A retrospective cohort study on the risk of stroke in relation to a priori health knowledge level among people with type 2 diabetes mellitus in Taiwan.
Background: Intervention of diabetes care education with regular laboratory check-up in outpatient visits showed long-term benefits to reduce the risk of macrovascular complications among people with type 2 diabetes. However, research on the level of a priori health knowledge to the prevention of di...
| Publicado en: | BMC Cardiovascular Disorders Vol. 17; pp. 1 - 9 |
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| Autores principales: | , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
BioMed Central
5/22/2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=123197508&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 123197508 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14712261 1CHA jtl: BMC Cardiovascular Disorders issn: 14712261 maglogo: N pubinfo: dt: 5/22/2017 vid: 17 pid: 24147 pub: BioMed Central artinfo: ui: 123197508 123197508 NLM28532430 123197508 10.1186/s12872-017-0568-4 NLM28532430 123197508 ppf: 1 ppct: 8 formats: tig: atl: A retrospective cohort study on the risk of stroke in relation to a priori health knowledge level among people with type 2 diabetes mellitus in Taiwan. aug: au: Yun-Ju Lai Hsiao-Yun Hu Ya-Ling Lee Po-Wen Ku Yung-Feng Yen Dachen Chu Lai, Yun-Ju Hu, Hsiao-Yun Lee, Ya-Ling Ku, Po-Wen Yen, Yung-Feng Chu, Dachen affil: School of Medicine, National Yang-Ming University, Taipei, Taiwan sug: subj: Diabetes Mellitus, Type 2 Psychosocial Factors Stroke Prevention and Control Attitude to Health Stroke Psychosocial Factors Diabetes Mellitus, Type 2 Therapy Adult Retrospective Design Aged Male Stroke Epidemiology Risk Assessment Diabetes Mellitus, Type 2 Diagnosis Cox Proportional Hazards Model Time Factors Adolescence Stroke Diagnosis Female Multivariate Analysis Surveys Patient Education Diabetes Mellitus, Type 2 Epidemiology Kaplan-Meier Estimator Young Adult Taiwan Interviews Middle Age Risk Factors Incidence Interview Guides Questionnaires Human Adult: 19-44 years Aged: 65+ years Adolescent: 13-18 years Middle Aged: 45-64 years Male Female ab: Background: Intervention of diabetes care education with regular laboratory check-up in outpatient visits showed long-term benefits to reduce the risk of macrovascular complications among people with type 2 diabetes. However, research on the level of a priori health knowledge to the prevention of diabetic complications in community settings has been scarce. We therefore aimed to investigate the association of health knowledge and stroke incidence in patients with type 2 diabetes in Taiwan.Methods: A nationally representative sample of general Taiwanese population was selected using a multistage systematic sampling process from Taiwan National Health Interview Survey (NHIS) in 2005. Subjects were interviewed by a standardized face-to-face questionnaire in the survey, obtaining information of demographics, socioeconomic status, family medical history, obesity, health behaviors, and 15-item health knowledge assessment. The NHIS dataset was linked to Taiwan National Health Insurance claims data to retrieve the diagnosis of type 2 diabetes in NHIS participants at baseline and identify follow-up incidence of stroke from 2005 to 2013. Univariate and multivariate Cox regressions were used to estimate the effect of baseline health knowledge level to the risk of stroke incidence among this group of people with type 2 diabetes.Results: A total of 597 diabetic patients with a mean age of 51.28 years old and nearly half of males were analyzed. During the 9-year follow-up period, 65 new stroke cases were identified among them. Kaplan-Meier curves comparing the three groups of low/moderate/high knowledge levels revealed a statistical significance (p-value of log-rank test <0.01). After controlling for potential confounders, comparing to the group of low health knowledge level, the relative risk of stroke was significantly lower for those with moderate (adjusted hazard ratio [AHR] = 0.63; 95% CI, 0.33-1.19; p-value = 0.15) and high level of health knowledge (AHR = 0.43; 95% CI, 0.22-0.86; p-value = 0.02), with a significant linear trend (p-value = 0.02).Conclusions: An exposure-response gradient of moderate to high health knowledge levels to the prevention of stroke incidence among people with type 2 diabetes in community was found with 9 years of follow-up in Taiwan. Development and delivery of health education on stroke prevention to people with type 2 diabetes are warranted. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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