The effect of marital status on social and gender inequalities in diabetes mortality in Andalusia

Escolar-Pujolar, Antonio; Córdoba-Doña, Juan Antonio; Julían, Isabel Goicolea; Rodríguez, Gabriel Jesús; Sánchez, Vanesa Santos; Sánchez, Eduardo Mayoral; Diosdado, Manuel Aguilar

doi:10.1016/j.endien.2017.10.012

Cited by 8 publications

(7 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…8 Por su parte, el estado civil y el nivel de escolaridad juegan un papel relevante en la evolución de la enfermedad. En un estudio de enfermedades crónicas no transmisibles se encontró que para los pacientes diabéticos, 15 se relacionó el nivel de escolaridad como un determinante fundamental de la mortalidad en ambos sexos, pues a medida que disminuye el nivel de escolaridad, aumenta el riesgo de muerte en las mujeres; para los hombres, el hecho de ser soltero se atribuyó a una tasa de mortalidad más elevada. 15 La educación y comunicación en salud es una acción estratégica que pretende generar un clima cultural para la promoción de la salud y calidad de vida, aportando en la construcción de otras formas de comprender y cuidar la salud, potencializando actitudes como el autocuidado y empoderamiento; lo anterior, es una responsabilidad de todos los actores del Sistema de Seguridad Social en Salud (SGSSS).…”

Section: Discussionunclassified

Percepción sobre la ruta de atención en salud de cáncer en pacientes de Envigado, 2020-2021

Salinas¹,

Zapata²,

Rodríguez

2023

Rev.Col.Hematol.Oncol

View full text Add to dashboard Cite

En Colombia el cáncer representa la segunda causa de muerte en mujeres y la tercera en hombres; en 2020 se registraron 113.221 casos nuevos de cáncer, siendo el cáncer de mama y el de próstata las causas predominantes de morbilidad y mortalidad. Objetivo: medir la percepción de los pacientes sobre la Ruta de atención en salud para cáncer, desde la prevención hasta la rehabilitación y cuidados paliativos. Método: estudio observacional de corte transversal descriptivo. Se realizó muestreo probabilístico del total de pacientes con cáncer atendidos por consulta externa en Envigado durante 2020. Se aplicó un cuestionario integrando la RIAS, Resolución 3280 de 2018, y el cuestionario PECASUSS. Se calcularon frecuencias absolutas y relativas para variables categóricas y para continuas, medias y desviación estándar. Resultados: se incluyeron 43 adultos con cáncer, el 70 % correspondía a mujeres con media de edad de 64 años (DE:13), el 44 % cursó básica primaria y el 70 % era de régimen contributivo. El 61 % no recibió educación en temas de promoción y protección; al 32 % no se le preguntó por factores de riesgo y el 70 % no recibió tamización. El 91 % manifestó estar satisfecho o muy satisfecho con la atención en salud recibida. Conclusiones: la calidad percibida por los pacientes sobre la Ruta de atención en cáncer fue buena, siendo el trato recibido por los profesionales y las condiciones físicas las de mejor valoración, sin embargo, la percepción sobre la educación en prevención y orientación de cuidados recibieron puntajes más bajos.

show abstract

Section: Discussionunclassified

Percepción sobre la ruta de atención en salud de cáncer en pacientes de Envigado, 2020-2021

Salinas¹,

Zapata²,

Rodríguez

2023

Rev.Col.Hematol.Oncol

View full text Add to dashboard Cite

show abstract

“…Widowed and separated/divorced women with the lowest educational level and single men had the highest mortality rate ratios 5.1 (95% CI: 3.6-7.3), 5.6 (95% CI: 3.6-8.5) and 3.1 (95% CI: 2.7-3.6) respectively. [21] Previous work indicates that by never entering marriage or termination of marriage by divorce or death increases risk of premature mortality with pronounced effects more among men. [22] We may have been limited by the small number of divorced, separated and widowed patients included in our study.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with Mortality for Patients with Diabetes Mellitus at Kenyatta National Hospital, 2016 – 2020

