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Sense of control and diabetes mellitus among U.S. adults: A cross-sectional analysis

机译：美国成年人的控制感和糖尿病：横断面分析

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Background Little is known about the influence of psychosocial factors on diabetes mellitus. The aim of this study was to improve understanding of the association between two psychosocial factors- sense of control and social support- and diabetes mellitus. Methods The authors analyzed data from 2,592 U.S. households in the 1995 survey of the Aging, Status, and the Sense of Control study. Logistic regression analyses were conducted to examine whether sense of personal control and social support were associated with DM and whether gender, race, and Hispanic ethnicity modified these associations. Results After adjusting for age, obesity, and socioeconomic position, a one point increase in sense of control (i.e., a stronger sense of control) was associated a significant reduction in risk of diabetes mellitus (odds ratio = 0.67, 95% confidence interval: 0.47, 0.95). A weak social support system was associated with a non-significant risk of diabetes (odds ratio = 1.32, 95% confidence interval: 0.93, 1.89). No effect modification was detected. Conclusion Sense of control deserves greater attention as a predictor of diabetes mellitus. Further studies of the contribution of psychosocial factors to diabetes mellitus should assess the temporal nature of this relationship.
机译：背景技术关于社会心理因素对糖尿病的影响知之甚少。这项研究的目的是增进对两个社会心理因素（控制感和社会支持）与糖尿病之间关系的理解。方法作者在1995年的老龄化，现状和控制感研究中分析了来自2,592个美国家庭的数据。进行逻辑回归分析以检查个人控制感和社会支持感是否与DM相关，以及性别，种族和西班牙裔种族是否改变了这些关联。结果在调整了年龄，肥胖症和社会经济地位后，控制感提高了一个点（即更强的控制感）可以显着降低糖尿病风险（几率= 0.67，置信区间为95％）： 0.47，0.95）。社会支持体系薄弱与糖尿病风险不显着相关（优势比= 1.32，95％置信区间：0.93,1.89）。未检测到效果修改。结论控制感作为糖尿病的预测指标值得更多关注。心理社会因素对糖尿病的贡献的进一步研究应评估这种关系的时间性质。

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