Diabetes Mellitus and Marital Status: Evidence from the National Longitudinal Mortality Study on the Effect of Marital Dissolution and the Death of a Spouse

A hipertensão arterial sistêmica (HAS), diabetes mellitus (DM), sedentarismo e síndrome metabólica afetam a saúde indígena. Este estudo objetivou identificar hipertensos e diabéticos na etnia Xavante, Mato Grosso. A amostra foi de 50 indígenas, caracterizados quanto ao sexo, idade, escolaridade, renda, estado civil e número de filhos. Fez-se a anamnese e avaliação clínica, com antecedentes de DM e/ou HAS, uso de medicações tradicionais ou não. Usaram-se tensiômetro digital de pulso e um glicosímetro capilar. Fez-se a análise com os testes qui-quadrado, Pearson, Kruskal wallis, t de Student, Coeficiente de correlação de Pearson e ANOVA. Um terço dos participantes recebiam até um salário mínimo; 22% eram compatíveis com pré-diabetes e 26% diabéticos; a HAS esteve em uma média de 122,5 (±14,5) por 79,8 (±9,4) mmHg. Houve relação significativa entre a renda, estado civil, idade e presença de filhos, com os dados clínicos e os aspectos multifatoriais de risco.Descritores: Indígena, Hipertensão Arterial, Diabetes Mellitus. Tracking chronic disease in an indigenous communityAbstract: Systemic arterial hypertension (SAH), diabetes mellitus (DM), physical inactivity and metabolic syndrome affect indigenous health. This study aimed to identify hypertensive and diabetic people from Xavante ethnic group in Mato Grosso - Brazil. The sample consisted in 50 indigenous people, characterized by gender, age, educational level, income, marital status and number of children. It was made the anamnesis and a clinical evaluation, asking for precondition on DM and/or SAH, and the use or not of traditional medicine. It was used a digital wrist blood pressure monitor and a capillary blood glucose meter. It was performed a chi-square test, a Pearson test, a Kruskal Wallis test, a Student's t test, a Pearson's correlation coefficient and an ANOVA tests. One third of the participants received up to one minimum wage; 22% of them were compatible with pre-diabetes and 26% were diabetic; the average the SAH was 122.5 (± 14.5) by 79.8 (± 9.4) mmHg. It was found a significant relationship between income, marital status, age and presence of children, with clinical data and multifactorial risk aspects.Descriptors: Indigenous, Systemic Arterial Hypertension, Diabetes Mellitus. Rastreando enfermedades crónicas en la comunidad indígenaResumen: La hipertensión arterial sistémica (HAS), diabetes mellitus (DM), sedentarismo y síndrome metabólico afectan la salud indígena. Este estudio tiene como objetivo identificar hipertensos y diabéticos de la etnia Xavante, Mato Grosso. La muestra fue compuesta por 50 indígenas, caracterizados por sexo, edad, escolaridad, renta, estado civil y número de hijos. Se hizo la anamnesis y la evaluación clínica, con antecedentes de DM y/o HAS y el uso de medicaciones tradicionales. Se usaron tensiómetro digital de pulso y glucómetro capilar. Se hizo el análisis con las pruebas Chi-cuadrado, Pearson, Kruskal Wallis, t de Student, coeficiente de correlación de Pearson y ANOVA. Un tercio de los participantes recibían hasta un salario mínimo; 22% eran compatibles con prediabetes y 26% diabéticos; la HAS estuvo en una media de 122,5 (±14,5) por 79,8 (±9,4) mmHg. Hubo relación significativa entre renta, estado civil, edad y presencia de hijos, con los datos clínicos y los aspectos multifactoriales de riesgo.Descriptores: Indígena, Hipertensión Arterial, Diabetes Mellitus.

