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http://dx.doi.org/10.4332/KJHPA.2019.29.4.431

Factors Associated with Self-Rated Health among Poor Glycemic Control Group with Diabetes Mellitus: The 4th-6th Korea National Health and Nutrition Examination Survey (2007-2015)  

Lee, Suyoung (Health Insurance Review and Assessment Service)
Kim, Heejin (Institute for Health Promotion Yonsei University Graduate School of Public Health)
Kim, Kyuri (Department of Preventive Medicine, Yonsei University College of Medicine)
Lee, YongJae (Department of Health Policy and Management, Yonsei University Graduate School of Public Health)
Chung, Woojin (Department of Health Policy and Management, Yonsei University Graduate School of Public Health)
Publication Information
Health Policy and Management / v.29, no.4, 2019 , pp. 431-444 More about this Journal
Abstract
Background: This study aimed to properly manage diseases such as blood sugar control so that patients with diabetes can benefit from both medication and health activities. Also, these health practices are greatly influenced by self-rated health, a subjective assessment of health status. Because self-rated health does not necessarily match the objective health status, it is important to identify which factors affect self-rated health. Methods: For the study, the data was gathered from the 4th-6th National Health Nutrition Survey (2007-2015). Out of the total 73,353 participants in the survey, 2,303 patients with uncontrolled blood sugar with an HbA1c level of more than 7% were selected for the final study. Dependent variables fell into two categories depending on how the participant reported whether he or she was in good health or not. Independent variables included socio-demographics, health behavioral, and health status factors. This study performed logistic regression analysis. Results: Out of 2,303 participants, 18.1% reported that their heath was 'good,' despite the fact that their blood sugar level was not controlled. After running a logistic regression model, the odds ratio of groups that perceive subjective health awareness as good was higher in the groups of people as below: in the people over 60 years old; in the people who graduated from a junior college or higher than those who had a level of education of primary school completion or less; in the people living in Chungnam than those living in Seoul; and in the group with hypertriglyceridemia. Conclusion: The study identified factors associated with those failed to perceive the blood sugar level as a severe health problem despite of the fact that blood sugar was not controlled. To improve public health, diabetes management policies need to be addressed to population groups with these problems above.
Keywords
Diabetes; self rated health; perceived health status; korean National Health and Nutrition Examination Survey;
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Times Cited By KSCI : 3  (Citation Analysis)
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1 Pyo EY. An analysis of gender-specific lifestyle factors associated with awareness, treatment and glycemic control among Korean adults with diabetes [dissertation]. Seoul: Hanyang University; 2013.
2 Park J, Lim S, Yim E, Kim Y, Chung W. Factors associated with poor glycemic control among patients with type 2 diabetes mellitus: the fifth Korea National Health and Nutrition Examination Survey (2010-2012). Health Policy Manag 2016;26(2):125-134. DOI:https://doi.org/10.4332/KJHPA.2016.26.2.125.   DOI
3 Ha YM, The effect of sleep quality and quantity on type II diabetes mellitus [master's thesis]. Seoul: Chung-Ang University; 2015.
4 Choi SH. Health behavior with disparity patterns self-perceived health status and body mass index result. Suwon: Department of Physical Education Graduate School, Kyonggi University; 2005.
5 Lee ES. Associated factors in the control of fasting blood sugar and HbA1C of diabetes mellitus patients: data from the 2005 Korea National Health and Nutritional Examination Survey [master's thesis]. Seoul: Korea University; 2010.
6 Wennberg P, Rolandsson O, Jerden L, Boeing H, Sluik D, Kaaks R, et al. Self-rated health and mortality in individuals with diabetes mellitus: prospective cohort study. BMJ Open 2012;2(1):e000760. DOI:https://doi.org/10.1136/bmjopen-2011-000760.   DOI
7 Choi YH. Is subjective health reliable as a proxy variable for true health?: a comparison of self-rated health and self-assessed change in health among middle-aged and older South Koreans. Health Soc Welf Rev 2016;36(4):431-459. DOI: https://doi.org/10.15709/hswr.2016.36.4.431.   DOI
8 Kim YR. Health promotion and health education. Seoul: Jungdam; 1998.
9 Lee HW, Song M, Yang JJ, Kang D. Determinants of poor self-rated health in Korean adults with diabetes. J Prev Med Public Health 2015;48(6):287-300. DOI: https://doi.org/10.3961/jpmph.15.048.   DOI
10 Badawi G, Gariepy G, Page V, Schmitz N. Indicators of self-rated health in the Canadian population with diabetes. Diabet Med 2012;29(8):1021-1028. DOI: https://doi.org/10.1111/j.1464-5491.2012.03571.x.   DOI
11 Nam SI, Choi KH, Yi HJ. Self-perceived health status, depression, and suicidal behavior among people with diabetes. Korean J Soc Welf Stud 2014;45(1):231-254. DOI: https://doi.org/10.16999/kasws.2014.45.1.231.   DOI
12 Park JY. A study on self management, hemoglobin A1c (HbA1c), and perceived health status for the type II diabetes patients. J Korean Biol Nurs Sci 2010;12(2):106-113.
