Associations between economic hardship and markers of self-management in adults with type 2 diabetes: results from Diabetes MILES – Australia

O'Neil, A, Williams, Emily, Browne, JL, Horne, Rob, Pouwer, Frans and Speight, Jane (2013) Associations between economic hardship and markers of self-management in adults with type 2 diabetes: results from Diabetes MILES – Australia Australian and New Zealand Journal of Public Health, 38 (5). pp. 466-472.

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Abstract

Objective: A socioeconomic gradient exists in Australia for type 2 diabetes mellitus (T2DM). It remains unclear whether economic hardship is associated with T2DM self–management behaviours. Methods: Cross-sectional data from a subset of the Diabetes MILES – Australia study were used (n=915). The Economic Hardship Questionnaire was used to assess hardship. Outcomes included: healthy eating and physical activity (Diabetes Self-Care Inventory – Revised), medication-taking behaviour (Medication Adherence Rating Scales) and frequency of self-monitoring of blood glucose (SMBG). Regression modelling was used to explore the respective relationships. Results: Greater economic hardship was significantly associated with sub-optimal medication-taking (Coefficient: −0.86, 95%CI −1.54, −0.18), and decreased likelihood of regular physical activity (Odds Ratio: 0.47, 0.29, 0.77). However, after adjustments for a range of variables, these relationships did not hold. Being employed and higher depression levels were significantly associated with less-frequent SMBG, sub-optimal medication-taking and less-regular healthy eating. Engaging in physical activity was strongly associated with healthy eating. Conclusions: Employment, older age and depressive symptoms, not economic hardship, were commonly associated with diabetes self-management. Implications: Work-based interventions that promote T2DM self-management in younger, working populations that focus on negative emotions may be beneficial.

Item Type:	Article
Divisions :	Faculty of Health and Medical Sciences > School of Health Sciences
Authors :	Name Email ORCID O'Neil, A Williams, Emily e.d.williams@surrey.ac.uk Browne, JL Horne, Rob Pouwer, Frans Speight, Jane
Date :	1 September 2013
OA Location :	10.1111/1753-6405.12153
Copyright Disclaimer :	© 2014 Public Health Association of Australia
Uncontrolled Keywords :	economic hardship; self-management; type 2 diabetes mellitus; blood glucose monitoring; medication taking
Depositing User :	Jane Hindle
Date Deposited :	29 Jun 2017 11:22
Last Modified :	16 Jan 2019 18:53
URI:	http://epubs.surrey.ac.uk/id/eprint/841506

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