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Eun Ji Kim 1 Article
Factors affecting screening for diabetic complications in the community: a multilevel analysis
Jin A Han, Soo Jeong Kim, Gawon Kim, Eun Ji Kim, Soon Young Lee
Epidemiol Health. 2016;38:e2016017.   Published online May 3, 2016
DOI: https://doi.org/10.4178/epih.e2016017
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AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
OBJECTIVES
The objective of the present study was to identify the factors that affect screening for diabetic complications by sex in the community.
METHODS
This study used individual-level data from the 2013 Community Health Survey (CHS) for 20,806 (male, 9,958; female, 10,848) adults aged 30 years or older who were diagnosed with diabetes. Community-level data for 253 communities were derived from either CHS or national statistics. A chi-square test and multilevel logistic regression analysis was performed.
RESULTS
There were significant differences in the rate of screening for diabetic complications according to individual-level and community-level variables. In the multilevel analysis, the community-level variance ratio of the null model was 7.4% and 9.2% for males and females, respectively. With regard to community-level variables, males were affected by the city type, number of physicians, and their living environment, while females were affected by number of physicians, natural and living environments, and public transportation.
CONCLUSIONS
The factors that influenced individual willingness to undergo screening for diabetic complications differed slightly by sex; however, both males and females were more likely to undergo screening when they recognized their health status as poor or when they actively sought to manage their health conditions. Moreover, in terms of community-level variables, both males and females were affected by the number of physicians. It is essential to provide sufficient and ongoing opportunities for education on diabetes and its management through collaboration with local communities and primary care medical centers.
Summary
Korean summary
본 연구는 지역사회의 당뇨병 환자들의 성별에 따른 합병증검사 수진율을 파악하고 개인의 특성과 지역사회의 특성이 합병증 검사 수진여부에 어떻게 영향을 미치는지 다수준 분석을 통해 살펴보고자 하였다. 당뇨병 치료자 중 약 1/3만이 합병증검사를 받았다. 성별에 따라 개인의 당뇨병 합병증 검사 수진행위에 영향을 미치는 요인이 다르긴 하지만 남성과 여성 모두 본인의 건강상태가 좋지 않다고 인지하거나 질병관리에 적극적인 행동을 취하는 경우, 그리고 지역변수로는 내과전문의 수에 영향을 받았다. 이는 지역사회와 1차 의료기관의 협업을 통해 당뇨병과 당뇨병 관리에 대한 충분하고 지속적인 학습기회의 제공이 중요하다고 할 수 있다.
Key Message

Citations

Citations to this article as recorded by  
  • Factors Influencing the Utilization of Diabetes Complication Tests Under the COVID-19 Pandemic: Machine Learning Approach
    Haewon Byeon
    Frontiers in Endocrinology.2022;[Epub]     CrossRef
  • Effects of Diabetes Quality Assessment on Diabetes Management Behaviors Based on a Nationwide Survey
    Chang Kyun Choi, Jungho Yang, Ji-An Jeong, Min-Ho Shin
    International Journal of Environmental Research and Public Health.2022; 19(23): 15781.     CrossRef

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