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Clustering of unhealthy lifestyle behaviors is associated with nonadherence to clinical preventive recommendations among adults with diabetes.
- Source :
-
Journal of diabetes and its complications [J Diabetes Complications] 2011 Mar-Apr; Vol. 25 (2), pp. 107-13. Date of Electronic Publication: 2010 Jun 15. - Publication Year :
- 2011
-
Abstract
- Aim: Analyze clustering of unhealthy lifestyle behavior and its relationship with nonadherence to clinical preventive care services among Spanish diabetic adults.<br />Methods: Cross-sectional study including 2156 diabetic adults from the 2006 Spanish National Health Survey. Subjects were asked about their uptake of BP measurement, lipid profile, influenza vaccination, and dental examination. Lifestyle behaviors included smoking status, physical activity, alcohol consumption, and dieting. Binary logistic regression models were built to assess the association between clustering of unhealthy lifestyle and the uptake of each preventive activity.<br />Results: Almost 16% and 36% of the subjects had not undergone blood pressure (BP) and blood lipids measurements, respectively. Forty percent had not been vaccinated and 72% had not received dental examination. Fourteen percent of the subjects had three to four unhealthy behaviors and this increased the probability of not having BP check-up (OR 2.32, 95% CI 1.38-3.91), blood lipids testing (OR 1.63, 95% CI 1.14-2.33), and not being vaccinated (OR 1.99, 95% CI 1.37-2.89). Number of unhealthy lifestyle behaviors is linearly associated with number of preventive measures unfulfilled.<br />Conclusions: Adherence to recommended clinical preventive services is under desirable levels among Spanish diabetes sufferers. These preventive services are provided neither equitably nor efficiently, since subjects with unhealthier lifestyles are less likely to receive them.<br /> (Copyright © 2011 Elsevier Inc. All rights reserved.)
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Cluster Analysis
Cross-Sectional Studies
Diabetes Complications epidemiology
Female
Health
Humans
Male
Middle Aged
Patient Compliance statistics & numerical data
Primary Prevention methods
Surveys and Questionnaires
Young Adult
Diabetes Complications prevention & control
Diabetes Mellitus epidemiology
Guideline Adherence statistics & numerical data
Health Behavior
Life Style
Primary Prevention statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1873-460X
- Volume :
- 25
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Journal of diabetes and its complications
- Publication Type :
- Academic Journal
- Accession number :
- 20554450
- Full Text :
- https://doi.org/10.1016/j.jdiacomp.2010.04.002