TY - JOUR
T1 - Associations between health care factors and self-reported health status among individuals with diabetes
T2 - Results from a community assessment
AU - Dickerson, Justin B.
AU - Smith, Matthew L.
AU - Ahn, Sang Nam
AU - Ory, Marcia G.
N1 - Funding Information:
Acknowledgments We recognize support from The Center for Community Health Development which is a member of the Prevention Research Centers Program, supported by the Centers for Disease Control and Prevention cooperative agreement number 5U48 DP000045.
PY - 2011/4
Y1 - 2011/4
N2 - To identify the influence of select health care variables on self-reported physical and mental health status of individuals with diabetes. Data from the 2006 Brazos Valley Health Status Assessment (BVHSA) were analyzed. Aspects of health care were defined through exploratory factor analysis. Structural equation modeling was used to create relationships between health care aspects, personal characteristics of the participants, and self-reported physical and mental health status of individuals with diabetes. The significant predictors of self-reported physical health status were the number of co-morbid chronic diseases (β = 0.27, P =.002), and medical system access (β = -0.20, P =.035). The significant predictor of self-reported mental health status was the number of co-morbid chronic diseases (β = 0.35, P <.001). Self-reported physical (β = 0. 27, P =.028) and mental (β = 0.29, P =.020) health status were both predictive of physician communication of mental health issues. Communication about mental health issues strongly relates to both self-reported physical and mental health status and should be an important part of physicians' care for individuals with diabetes. Further, the nuances of medical system access for diabetes care should be further examined.
AB - To identify the influence of select health care variables on self-reported physical and mental health status of individuals with diabetes. Data from the 2006 Brazos Valley Health Status Assessment (BVHSA) were analyzed. Aspects of health care were defined through exploratory factor analysis. Structural equation modeling was used to create relationships between health care aspects, personal characteristics of the participants, and self-reported physical and mental health status of individuals with diabetes. The significant predictors of self-reported physical health status were the number of co-morbid chronic diseases (β = 0.27, P =.002), and medical system access (β = -0.20, P =.035). The significant predictor of self-reported mental health status was the number of co-morbid chronic diseases (β = 0.35, P <.001). Self-reported physical (β = 0. 27, P =.028) and mental (β = 0.29, P =.020) health status were both predictive of physician communication of mental health issues. Communication about mental health issues strongly relates to both self-reported physical and mental health status and should be an important part of physicians' care for individuals with diabetes. Further, the nuances of medical system access for diabetes care should be further examined.
KW - Diabetes
KW - Mental health
KW - Patient-physician interaction
KW - Self-reported health status
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U2 - 10.1007/s10900-010-9314-x
DO - 10.1007/s10900-010-9314-x
M3 - Article
C2 - 20865306
AN - SCOPUS:79956137385
SN - 0094-5145
VL - 36
SP - 332
EP - 341
JO - Journal of Community Health
JF - Journal of Community Health
IS - 2
ER -