Health care access and health-related quality of life among people with diabetes in the Southern Cone of Latin America-a cross-sectional analysis of data of the CESCAS I study.

Tytuł:: Health care access and health-related quality of life among people with diabetes in the Southern Cone of Latin America-a cross-sectional analysis of data of the CESCAS I study.
Autorzy:: Kartschmit N; Institute of Medical Epidemiology, Biometrics and Informatics, Martin-Luther-University Halle-Wittenberg, Magdeburger Straße 8, 06112, Halle (Saale), Germany. .
Beratarrechea A; Instituto de Efectividad Clinica y Sanitaria, Dr. Emilio Ravignani 2024, C1414CPV, Buenos Aires, Argentina.
Gutiérrez L; Instituto de Efectividad Clinica y Sanitaria, Dr. Emilio Ravignani 2024, C1414CPV, Buenos Aires, Argentina.
Cavallo AS; Instituto de Efectividad Clinica y Sanitaria, Dr. Emilio Ravignani 2024, C1414CPV, Buenos Aires, Argentina.
Rubinstein AL; Instituto de Efectividad Clinica y Sanitaria, Dr. Emilio Ravignani 2024, C1414CPV, Buenos Aires, Argentina.
Irazola V; Instituto de Efectividad Clinica y Sanitaria, Dr. Emilio Ravignani 2024, C1414CPV, Buenos Aires, Argentina.
Źródło:: Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation [Qual Life Res] 2021 Apr; Vol. 30 (4), pp. 1005-1015. Date of Electronic Publication: 2020 Nov 28.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Publication: 2005- : Netherlands : Springer Netherlands
Original Publication: Oxford, UK : Rapid Communications of Oxford, Ltd, c1992-
MeSH Terms:: Diabetes Mellitus/*epidemiology
Health Services Accessibility/*standards
Quality of Life/*psychology
Cross-Sectional Studies ; Female ; Humans ; Latin America ; Male ; Middle Aged ; Surveys and Questionnaires
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Grant Information:: HHSN268200900029C United States HL NHLBI NIH HHS; HHSN268200900029C United States HL NHLBI NIH HHS
Contributed Indexing:: Keywords: Diabetes; Health care access; Health-related quality of life; South America
Entry Date(s):: Date Created: 20201128 Date Completed: 20210419 Latest Revision: 20210419
Update Code:: 20240105
DOI:: 10.1007/s11136-020-02704-1
PMID:: 33247809
: Czasopismo naukowe

Pełny tekst

Purpose: Little is known on the association of health care access and health-related quality of life (HRQoL) in people with diabetes in the Southern Cone of Latin America (SCLA).
Methods: We analyzed data of 1025 participants of CESCAS I. To determine HRQoL, we used the SF-12 physical (PCS-12) and mental component summary (MCS-12). We compared four groups regarding HRQoL: (a) insured people without self-reported barriers to health care, (b) uninsured people without self-reported barriers to health care, (c) insured people with self-reported barriers to health care, and (d) uninsured people with self-reported barriers to health care. We conducted linear regressions with PCS-12 and MCS-12 as outcome. We adjusted for sociodemographic and disease-related factors and having access to a primary physician.
Results: In the first group, there were 407, in the second 471, in the third 44, and in the fourth group 103 participants. Compared to the first group, PCS-12 was 1.9 points lower (95% Confidence Interval, CI: - 3.5, - 0.3) in the second, 4.5 points (95% CI: - 8.1, - 1) lower in the third, and 6.1 points lower (95% CI: - 8.7, - 3.6) in the fourth group. Compared to the first group, MCS-12 was 0.6 points lower (95% CI: - 2.7, 1.4) in the second, 4.8 points lower (95% CI: - 9.3, - 0.3) in the third, and 5.8 points lower (95% CI: - 9.1, - 2.5) in the fourth group.
Conclusion: In the SCLA, impeded access to care is common in people with diabetes. Self-reported barriers to care may be more important than insurance status in determining HRQoL.

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