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The Effect of Marital Status at First Birth on Marital Dissolution among Adolescent Mothers

Demography ◽

10.2307/2061434 ◽

1986 ◽

Vol 23 (3) ◽

pp. 329 ◽

Cited By ~ 25

Author(s):

John O. G. Billy ◽

Nancy S. Landale ◽

Steven D. McLaughlin

Keyword(s):

Marital Status ◽

Adolescent Mothers ◽

Marital Dissolution ◽

First Birth

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RISK FACTORS IN SEVERE ERECTILE DYSFUNCTION POPULATION

Indonesian Journal of Urology ◽

10.32421/juri.v22i2.171 ◽

2015 ◽

Vol 22 (2) ◽

Author(s):

Charles Johanes ◽

Ponco Birowo ◽

Nur Rasyid

Keyword(s):

Diabetes Mellitus ◽

Risk Factors ◽

Erectile Dysfunction ◽

Marital Status ◽

Prevalence Ratio ◽

Educational Status ◽

Education Level ◽

Onset Age ◽

Cross Sectional ◽

Severe Erectile Dysfunction

Objective: To find the risk factors of severe erectile dysfunction. Material & methods: This Cross sectional study subjects completed the questionnare at the time of diagnosing Erectile Dysfunction (ED). Amount of 297 ED patients with mean age of 49.08 ± 13.69 years were enrolled consecutively at Urology Outpatient Clinic from 2005 to 2012. The questionnaire consisted of marital status, educational status, and occupation, comorbidities, habits, and International Index of Erectile Dysfunction-5 (IIEF-5) questionnare. We compared population proportion of ED severity (severe vs not severe) between sociodemographic, comorbidities and habits group and we also compared the mean of ED onset age and ED duration between those groups. Results: Of the patients, 29.3% were classified as severe ED, and 70.7% were classified other than severe ED (mild, mild-moderate, etc). The median of ED onset age was 47 years (46.64 ± 13.77 years) and the median of ED duration was 52 weeks (126.75 ± 167.69 weeks) ranged from 1 to 1040 weeks. We found status of low education level, unemployed, not married and having diabetes mellitus could increase the risk of having severe ED in ED population with each prevalence ratio was 1.44 (1.12-1.87), 2.02 (1.20-3.42), 1.91 (1.10-3.30), 2.01 (1.30-3.12). Not married group was also found have an earlier mean of ED age onset (mean difference 6.78 (2.37-11.19) years. Conclusion: We found that education level, occupation status, marital status and diabetes mellitus contributes in determining ED severity.

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Grado de Sobrecarga y Caracterización de Cuidadores de Personas Adultas Mayores con Diabetes Mellitus tipo 2

Enfermería Global ◽

10.6018/eglobal.18.4.361401 ◽

2019 ◽

Vol 18 (4) ◽

pp. 57-78

Author(s):

Alicia Sarahy Martin del Campo Navarro ◽

Pablo Medina Quevedo ◽

Reyna Isabel Hernandez Pedroza ◽

Sheida Eunice Correa Valenzuela ◽

Sandra Lidia Peralta Peña ◽

...