13 Pompili M, Lester D, Innamorati M, De Pisa E, Amore M, Ferrara C, et al. Quality of life and suicide risk in patients with diabetes mellitus. Psychosomatics 2009;50(1):16-23. DOI: https://doi.org/10.1176/appi.psy.50.1.16.   DOI
14 American Diabetes Association. Standards of medical care in diabetes: 2014. Diabetes Care 2014;37 Suppl 1:S14-S80. DOI:https://doi.org/10.2337/dc14-S014.   DOI
15 Organization for Economic Cooperation and Development. Health at a glace 2017: OECD indicators. Paris: OECD Publishing; 2017. DOI: https://doi.org/10.1787/health_glance-2017-en.
16 Korean Diabetes Association. Diabetes fact sheet in Korea. Seoul: Korean Diabetes Association; 2018.
17 Park KG, Goo HS, Park SH, Kang SK. A study on the relationship among the subjective health status, the degree of interest in health status, the personal health management, and the life satisfaction outcomes of the elderly. Commun Disord 2003;26(1):141-162.
18 Asfar T, Ahmad B, Rastam S, Mulloli TP, Ward KD, Maziak W. Self-rated health and its determinants among adults in Syria: a model from the Middle East. BMC Public Health 2007;7:177. DOI:https://doi.org/10.1186/1471-2458-7-177.   DOI
19 Blakely TA, Lochner K, Kawachi I. Metropolitan area income inequality and self-rated health: a multi-level study. Soc Sci Med 2002;54(1):65-77. DOI: https://doi.org/10.1016/s0277-9536(01)00007-7.   DOI
20 Kim KS. The factors affecting self-rated health status in the aged with diabetes. J Korean Data Anal Soc 2012;14(6):3075-3086.
21 Jo KL, Park SY, Park SJ, Poo WJ, Yang JI, Lee IH, et al. Factors having influence on the difference between the self-perception of health status and objective disease. Korean J Public Health 2005;42(2):131-138.
22 Groot W. Adaptation and scale of reference bias in self-assessments of quality of life. J Health Econ 2000;19(3):403-420. DOI:https://doi.org/10.1016/s0167-6296(99)00037-5.   DOI
23 Moon SS, Lee SB. A study of health behavior through comparative analysis of self-perceived health status and health examination results. Korean J Health Educ Promot 2001;18(3):11-36.
24 Lee SE. Economic activity participation as a moderator of the relationship between perceived health status and life satisfaction among elderly with chronic illness. Ment Health Soc Work 2012;40:234-262.
25 Jung ES. Association between physical activity and self-reported health in Korean older adults [master's thesis]. Suwon: Ajoo University; 2012.
26 Luoh MC, Herzog AR. Individual consequences of volunteer and paid work in old age: health and mortality. J Health Soc Behav 2002;43(4):490-509. DOI: https://doi.org/10.2307/3090239.   DOI
27 Otiniano ME, Du XL, Ottenbacher K, Markides KS. The effect of diabetes combined with stroke on disability, self-rated health, and mortality in older Mexican Americans: results from the Hispanic EPESE. Arch Phys Med Rehabil 2003;84(5):725-730. DOI:https://doi.org/10.1016/s0003-9993(02)04941-9.   DOI
28 Kim JH, Kim KR, Cho KH, Yoo KB, Kwon JA, Park EC. The association between sleep duration and self-rated health in the Korean general population. J Clin Sleep Med 2013;9(10):1057-1064. DOI:https://doi.org/10.5664/jcsm.3082.   DOI
29 Ji EJ. Factors associated with hemoglobin A1c among patient aged 40 years over with diabetes mellitus: 2012 Korea Health and Nutrition Examination Survey. J Korean Acad Fundam Nurs 2015;22(4):433-441. DOI: https://doi.org/10.7739/jkafn. 2015.22.4.433.   DOI
30 Groot W. Scale of reference bias and the evolution of health. Eur J Health Econ 2003;4(3):176-183. DOI: https://doi.org/10.1007/s10198-003-0196-z.   DOI
31 Powdthavee N. Ill-health as a household norm: evidence from other people's health problems. Soc Sci Med 2009;68(2):251-259. DOI:https://doi.org/10.1016/j.socscimed.2008.11.015.   DOI
32 Min HY, Lee IH, Lee MJ, Kim YJ, Kim SY, Shin YT. Model construction for Korean primary care activation: practice strategy for continuous health management of medical consumer. Seoul: Research Institute for Healthcare Policy, Korean Medical Association; 2009.
33 The Province of Chungcheongnam-do. Social indicators of Chungnam 2018. Hongseong: The Province of Chungcheongnamdo; 2018.
34 Lee SJ, Park ES, Park YJ. Determinants of health promoting behavior of middle aged women in Korea. J Nurs Acad Soc 1996;26(2):320-336. DOI: https://doi.org/10.4040/jnas.1996.26.2.320.   DOI
35 Hong HS. The influence of the adult's health behaviors and mental health factors on self-rated health: using the 2014 Korean National Health and Nutrition Examination Survey data [master's thesis]. Gongju: Kongju University; 2017.
36 Lee HY. The relationship between socioeconomic status and self-rated health and chronic obstructive pulmonary disease [dissertation]. Seoul: Yonsei University; 2005.
37 Lee SG. Social contextual effects on regional mortality and self-rated health status [dissertation]. Seoul: Yonsei University; 2002.
38 Subramania SV, Kawachi I, Kennedy BP. Does the state you live in make a difference?: multilevel analysis of self-rated health in the US. Soc Sci Med 2001;53(1):9-19. DOI: https://doi.org/10.1016/s0277-9536(00)00309-9.   DOI