J Prev Med Public Health.  2015 Nov;48(6):287-300. 10.3961/jpmph.15.048.

Determinants of Poor Self-rated Health in Korean Adults With Diabetes

Affiliations
  • 1Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Korea. dhkang@snu.ac.kr
  • 2Department of Biomedical Sciences, Seoul National University Graduate School, Seoul, Korea.
  • 3Institute of Environmental Medicine, Seoul National University Medical Research Center, Seoul, Korea.
  • 4Cancer Research Institute, Seoul National University, Seoul, Korea.

Abstract


OBJECTIVES
Self-rated health is a measure of perceived health widely used in epidemiological studies. Our study investigated the determinants of poor self-rated health in middle-aged Korean adults with diabetes.
METHODS
A cross-sectional study was conducted based on the Health Examinees Study. A total of 9759 adults aged 40 to 69 years who reported having physician-diagnosed diabetes were analyzed with regard to a range of health determinants, including sociodemographic, lifestyle, psychosocial, and physical variables, in association with self-rated health status using multivariate logistic regression models. A p-value <0.05 was considered to indicate statistical significance.
RESULTS
We found that negative psychosocial conditions, including frequent stress events and severe distress according to the psychosocial well-being index, were most strongly associated with poor self-rated health (odds ratio [OR](Frequent stress events), 5.40; 95% confidence interval [CI], 4.63 to 6.29; OR(Severe distress), 11.08; 95% CI, 8.77 to 14.00). Moreover, younger age and being underweight or obese were shown to be associated with poor self-rated health. Physical factors relating to participants' medical history of diabetes, such as a younger age at diagnosis, a longer duration of diabetes, insulin therapy, hemoglobin A(1c) levels of 6.5% or more, and comorbidities, were other correlates of poor reported health.
CONCLUSIONS
Our findings suggest that, in addition to medical variables, unfavorable socioeconomic factors, and adverse lifestyle behaviors, younger age, being underweight or obese, and psychosocial stress could be distinc factors in predicting negative perceived health status in Korean adults with diabetes.

Keyword

Epidemiology; Self-rated health; Diabetes mellitus; Cohort studies; Health Examinees; Korea

MeSH Terms

Adult
Age Factors
Aged
Cohort Studies
Cross-Sectional Studies
Diabetes Mellitus/*diagnosis/drug therapy
Female
*Health Status
Hemoglobin A, Glycosylated
Humans
Insulin/therapeutic use
Life Style
Logistic Models
Male
Middle Aged
Odds Ratio
Self Report
Socioeconomic Factors
Surveys and Questionnaires
Hemoglobin A, Glycosylated
Insulin
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