Ethnic differences in health related quality of life for patients with type 2 diabetes

Article English OPEN
Jhita, Tracey ; Petrou, Stavros ; Gumber, Anil ; Szczepura, Ala ; Raymond, Neil T. ; Bellary, Srikanth (2014)
  • Publisher: BioMed Central Ltd.
  • Journal: Health and Quality of Life Outcomes, volume 12, pages 83-83 (eissn: 1477-7525)
  • Related identifiers: doi: 10.1186/1477-7525-12-83, doi: 10.1186/1477-7525-12-83, pmc: PMC4060842
  • Subject: RC | South Asian | Type 2 diabetes | EQ-5D | Ethnicity | GN | Health related quality of life | Research | Public Health, Environmental and Occupational Health

<p>Background: The objective of this study was to investigate the association between ethnicity and health related quality of life (HRQoL) in patients with type 2 diabetes.</p>\ud <p>Methods: The EuroQol EQ-5D measure was administered to 1,978 patients with type 2 diabetes in the UK Asian\ud Diabetes Study (UKADS): 1,486 of south Asian origin (Indian, Pakistani, Bangladeshi or other south Asian) and 492 of white European origin. Multivariate regression using ordinary least square (OLS), Tobit, fractional logit and Censored Least Absolutes Deviations estimators was used to estimate the impact of ethnicity on both visual analogue scale (VAS) and utility scores for the EuroQol EQ-5D.</p>\ud <p>Results: Mean EQ-5D VAS and utility scores were lower among south Asians with diabetes compared to the white\ud European population; the unadjusted effect on the mean EQ-5D VAS score was −7.82 (Standard error [SE] = 1.06,\ud p < 0.01) and on the EQ-5D utility score was −0.06 (SE = 0.02, p < 0.01) (OLS estimator). After controlling for\ud socio-demographic and clinical confounders, the adjusted effect on the EQ-5D VAS score was −9.35 (SE = 2.46,\ud p < 0.01) and on the EQ-5D utility score was 0.06 (SE = 0.04), although the latter was not statistically significant.</p>\ud <p>Conclusions: There was a large and statistically significant association between south Asian ethnicity and lower EQ-5D VAS scores. In contrast, there was no significant difference in EQ-5D utility scores between the south Asian and white European sub-groups. Further research is needed to explain the differences in effects on subjective EQ-5D VAS scores and population-weighted EQ-5D utility scores in this context.</p>
  • References (34)
    34 references, page 1 of 4

    1. Diabetes UK: Diabetes in the UK 2010 - Key statistics on Diabetes; 2010 [http://www.diabetes.org.uk/Documents/Reports/Diabetes_in_the_UK_2010. pdf] Diabetes UK. What is diabetes? 2011. [http://www.diabetes.org.uk/ Guide-to-diabetes/Introduction-to-diabetes/What_is_diabetes/]

    2. Greenhalgh PM: Diabetes in British south Asians: nature, nurture, and culture. Diabet Med 1997, 14:10-18.

    3. Bellary S, O'Hare JP, Raymond NT, Gumber A, Mughal S, Szczepura A, Kumar S, Barnett AH, UKADS Study Group: Enhanced diabetes care to patients of south Asian ethnic origin (the United Kingdom Asian Diabetes Study): a cluster randomised controlled trial. Lancet 2008, 371:1769-1776.

    4. Amos AF, McCarty DJ, Zimmet P: The rising global burden of diabetes and its complications: estimates and projections to the year 2010. Diabet Med 1997, 14(Suppl 5):S1-85.

    5. Wändell P: Foreign- and Swedish-born diabetic patients - medical situation and quality of life. Scand J Prim Health Care 1999, 17:158-163.

    6. Wee H, Li S, Cheung Y, Fong K, Thumboo J: The influence of ethnicity on health-related quality of life in diabetes mellitus. J Diabetes Complications 2006, 20:170-178.

    7. Thommasen HV, Berkowitz J, Thommasen AT, Michalos AC: Understanding relationships between diabetes mellitus and health-related quality of life in a rural community. Rural & Remote Health 2005, 5:1-18.

    8. Two Feathers JT, Kieffer EC, Palmisano G, Anderson M, Sinco B, Janz N, Heisler M, Spencer M, Guzman R, Thompson J, Wisdom K, James SA: Racial and ethnic approaches to community health (reach) Detroit partnership: improving diabetes-related outcomes among African American and Latino adults. Am J Public Health 2005, 95:1552-1560.

    9. Quandt SA, Graham CN, Bell RA, Snively BM, Golden SL, Stafford JM, Arcury TA: Ethnic disparities in health-related quality of life among older rural adults with diabetes. Ethn Dis 2007, 17:471-476.

    10. Mitchell BD, Stern MP, Haffner SM, Hazuda HP, Patterson JK: Functional impairment in Mexican Americans and non-Hispanic whites with diabetes. J Clin Epidemiol 1990, 43:319-327.

  • Metrics
    No metrics available
Share - Bookmark