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Older Adults ◽

Type 2 Diabetes Mellitus ◽

Marital Status ◽

Informal Caregivers ◽

Sociodemographic Characteristics ◽

Cross Sectional ◽

Work Overload

Objective: To determinate the association between work overload degree and sociodemographic characteristics of informal caregivers of older adults with type 2 diabetes mellitus. Material and Methods: Quantitative, descriptive, correlational, cross-sectional study of 83 informal caregivers of older adults with type 2 diabetes mellitus, coming from the northeast sector of Ciudad Obregon, Sonora, Mexico. The Zarit Scale was used to measure the overload degree, and items regarding sociodemographic characteristics were included. Results: The profile of the caregiver with tendency to work overload was: woman (81.9%), housewife (47%), with an average age of 40 years, married (53%), daughter of the older adult (72.3%), low schooling (66.1%), with a monthly income lower than or equal to $6,799 Mexican pesos (51.8%), one to three years acting as caregiver (54.2%), and dedicating more than 17 hours per day to provide care to the patient (51.8%). The 48.2% of the caregivers showed intense work overload, 44.6% absence of work overload and 7.2% slight work overload. A statistically significant association was found (p=0.02) between the degree of work overload and the marital status and occupation variables. Conclusions: The statistically significant association indicates that marital status and occupation is related to the caregiver’s perceived work overload degree. It is relevant to propose interventions addressed to these characteristics in order to reduce the work overload, which is a risk for the caregiver’s health with the aforementioned profile, since it is related to greater odds of medical, psychiatric, and social morbidity and mortality. Objetivo: Determinar la relación entre el grado de sobrecarga y las características sociodemográficas de cuidadores informales de personas adultas mayores con Diabetes Mellitus tipo 2. Metodología: Estudio cuantitativo, descriptivo, correlacional, de corte transversal a 83 cuidadores informales de personas adultas mayores con Diabetes Mellitus tipo 2, provenientes del sector noreste de Ciudad Obregón, Sonora, México. Para medir la sobrecarga se utilizó la Escala Zarit, se incluyeron ítems sobre características sociodemográficas. Resultados: El perfil del cuidador con tendencia a sobrecarga fue: mujer (81.9%), ama de casa (47%), con un promedio de edad de 40 años, casada (53%), hija del adulto mayor (72.3%), de baja escolaridad (66.1%) e ingresos económicos mensuales menores o igual a 6,799 pesos mexicanos (51.8%) que lleva de uno a tres años como cuidadora (54.2%) dedicando más de 17 horas/ diarias al mismo (51.8%). El 48.2% de los cuidadores presentó sobrecarga intensa, el 44.6% ausencia de sobrecarga y 7.2% sobrecarga leve. Se encontró asociación estadísticamente significativa (p=0.02) entre el grado de sobrecarga y las variables estado civil y ocupación.Conclusiones: La asociación significativa indica que el estado civil y la ocupación se relaciona con el grado de sobrecarga percibido en los cuidadores, lo cual es importante proponer que las intervenciones sean dirigidas a estas características para la disminución de la sobrecarga, la cual es un riesgo para la salud de los cuidadores con dicho perfil, ya que se encuentra asociada a mayor morbimortalidad médica, psiquiátrica y social del cuidador.

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Knowledge, Attitude, and Practice towards Glycemic Control and Its Associated Factors among Diabetes Mellitus Patients

Journal of Diabetes Research ◽

10.1155/2019/2593684 ◽

2019 ◽

Vol 2019 ◽

pp. 1-9 ◽

Cited By ~ 5

Author(s):

Daniel Asmelash ◽

Netsanet Abdu ◽

Samson Tefera ◽

Habtamu Wondifraw Baynes ◽

Cherie Derbew

Keyword(s):

Diabetes Mellitus ◽

Logistic Regression ◽

Glycemic Control ◽

Marital Status ◽

Associated Factors ◽

Occupational Status ◽

Good Knowledge ◽

Diabetic Patients ◽

Attitude And Practice ◽

Knowledge Attitude And Practice

Background. Diabetes mellitus is a metabolic disorder of multiple etiologic factors characterized by chronic hyperglycemia with disturbance of carbohydrate metabolism. It can play the vital role in the cause of morbidity and mortality through continued clinical consequence. Therefore, good knowledge, attitude, and practices of glycemic control are necessary in promoting care, in enhancing better therapeutic outcomes, and in the prevention and management of diabetes complications. Methods. A cross-sectional study design was conducted to determine knowledge, attitude, and practice towards glycemic control and its associated factors. Diabetic patients who were attending the University of Gondar Hospital from March to May 2018 were included in the study. The data was collected using questionnaires, and individuals that can fulfill our inclusion criteria were selected by a simple random sampling technique. SPSS version 20 was used for descriptive and logistic regression analysis, and finally, the variables were summarized and presented using tables and graphs. Results. Of the total 403 participants, 216 (53.6%) were males and 176 (43.7%) were illiterate. Of the total, 250 (62%) had good knowledge, 271 (67.2%) had a good attitude, and 300 (74.4%) had good practice towards glycemic control. In multivariate logistic regression, occupational status and marital status were significantly associated with the knowledge of participants towards glycemic control. Occupational status, educational status, and marital status were significantly associated with attitude and practice towards glycemic control. Conclusion. More than half of the participants had good knowledge, attitude, and practice towards glycemic control. Occupational status and marital status were significantly associated with knowledge, attitude, and practice towards glycemic control.

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The Pittsburgh insulin-dependent diabetes mellitus (IDDM) morbidity and mortality study. Mortality results

Diabetes ◽

10.2337/diabetes.33.3.271 ◽

1984 ◽

Vol 33 (3) ◽

pp. 271-276 ◽

Cited By ~ 68

Author(s):

J. S. Dorman ◽

R. E. Laporte ◽

L. H. Kuller ◽

K. J. Cruickshanks ◽

T. J. Orchard ◽

...

