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Associations between knowledge, illness perceptions, self-management and metabolic control of type 2 diabetes among African and European-origin patients

机译:非洲和欧洲裔患者的2型糖尿病的知识,疾病知觉,自我管理和代谢控制之间的关联

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Associations between knowledge, illness perceptions, self-management and metabolic control of type 2 diabetes among African and European-origin patients Aims. Using Leventhal's Common-sense self-regulation model, this study investigated associations between illness perceptions, self-management and metabolic-control outcomes for diabetes among European and African-origin patients with type 2 diabetes. Background. Compared to the general populations of their host countries, African-origin populations in the diaspora are disproportionately affected by diabetes and its microvascular complications. However, comparatively little is known about how African-origin patients with type 2 diabetes perceive about their condition and whether such perceptions influence their self-management behaviours. Design. Cross-sectional design. Methods. Participants were recruited from diabetes clinics in London. Illness perceptions and adherence to self-management recommendations were assessed using questionnaires and data for metabolic-control outcomes were obtained from patient records. Associations between variables were investigated using correlations and multiple-regression techniques. Data collection for the study was conducted between February and June 2008. Results. In all, 359 patients participated in the study. The results indicated that perceiving diabetes with severe consequences was associated with poor self-management in both African-origin (black-African and black-Caribbean) and European-origin (white-British) patients with type 2 diabetes. However, personal control perceptions were associated with better self-management in African-origin patients. In multivariate analysis, illness perceptions explained significant proportions of the variations in self-management behaviours in both European-origin and African-origin patients. Perceived personal control over diabetes was a main determinant of the variations in self-management among European and African-origin patients. Othe...
机译:非洲和欧洲裔患者的2型糖尿病的知识,疾病感知,自我管理和代谢控制之间的关联。使用Leventhal的常识自我调节模型,该研究调查了欧洲和非洲裔2型糖尿病患者的疾病知觉,自我管理和代谢控制结局之间的关联。背景。与东道国的总人口相比,散居在非洲的非洲裔人口受糖尿病及其微血管并发症的影响更大。但是,对于非洲裔2型糖尿病患者如何看待自己的病情以及这种看法是否会影响他们的自我管理行为知之甚少。设计。横断面设计。方法。参与者是从伦敦的糖尿病诊所招募的。使用问卷评估疾病知觉和对自我管理建议的依从性,并从患者记录中获得代谢控制结果的数据。变量之间的关联使用相关性和多元回归技术进行了研究。该研究的数据收集于2008年2月至6月进行。结果。共有359名患者参加了该研究。结果表明,在非洲裔(黑非和黑加勒比)和欧洲裔(白英)患有2型糖尿病的患者中,对糖尿病具有严重后果的自我管理能力差。但是,个人控制感与非洲裔患者更好的自我管理有关。在多变量分析中,疾病知觉解释了欧洲裔和非洲裔患者自我管理行为差异的很大比例。在欧洲和非洲患者中,个人对糖尿病的知觉控制是自我管理差异的主要决定因素。哦...

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