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Indicators of self‐rated health in the Canadian population with diabetes

2012; Wiley; Volume: 29; Issue: 8 Linguagem: Inglês

10.1111/j.1464-5491.2012.03571.x

1464-5491

Ghislaine Badawi, Geneviève Gariépy, Véronique Pagé, Norbert Schmitz,

Obesity and Health Practices

Diabet. Med. 29, 1021–1028 (2012) Abstract Aims Self‐rated health is a widely used measure of general health assessing risk factors and poor health outcomes in health surveys and clinical settings. The characteristics of self‐rated health may be different in populations with specific chronic conditions, such as populations with diabetes. This study investigates the characteristics of self‐rated health in a Canadian community sample of people with diabetes. Methods Self‐rated health was obtained from 1837 adults with Type 2 diabetes participating in the Montreal Diabetes Health and Well‐Being Study. Global disability and depression were assessed using the World Health Organization Disability Assessment Schedule II and the Patient Health Questionnaire, respectively. Logistic regressions studied the association between self‐rated health and depression, disability, diabetes‐related characteristics, socio‐demographic factors, social support and lifestyle‐related behaviours in both men and women. Results Participants’ answers were dichotomized into excellent/very good/ good (78%) and fair/poor (22%) self‐rated health. Both depression (men: odds ratio 1.9, 95% CI 1.4–2.6; women: odds ratio 1.5, 95% CI 1.2–1.9) and disability (men: odds ratio 1.7, 95% CI 1.4–1.9; women: odds ratio 1.7, 95% CI 1.5–1.9) were associated with fair/poor self‐rated health. The associations remained unchanged even after controlling for diabetes characteristics. After controlling for confounding variables, chronic conditions were associated with fair/poor self‐rated health in both men and women. Obesity was associated with fair/poor self‐rated health in women only, while lifestyle behaviours such as being physically active and alcohol consumption were associated with good/very good/excellent self‐rated health in men. Conclusions In men and women, depression and disability are important factors that are associated with self‐rated health in a large sample of individuals with Type 2 diabetes.