Diabetes distress in Indonesian patients with type 2 diabetes: a comparison between primary and tertiary care

The number of people living with diabetes mellitus (DM) in Indonesia has continued to increase over the last 6 years. Four previous studies in U.S have found that higher DD scores were associated with worse psychological outcomes, lower health-related quality of life (HRQoL) and increased risk of T2...

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Bibliographic Details
Published in:BMC health services research 2019-10, Vol.19 (1), p.773-773, Article 773
Main Authors: Arifin, Bustanul, van Asselt, Antoinette D I, Setiawan, Didik, Atthobari, Jarir, Postma, Maarten J, Cao, Qi
Format: Article
Language:English
Subjects:
Aged
Analysis
Care and treatment
Cross-Sectional Studies
Diabetes distress
Diabetes mellitus
Diabetes Mellitus, Type 2 - psychology
Diabetes Mellitus, Type 2 - therapy
Diabetes therapy
Female
Health aspects
Health literacy
Health surveys
Humans
Indonesia
Indonesia - epidemiology
Literacy programs
Male
Middle Aged
Primary care
Primary Health Care - statistics & numerical data
Quality of life
Regression analysis
Risk factors
Stress, Psychological - epidemiology
Tertiary care
Tertiary Healthcare - statistics & numerical data
Type 2 diabetes
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Summary:The number of people living with diabetes mellitus (DM) in Indonesia has continued to increase over the last 6 years. Four previous studies in U.S have found that higher DD scores were associated with worse psychological outcomes, lower health-related quality of life (HRQoL) and increased risk of T2DM complications. In this study, we aimed to firstly compare DD scores in Indonesian T2DM outpatients treated in primary care versus those in tertiary care. Subsequently, we investigated whether socio-demographic characteristics and clinical conditions explain potential differences in DD score across healthcare settings. A cross-sectional study was conducted on Java island in three primary care (n = 108) and four tertiary care (n = 524) facilities. The participants completed the Bahasa Indonesia version of the Diabetes Distress Scale questionnaire (DDS17 Bahasa Indonesia). Ordinal regression analysis was conducted with the quartile of the summation of the DD score as the dependent variable to investigate how the association between the level of healthcare facilities and DD altered when adding different variables in the model. The final adjusted model showed that the level of healthcare facilities was strongly associated with DD (p 
ISSN:1472-6963
1472-6963
DOI:10.1186/s12913-019-4515-1