Self-rated health as a predictor of outcomes of type 2 diabetes patient education programmes in Denmark

Laursen, Ditte Hjorth; Christensen, Karl Bang; Christensen, Ulla; Frølich, Anne

doi:10.1016/j.puhe.2016.06.018

Cited by 8 publications

(3 citation statements)

References 39 publications

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“…Accidents are the most common reason that children require public-health services in Denmark [1], and globally, more than 2000 children die every day from injuries that could have been prevented [2]. All children are exposed to hazards and risks as part of their everyday lives when they play, travel, eat or sleep.…”

Section: Introductionmentioning

confidence: 99%

Social inequalities in unintentional childhood injury incidence suggest subgroup identification and differentiation in the municipal planning of preventive efforts

Andersen

Lauritsen

2019

Scand J Public Health

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Aims: This registry-based study examined differences according to socio-economic factors in the incidence of unintentional childhood injuries involving main injury types. Methods: All children aged 0–15 years living in the municipality of Odense were followed from January 1 2006 to December 31 2010 ( n=176,585). Injury outcome ( n=27,745) was defined as visits to the local emergency department. Cohort data were transferred to Statistics Denmark and linked with socio-economic registry data based on unique personal identification numbers. Results: Children aged 10–15 years were at the highest risk for any injury (incidence rate ratio (IRR)=1.14), traffic injury (IRR=5.89) and sports injury (IRR=49.58) compared to children aged 0–4 years. Girls were at lower risk for any injury (IRR=0.85) and higher risk for sports injury (IRR=1.11) and home injuries (IRR=1.12) compared to boys. Children of parents with the lowest household income were at the highest risk for any injury (IRR=1.19) and traffic injury (IRR=2.16) compared to children of parents with the highest group. Children of parents with primary education were at the highest risk of any injury (IRR=1.22) and the lowest risk of traffic injury (IRR=0.80) and sports injury (IRR=0.75) compared to children of parents with tertiary education. Immigrants and descendants were at lower risk for any injury (IRR=0.75 and 0.79, respectively) and sports injury (IRR=0.81 and 0.68, respectively) compared to Danish children. Conclusions: Injury risk varied with socio-economic factors in a Danish municipal setting. The effect varied between specific injury types. Social and ethnic background is important in establishing targeted preventive efforts, but some aspects of selection bias may occur.

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Section: Introductionmentioning

confidence: 99%

Social inequalities in unintentional childhood injury incidence suggest subgroup identification and differentiation in the municipal planning of preventive efforts

Andersen

Lauritsen

2019

Scand J Public Health

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“…All participants were informed about the study during a questionnaire collection of which this study is a part of . If they spoke and understood Danish, did not have severe mental disorder and were not pregnant, they were asked to participate in a qualitative interview 6 months after finishing their patient education programme.…”

Section: Methodsmentioning

confidence: 99%

Patients’ perception of disease and experience with type 2 diabetes patient education in Denmark

Laursen

Frølich

Christensen

2017

Scandinavian Caring Sciences

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Patient education experiences differ according to self-perceived disease status. Programme facilitators should be sensitive to the possibility that participants who are more ill may be less likely to perceive patient education as beneficial and implement new behaviours. Knowledge about factors leading to differences in patient experiences of chronic disease self-management education programmes is essential for the development of programmes that benefit all patients. Future research should explore the value of programmes differentiated for participants with different levels of health.

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“…[16][17][18] The self-perception of health (SPH) is a subjective indicator that complements the clinical health status, independently of medical interpretations of signs and symptoms, and has been identified as an important predictor of mortality or health care. The SPH is a valid assessment of the individual's GH and OH perception [19][20][21][22] and can be used as a predictor of future health outcomes 23,24 or related to OH in diabetic patients. [25][26][27][28][29] The self-perception of impacts on both GH and OH is not always significantly valued in literature, 1,[30][31][32] and it can be theorized that the association between the individuals' perception of OH and GH is not always clear.…”

Section: Introductionmentioning

confidence: 99%

Self-rated health and oral health in type 2 diabetic patients – a case-control study

Frias-Bulhosa¹,

Manso²,

Mota³

et al. 2018

j.rpemd

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This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). rev port estomatol med dent cir maxilofac. a b s t r a c t Objectives: To analyze whether there are differences between self-rated general health (SRH) and self-rated oral health (SROH) between individuals with type 2 diabetes mellitus (DM2) and without DM2, and to explore the general and oral conditions associated with major impacts on general health (GH) and oral health (OH) self-perception.Methods: After obtaining ethical approval and informed consent, the sample included 343 DM2 patients (DM2 group) and 323 controls (nDM2 group), all adult volunteers. Data was obtained from clinical records and oral health examination, using WHO criteria and a questionnaire to rate their own GH and OH on a Likert 5-point scale. Inference analysis was conducted using parametric and non-parametric tests and logistic multivariable regression (MLR) (α=0.05).Results: DM2 patients' perception of own GH was significantly worse than nDM2's (p<0.001).The MLR showed that the risk factors for a worse perceived GH were calculus and oral hygiene at night in nDM2, and HTA, dyslipidaemia and at least one missing tooth in DM2. Both SRH and SROH were significantly (p<0.001) often classified as "bad" or "very bad" in DM2.Calculus and pockets ≥4mm were identified as increased risk factors (OR=3.55, p=0.049;OR=4.32, p=0.025, respectively) and DMFT>0, calculus and gingival recession were associated (p<0.001) with "bad" or "very bad" SRH and SROH in the MLR.Conclusions: Individuals with type 2 diabetes mellitus showed a worse self-perception of own general health and oral health than individuals without this pathology, and oral health was generally self-rated worse than general health. (Rev Port Estomatol Med Dent Cir Maxilofac. 2018;59(4):181-190) © 2018 Sociedade Portuguesa de Estomatologia e Medicina Dentária. Publicado por SPEMD. Este é um artigo Open Access sob uma licença CC BY -NC -ND (http://creativecommons.org/licenses/by -nc -nd/4.0/). Keywords: Case-control study Primary health care Self-rated health Self-rated oral health Type 2 diabetes r e s u m o Auto-avaliação de saúde e saúde oral em pacientes diabéticos tipo 2 -estudo caso-controle Palavras-chave: Estudo caso-controlo Cuidados de saúde primários Autoavaliação da saúde Autoavaliação da saúde oral Diabetes tipo 2Objetivos: Verificar existência de diferenças entre a autoavaliação da saúde geral (SRS) e da saúde oral (SROH) entre pacientes com diabetes melittus tipo 2 (DM2) e sem (nDM2) e explorar as condições de maior impacto na saúde geral (GH) e oral (OH) associadas à autoperceção.Métodos: Após aprovação ética e consentimento informado, obteve-se 343 adultos DM2 e 323 controlos. Os dados clínicos e de OH foram coletados usando critérios da OMS e perguntas para autoclassificação de GH e OH numa escala de Likert (5 pontos). A análise inferencial utilizou testes não-paramétricos e regressão logística multivariada (MLR) (α=0,05).Resultados: Os pacientes DM2 autoavaliam ...

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Self-rated health as a predictor of outcomes of type 2 diabetes patient education programmes in Denmark

Cited by 8 publications

References 39 publications

Social inequalities in unintentional childhood injury incidence suggest subgroup identification and differentiation in the municipal planning of preventive efforts

Social inequalities in unintentional childhood injury incidence suggest subgroup identification and differentiation in the municipal planning of preventive efforts

Patients’ perception of disease and experience with type 2 diabetes patient education in Denmark

Self-rated health and oral health in type 2 diabetic patients – a case-control study

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