Journal of science & medicine最新文献

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Demographic, Health and Diabetes Self-management Correlates of Medical Skepticism Among Rural Older Adults. 人口统计学、健康和糖尿病自我管理与农村老年人医疗怀疑的相关性

Journal of science & medicine

Pub Date : 2016-05-01

Ronny A Bell, Thomas A Arcury, Joseph G Grzywacz, Edward H Ip, Julienne K Kirk, Ha Nguyen, Santiago Saldana, Sara A Quandt

This study examines the demographic, health, and diabetes self-management correlates of medical skepticism among an ethnically diverse sample of older (>60 years) rural adults. Participants (n=564) received a hemoglobin A1c (A1c) test and completed a survey including measures of diabetes management behaviors and the four-item medical skepticism scale. Significant associations were observed between medical skepticism and demographic and health characteristics; overall greater medical skepticism was associated with lower A1c values. In multivariate analysis, overall medical skepticism scores were inversely associated with participating in diabetes education classes and positively associated with participating in exercise sessions. Two of the four individual medical skepticism items were associated with diabetes management: diabetes class participation and exercising and eating > 5 daily servings of fruits and vegetables. This study shows that a brief medical skepticism tool may be useful in clinical and research settings in assessing the degree to which older adults with diabetes adhere to diabetes management.

本研究在不同种族的农村老年人(>60岁)样本中调查了人口统计学、健康和糖尿病自我管理与医学怀疑的相关性。参与者(n=564)接受了糖化血红蛋白(A1c)测试，并完成了一项调查，包括糖尿病管理行为的测量和四项医学怀疑量表。医学怀疑主义与人口统计学和健康特征之间存在显著关联;总体而言，更大的医学怀疑与更低的A1c值相关。在多变量分析中，总体医学怀疑得分与参加糖尿病教育课程呈负相关，与参加锻炼课程呈正相关。四个医学怀疑项目中的两个与糖尿病管理有关:糖尿病课程参与、锻炼和每天吃超过5份水果和蔬菜。这项研究表明，在临床和研究环境中，一个简短的医学怀疑工具可能对评估老年糖尿病患者坚持糖尿病管理的程度有用。

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全部化学•材料生命科学医学物理工程技术环境•农林材料科学地球科学法学管理学化学环境科学与生态学计算机科学教育学经济学农林科学人文科学生物学数学物理与天体物理心理学综合性期刊其他工业工程理学历史学农学文学信息工程

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