Álvaro Fuentes-Merlos, José Antonio Quesada-Rico, Raul Reina, Domingo Orozco-Beltrán
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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).</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":44590,"journal":{"name":"Family Medicine and Community Health","volume":"10 4","pages":""},"PeriodicalIF":2.6000,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f5/49/fmch-2022-001700.PMC9660559.pdf","citationCount":"0","resultStr":"{\"title\":\"Healthcare use among people with diabetes mellitus in Europe: a population-based cross-sectional study.\",\"authors\":\"Álvaro Fuentes-Merlos, José Antonio Quesada-Rico, Raul Reina, Domingo Orozco-Beltrán\",\"doi\":\"10.1136/fmch-2022-001700\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>This study aimed to determine the association of health determinants, lifestyle and socioeconomic variables on healthcare use in people with diabetes in Europe.</p><p><strong>Design: </strong>A cross-sectional study was conducted using data from the European Health Interview Survey wave 2 (ie, secondary analysis).</p><p><strong>Setting: </strong>The sample included data from 25 European countries.</p><p><strong>Participants: </strong>The sample included 16 270 patients with diabetes aged 15 years or older (49.1% men and 50.9% women).</p><p><strong>Results: </strong>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).</p><p><strong>Conclusions: </strong>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.</p>\",\"PeriodicalId\":44590,\"journal\":{\"name\":\"Family Medicine and Community Health\",\"volume\":\"10 4\",\"pages\":\"\"},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2022-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f5/49/fmch-2022-001700.PMC9660559.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Family Medicine and Community Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1136/fmch-2022-001700\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PRIMARY HEALTH CARE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Family Medicine and Community Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1136/fmch-2022-001700","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PRIMARY HEALTH CARE","Score":null,"Total":0}
引用次数: 0
摘要
目的:本研究旨在确定欧洲糖尿病患者健康决定因素、生活方式和社会经济变量与医疗保健使用的关系。设计:采用来自欧洲健康访谈调查第二波(即二次分析)的数据进行横断面研究。环境:样本包括来自25个欧洲国家的数据。参与者:样本包括16 270例15岁及以上的糖尿病患者(男性49.1%，女性50.9%)。结果:调查数据显示，58.2%的受访患者在过去一个月内曾就诊，22.6%的受访患者在过去一年内曾住院。使用初级保健与退休(患病率比(PR) 1.13, 95% CI 1.07至1.19)、自我感觉健康状况非常差(PR 1.80, 95% CI 1.51至2.15)、长期健康问题(PR 1.14, 95% CI 1.04至1.24)、高血压(PR 1.06, 95% CI 1.03至1.10)和慢性背痛(PR 1.07, 95% CI 1.04至1.11)相关。入院与非常差的自我感觉健康(PR 3.03, 95% CI 2.14至4.31)、家中事故(PR 1.54, 95% CI 1.40至1.69)、慢性阻塞性肺疾病(COPD) (PR 1.34, 95% CI 1.22至1.47)、高血压(PR 1.08, 95% CI 1.01至1.17)、慢性背痛(PR 0.91, 95% CI 0.84至0.98)、中度行走困难(PR 1.33, 95% CI 1.21至1.45)和严重行走困难(PR 1.67, 95% CI 1.51至1.85)相关。结论:在欧洲糖尿病人群中，初级保健就诊和住院的高累积发生率与劳动状态、饮酒、自我认知健康、长期健康问题、高血压、慢性背痛、家庭事故、COPD和行走困难有关。
Healthcare use among people with diabetes mellitus in Europe: a population-based cross-sectional study.
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.
期刊介绍：
Family Medicine and Community Health (FMCH) is a peer-reviewed, open-access journal focusing on the topics of family medicine, general practice and community health. FMCH strives to be a leading international journal that promotes ‘Health Care for All’ through disseminating novel knowledge and best practices in primary care, family medicine, and community health. FMCH publishes original research, review, methodology, commentary, reflection, and case-study from the lens of population health. FMCH’s Asian Focus section features reports of family medicine development in the Asia-pacific region. FMCH aims to be an exemplary forum for the timely communication of medical knowledge and skills with the goal of promoting improved health care through the practice of family and community-based medicine globally. FMCH aims to serve a diverse audience including researchers, educators, policymakers and leaders of family medicine and community health. We also aim to provide content relevant for researchers working on population health, epidemiology, public policy, disease control and management, preventative medicine and disease burden. FMCH does not impose any article processing charges (APC) or submission charges.
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