Resumen :
Objective This study aimed to determine the association
of health determinants, lifestyle and socioeconomic
variables on healthcare use in people with diabetes in
Europe.
Design A cross-sectional study was conducted using data
from the European Health Interview Survey wave 2 (ie,
secondary analysis).
Setting The sample included data from 25 European
countries.
Participants The sample included 16 270 patients
with diabetes aged 15 years or older (49.1% men and
50.9%women).
Results The survey data showed that 58.2% of
respondents had seen their primary care physician in the
past month and 22.6% had been admitted to the hospital
in the past year. Use of primary care was associated with
being retired (prevalence ratio (PR) 1.13, 95%CI 1.07 to
1.19) and having very poor self-perceived health (PR 1.80,
95%CI 1.51 to 2.15), long-standing health problems (PR
1.14, 95%CI 1.04 to 1.24), high blood pressure (PR 1.06,
95%CI 1.03 to 1.10) and chronic back pain (PR 1.07,
95%CI 1.04 to 1.11). Hospital admission was associated
with very poor self-perceived health (PR 3.03, 95%CI 2.14
to 4.31), accidents at home (PR 1.54, 95%CI 1.40 to 1.69),
chronic obstructive pulmonary disease (COPD) (PR 1.34,
95%CI 1.22 to 1.47), high blood pressure (PR 1.08, 95%CI
1.01 to 1.17), chronic back pain (PR 0.91, 95%CI 0.84 to
0.98), moderate difficulty walking (PR 1.33, 95%CI 1.21 to
1.45) and severe difficulty walking (PR 1.67, 95%CI 1.51
to 1.85).
Conclusions In the European diabetic population, the
high cumulative incidences of primary care visits and
hospital admissions are associated with labour status,
alcohol consumption, self-perceived health, long-standing
health problems, high blood pressure, chronic back pain,
accidents at home, COPD and difficulty walking.
|