Exploring Health-Related Quality of Life and Correlates Among Patients with Type 2 Diabetes Mellitus Attending Primary Health Centers in Aljouf Province, Saudi Arabia: A Multi-Site Cross-Sectional Study.

IF 2 4区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Risk Management and Healthcare Policy Pub Date : 2025-06-18 eCollection Date: 2025-01-01 DOI:10.2147/RMHP.S514414

Aseel Awad Alsaidan, Abdulmajeed Ali Alshehri, Ashokkumar Thirunavukkarasu, Omar Awad Alsaidan, Hassan H Alhassan, Muaid Hashem Morad, Abdullah Alshehari, Alaa Alibrahim

{"title":"Exploring Health-Related Quality of Life and Correlates Among Patients with Type 2 Diabetes Mellitus Attending Primary Health Centers in Aljouf Province, Saudi Arabia: A Multi-Site Cross-Sectional Study.","authors":"Aseel Awad Alsaidan, Abdulmajeed Ali Alshehri, Ashokkumar Thirunavukkarasu, Omar Awad Alsaidan, Hassan H Alhassan, Muaid Hashem Morad, Abdullah Alshehari, Alaa Alibrahim","doi":"10.2147/RMHP.S514414","DOIUrl":null,"url":null,"abstract":"Purpose: Type 2 diabetes mellitus (T2DM) impacts various elements of health-related quality of life (HRQoL). However, research on the HRQoL of T2DM patients in primary healthcare settings in Saudi Arabia is limited. Therefore, we aimed to determine the HRQoL and associated factors among patients with T2DM to plan policy-driven interventions and improve patient outcomes.Participants and methods: We surveyed 390 patients with T2DM attending primary health centers (PHCs) in the Aljouf province of Saudi Arabia. We included Saudi adults (≥18 years) diagnosed at least six months before the study and completed at least one follow-up visit at the PHC. In the present cross-sectional study, we used the validated 20-item short-form health survey (SF-20)-Arabic tool to assess different HRQoL domains. We performed Mann-Whitney U and Kruskal-Wallis tests for dichotomous and categorical variables, respectively, in each domain. Finally, a binomial logistic regression analysis was performed to determine the predictors of overall HRQoL.Results: The role functioning domain had the highest mean score (75.7±19.7), and the lowest scores were in the social functioning (47.9±20.2) and pain domains (48.9±21.4). Some characteristics, such as marital status, treatment type, and follow-up adherence, were significantly associated with most domains. HRQoL was significantly higher in male patients (p=0.002, adjusted odds ratio [AOR]=2.66) and those on oral hypoglycemic agents (OHAs; p=0.002, AOR=5.18). Obese patients had a significantly lower HRQoL (p=0.036, AOR=0.058). These factors remained significant after adjusting for age, sex, body mass index, treatment type, and comorbidities in the multivariate analysis.Conclusion: We recommend policy changes that incorporate interventions tailored to improve HRQoL, especially in social functioning and pain domains. Moreover, integrating comprehensive pain management strategies and enhancing patient follow-up within PHCs may improve quality of life, especially for high-risk patients with T2DM.","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"2007-2020"},"PeriodicalIF":2.0000,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12182739/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Risk Management and Healthcare Policy","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2147/RMHP.S514414","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose: Type 2 diabetes mellitus (T2DM) impacts various elements of health-related quality of life (HRQoL). However, research on the HRQoL of T2DM patients in primary healthcare settings in Saudi Arabia is limited. Therefore, we aimed to determine the HRQoL and associated factors among patients with T2DM to plan policy-driven interventions and improve patient outcomes.

Participants and methods: We surveyed 390 patients with T2DM attending primary health centers (PHCs) in the Aljouf province of Saudi Arabia. We included Saudi adults (≥18 years) diagnosed at least six months before the study and completed at least one follow-up visit at the PHC. In the present cross-sectional study, we used the validated 20-item short-form health survey (SF-20)-Arabic tool to assess different HRQoL domains. We performed Mann-Whitney U and Kruskal-Wallis tests for dichotomous and categorical variables, respectively, in each domain. Finally, a binomial logistic regression analysis was performed to determine the predictors of overall HRQoL.

