufficient and ongoing opportunities for education on diabetes and its management through collaboration with local communities and primary care medical centers.
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spelling pubmed-49145452016-06-29 Factors affecting screening for diabetic complications in the community: a multilevel analysis Han, Jin A Kim, Soo Jeong Kim, Gawon Kim, Eun Ji Lee, Soon Young Epidemiol Health Original Article OBJECTIVES: The objective of the present study was to identify the factors that affect screening for diabetic complications by sex in the community. METHODS: This study used individual-level data from the 2013 Community Health Survey (CHS) for 20,806 (male, 9,958; female, 10,848) adults aged 30 years or older who were diagnosed with diabetes. Community-level data for 253 communities were derived from either CHS or national statistics. A chi-square test and multilevel logistic regression analysis was performed. RESULTS: There were significant differences in the rate of screening for diabetic complications according to individual-level and community-level variables. In the multilevel analysis, the community-level variance ratio of the null model was 7.4% and 9.2% for males and females, respectively. With regard to community-level variables, males were affected by the city type, number of physicians, and their living environment, while females were affected by number of physicians, natural and living environments, and public transportation. CONCLUSIONS: The factors that influenced individual willingness to undergo screening for diabetic complications differed slightly by sex; however, both males and females were more likely to undergo screening when they recognized their health status as poor or when they actively sought to manage their health conditions. Moreover, in terms of community-level variables, both males and females were affected by the number of physicians. It is essential to provide sufficient and ongoing opportunities for education on diabetes and its management through collaboration with local communities and primary care medical centers. Korean Society of Epidemiology 2016-05-03 /pmc/articles/PMC4914545/ /pubmed/27156347 http://dx.doi.org/10.4178/epih.e2016017 Text en ©2016, Korean Society of Epidemiology This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Han, Jin A
Kim, Soo Jeong
Kim, Gawon
Kim, Eun Ji
Lee, Soon Young
Factors affecting screening for diabetic complications in the community: a multilevel analysis
title Factors affecting screening for diabetic complications in the community: a multilevel analysis
title_full Factors affecting screening for diabetic complications in the community: a multilevel analysis
title_fullStr Factors affecting screening for diabetic complications in the community: a multilevel analysis
title_full_unstemmed Factors affecting screening for diabetic complications in the community: a multilevel analysis
title_short Factors affecting screening for diabetic complications in the community: a multilevel analysis
title_sort factors affecting screening for diabetic complications in the community: a multilevel analysis
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4914545/
https://www.ncbi.nlm.nih.gov/pubmed/27156347
http://dx.doi.org/10.4178/epih.e2016017
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