Kweyu

Ireri

Siamanda

et al. 2022

Preprint

View full text Add to dashboard Cite

Background: Diabetes mellitus (DM) is a major growing health problem all over the world and especially for the low income countries. Therefore, sociological, clinical and disease factors that affect the disease outcome should be considered when managing DM patients.Objective: We aimed at determining the factors that were associated with in-hospital mortality in patients with diabetes mellitus at Kenyatta National Hospital from 2016 to 2020.Methods: We examined retrospective data from medical records of diabetes patients (n = 323, 48.3% males and 51.7% females) above 12 years admitted into the hospital from 2016 – 2020. Multivariable logistic regression analyses was performed to identify factors associated with in-hospital mortality.Results: Multivariable analysis showed that the odds for mortality were significantly high in those of age above 50 years (odds ratio 26.02, 95% confidence interval 9.54–70.92, p-value < 0.001), with unspecified DM type (OR 6.85, 95%CI 1.23–38.20, p = 0.028), DM type II (OR 3.00, 95%CI 1.35–6.67, p = 0.007), and hypertension (OR 2.94, 95%CI 1.47–5.88, p = 0.002), and nephropathy (OR 2.23 95%CI 1.14–4.38, p < 0.001). Other factors positively associated with in-hospital mortality included cardiovascular diseases, complication of diabetes ketoacidosis, oral hypoglycemic agents, soluble insulin, anti-hypertensives and antibiotics.Conclusion: Overall, the findings of this study suggest that advanced age, DM type II or unspecified type of DM, hypertension and nephropathy are the main drivers of mortality for patients with diabetes mellitus at Kenyatta National Hospital.

show abstract

“…Our analysis of the results was based on a conservative measurement of each case, and the expectation that the non-systematic intervention control group would obtain only limited benefit, compared with significantly greater improvements for the two intervention groups [ 15 , 22 , 32 ]. Patients with higher HbA1c levels were included in the intervention group intentionally because, according to previous studies, they could acquire early glycaemic control and delay the introduction of oral antidiabetic drugs, according to the II Comprehensive Diabetes Plan of Andalusia [ 33 ].…”

Section: Methodsmentioning

confidence: 99%

“…Therefore, health education is of vital importance for patients with DM2. In fact, the risk of mortality is inversely related to the patient’s understanding of the disease [ 22 ].…”

Section: Introductionmentioning

confidence: 99%

Nursing-Intense Health Education Intervention for Persons with Type 2 Diabetes: A Quasi-Experimental Study

et al. 2021

View full text Add to dashboard Cite

Type 2 diabetes mellitus (DM2) is a highly prevalent disease, the progression of which depends on high blood glucose levels, which are reflected in the level of glycosylated haemoglobin (HbA1c). Appropriate health education equips patients with the knowledge and skills to control their glucose and HbA1c levels to avoid long-term complications. This study was set up to compare the results of an intensive (360 min) educational intervention to improve HbA1c parameters in patients with DM2 with those of a usual 90 min intervention. For this purpose, healthcare personnel led a quasi-experimental study of 249 diabetics: 171 in the control group, and 78 in the intervention group. In the control group, the mean HbA1c value decreased from 6.97 to 6.75, while in intervention group it fell from 8.97 to 8.06. The before and after mean difference between both groups was compared with a Wilcoxon test, and the results statistically significant (W = 4530; p < 0.001), indicating a higher reduction of HbA1c in the intervention group. We concluded that the intensive health education provided by nurses during the consultation helped improve HBA1c levels in persons with DM2.

show abstract

The effect of marital status on social and gender inequalities in diabetes mortality in Andalusia

Cited by 8 publications

References 30 publications

Percepción sobre la ruta de atención en salud de cáncer en pacientes de Envigado, 2020-2021

Percepción sobre la ruta de atención en salud de cáncer en pacientes de Envigado, 2020-2021

Factors Associated with Mortality for Patients with Diabetes Mellitus at Kenyatta National Hospital, 2016 – 2020

Nursing-Intense Health Education Intervention for Persons with Type 2 Diabetes: A Quasi-Experimental Study

Contact Info

Product

Resources

About