Diabetes Distress, Intentional Hyperglycemia at Work, and Glycemic Control Among Workers With Type 1 Diabetes
| Autor: | Ingrid Willaing, Ulla Melchior Hansen, Kasper Olesen, Timothy Skinner |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Blood Glucose Male Gerontology Research design Adolescent Cross-sectional study Denmark Endocrinology Diabetes and Metabolism 030209 endocrinology & metabolism Intention Structural equation modeling Young Adult 03 medical and health sciences 0302 clinical medicine Diabetes management Diabetes mellitus Internal Medicine Humans Medicine 030212 general & internal medicine Workplace Aged Glycemic Advanced and Specialized Nursing Type 1 diabetes business.industry Self-Management Middle Aged medicine.disease Distress Cross-Sectional Studies Diabetes Mellitus Type 1 Hyperglycemia Female business Stress Psychological |
| Zdroj: | Hansen, U M, Skinner, T, Olesen, K & Willaing, I 2019, ' Diabetes Distress, Intentional Hyperglycemia at Work, and Glycemic Control Among Workers With Type 1 Diabetes ', Diabetes Care, vol. 42, no. 5, dc181426, pp. 797-803 . https://doi.org/10.2337/dc18-1426 |
| Popis: | OBJECTIVE The aim was to explore relationships between work-related factors, work-related diabetes distress (WRDD), diabetes distress (measured by Problem Areas in Diabetes [PAID]-5 scale), intentional hyperglycemia at work (IHW), and glycemic control. RESEARCH DESIGN AND METHODS A cross-sectional survey was conducted with 1,030 working adults with type 1 diabetes and linked with electronic health record data from a specialist diabetes clinic in Denmark. With use of structural equation modeling, two alternative models were compared, based on fit indices, statistical significance, and theoretical meaningfulness. RESULTS A combined model provided the best fit to the data. WRDD was more strongly affected by work ability, opportunity to self-manage at work, being treated differently, and job demands. PAID-5 was more strongly affected by identity concern and blame and judgment. Both PAID-5 and WRDD were associated with more frequent IHW, which was associated in turn with worse glycemic control. CONCLUSIONS Work-related factors are associated with WRDD and PAID-5. Distress increases the frequency of IHW, which is, in turn, associated with worse glycemic control. Future studies should investigate ways to balance diabetes management and work life without compromising diabetes care. |
| Databáze: | OpenAIRE |
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