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Associations between self-management behavior and sociodemographic and disease-related characteristics in elderly people with type 2 diabetes - New results from the population-based KORA studies in Germany.

Prim. Care Diabetes 14, 508-514 (2020)
Postprint DOI Order publishers version
Open Access Green
Aims: Self-management behavior (SMB) is an important aspect in the management of diabetes. This study aimed to identify sociodemographic and disease-related factors associated with good SMB in people with type 2 diabetes (T2D).Methods: We used data from 479 people with T2D aged 65 or older from the population-based KORA (Cooperative Health Research in the Area of Augsburg) Health Survey 2016 in Southern Germany. We estimated Poisson and logistic regression models testing the cross-sectional relationship between individual or disease-related characteristics and an established SMB sum index comprising six SMB dimensions stratified according to insulin treatment status.Results: Mean age in the sample was 75 and mean diabetes duration was 13 years. The overall level of SMB was low. Higher SMB index scores were associated with higher age, treatment with insulin, participation in a diabetes education program, and, for people with insulin treatment, with a BMI below 30 kg/m(2). Single item analyses generally supported these findings.Conclusions: SMB in people with T2D needs to be improved with efficient interventions. Targeting obese individuals and those at an early stage of the disease with low-barrier, regular education or self-management programs may be a preferred strategy.
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Publication type Article: Journal article
Document type Scientific Article
Keywords Self-management ; Diabetes ; Adherence ; Health Behavior; Education; Interventions; Metaanalysis; Barriers; Outcomes
ISSN (print) / ISBN 1878-0210
e-ISSN 1878-0210
Quellenangaben Volume: 14, Issue: 5, Pages: 508-514 Article Number: , Supplement: ,
Publisher Elsevier
Publishing Place Amsterdam [u.a.]
Reviewing status Peer reviewed
Grants German Federal Ministry of Education and Research as part of the 'Health in old age' program
State of Bavaria
Helmholtz Zentrum Munchen-German Research Center for Environmental Health - German Federal Ministry of Education and Research (BMBF)
Bundeszentrale fur gesundheitliche Aufldarung(Federal Centre for Health Education) of the Bundesministerium fur Gesundheit (Federal Ministry of Health)