Results: The role functioning domain had the highest mean score (75.7±19.7), and the lowest scores were in the social functioning (47.9±20.2) and pain domains (48.9±21.4). Some characteristics, such as marital status, treatment type, and follow-up adherence, were significantly associated with most domains. HRQoL was significantly higher in male patients (p=0.002, adjusted odds ratio [AOR]=2.66) and those on oral hypoglycemic agents (OHAs; p=0.002, AOR=5.18). Obese patients had a significantly lower HRQoL (p=0.036, AOR=0.058). These factors remained significant after adjusting for age, sex, body mass index, treatment type, and comorbidities in the multivariate analysis.

Conclusion: We recommend policy changes that incorporate interventions tailored to improve HRQoL, especially in social functioning and pain domains. Moreover, integrating comprehensive pain management strategies and enhancing patient follow-up within PHCs may improve quality of life, especially for high-risk patients with T2DM.

查看原文本刊更多论文

在沙特阿拉伯Aljouf省初级卫生中心就诊的2型糖尿病患者的健康相关生活质量及其相关因素：一项多地点横断面研究

目的：2型糖尿病（T2DM）影响健康相关生活质量（HRQoL）的各个要素。然而，沙特阿拉伯初级卫生保健机构对T2DM患者HRQoL的研究有限。因此，我们旨在确定T2DM患者的HRQoL和相关因素，以制定政策驱动的干预措施并改善患者预后。参与者和方法：我们调查了沙特阿拉伯Aljouf省初级卫生中心（PHCs）的390名2型糖尿病患者。我们纳入了沙特成年人（≥18岁），在研究前至少6个月确诊，并在PHC完成了至少一次随访。在本横断面研究中，我们使用经过验证的20项简短健康调查(SF-20)-阿拉伯语工具来评估不同的HRQoL域。我们在每个领域分别对二分类变量和分类变量进行了Mann-Whitney U和Kruskal-Wallis检验。最后，进行二项逻辑回归分析以确定总体HRQoL的预测因子。结果：角色功能域得分最高（75.7±19.7）分，社会功能域得分最低（47.9±20.2）分，疼痛域得分最低（48.9±21.4）分。一些特征，如婚姻状况、治疗类型和随访依从性，与大多数领域显著相关。男性患者的HRQoL （p=0.002，校正优势比[AOR]=2.66）和口服降糖药(OHAs；AOR = 5.18, p = 0.002)。肥胖患者HRQoL较低（p=0.036， AOR=0.058）。在多变量分析中调整了年龄、性别、体重指数、治疗类型和合并症后，这些因素仍然显著。结论：我们建议改变政策，纳入量身定制的干预措施，以改善HRQoL，特别是在社会功能和疼痛领域。此外，整合综合疼痛管理策略和加强PHCs患者随访可能改善生活质量，特别是对高危T2DM患者。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Risk Management and Healthcare Policy Medicine-Public Health, Environmental and Occupational Health

CiteScore

6.20

自引率

2.90%

发文量

242

审稿时长

16 weeks

期刊介绍： Risk Management and Healthcare Policy is an international, peer-reviewed, open access journal focusing on all aspects of public health, policy and preventative measures to promote good health and improve morbidity and mortality in the population. Specific topics covered in the journal include: Public and community health Policy and law Preventative and predictive healthcare Risk and hazard management Epidemiology, detection and screening Lifestyle and diet modification Vaccination and disease transmission/modification programs Health and safety and occupational health Healthcare services provision Health literacy and education Advertising and promotion of health issues Health economic evaluations and resource management Risk Management and Healthcare Policy focuses on human interventional and observational research. The journal welcomes submitted papers covering original research, clinical and epidemiological studies, reviews and evaluations, guidelines, expert opinion and commentary, and extended reports. Case reports will only be considered if they make a valuable and original contribution to the literature. The journal does not accept study protocols, animal-based or cell line-based studies.