Keyword(s):

Diabetes Mellitus ◽

Insulin Dependent Diabetes Mellitus ◽

Insulin Dependent Diabetes ◽

Morbidity And Mortality ◽

Dependent Diabetes Mellitus ◽

Mortality Study ◽

Insulin Dependent

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Magnitude and associated factors of diabetic complication among diabetic patients attending Gurage zone hospitals, South West Ethiopia

BMC Research Notes ◽

10.1186/s13104-019-4808-9 ◽

2019 ◽

Vol 12 (1) ◽

Author(s):

Bereket Beyene Gebre ◽

Zebene Mekonnen Assefa

Keyword(s):

Diabetes Mellitus ◽

Body Mass Index ◽

Glycemic Control ◽

Marital Status ◽

Associated Factors ◽

Diabetic Complication ◽

Diabetic Patients ◽

South West ◽

Duration Of Illness ◽

South West Ethiopia

Abstract Objective To assess the magnitude of diabetic complication and associated factors among diabetes mellitus patients attending in Gurage zone hospitals. Results According to this study the magnitude of diabetic complication among diabetic patients were 61% and the marital status; divorced [AOR: 0.252 (0.11, 0.59); p = 0.002], poor glycemic control [AOR: 1.88 (1.04, 3.39); p = 0.036], body mass index > 25 [AOR: 4.42 (1.32, 14.86); p = 0.016] and duration of illness > 6 years [AOR :1.79 (1.02, 3.17); p = 0.044] and 10 years [AOR: 4.68 (2.07, 10.61); p = < 0.001] were significantly associated with diabetic complication.

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Factors related to self-care activities of patients with type 2 diabetes mellitus

Escola Anna Nery ◽

10.1590/2177-9465-ean-2018-0046 ◽

2018 ◽

Vol 22 (4) ◽

Author(s):

Letícia Palota Eid ◽

Sílvia Aparecida Dourado Leopoldino ◽

Graziella Allana Serra Alves de Oliveira Oller ◽

Daniele Alcalá Pompeo ◽

Marlene Andrade Martins ◽

...

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Physical Exercise ◽

Marital Status ◽

Blood Sugar ◽

Skin Color ◽

Vegetable Consumption ◽

Self Care

Abstract Objective: To verify self-care activities of patients with type 2 diabetes mellitus and to analyze the relationship with sociodemographic and clinical variables. Method: A cross-sectional study was performed of 149 people using the Diabetes Self-Care Activities Questionnaire. Results: Of the 15 self-care activities analyzed, appropriate behavior was observed for aspects related to medication use and inadequate for fruit/vegetable consumption, blood sugar testing and physical exercise. The correct use of medications was correlated to marital status. Regarding inadequate behaviors, there were associations of fruit/vegetable consumption with skin color and place of residence and blood sugar testing with marital status and inverse correlations of physical exercise with systolic blood pressure, pulse pressure, waist circumference and postprandial glycemia. Conclusion: The results of this research contribute by strengthening the line of care in chronic diseases and assist in divulging the importance of supported self-care. Implications for practice: The findings of this research provided information relevant to the planning of care.

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The marital status inventory: Some preliminary data on an instrument to measure marital dissolution potential

American Journal of Family Therapy ◽

10.1080/01926188008250362 ◽

1980 ◽

Vol 8 (3) ◽

pp. 31-35 ◽

Cited By ~ 15

Author(s):

D. Russell Crane ◽

D. Eugene Mead

Keyword(s):

Marital Status ◽

Preliminary Data ◽

Marital Dissolution ◽

Dissolution Potential

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Racial/Ethnic Variability in Diabetes Mellitus among United States Residents Is Unexplained by Lifestyle, Sociodemographics and Prognostic Factors

ISRN Public Health ◽

10.5402/2012/408079 ◽

2012 ◽

Vol 2012 ◽

pp. 1-8

Author(s):

Laurens Holmes ◽

Jobayer Hossain ◽

Doriel Ward ◽

Franklin Opara

Keyword(s):

Diabetes Mellitus ◽

African Americans ◽

Marital Status ◽

Racial Differences ◽

Ethnic Disparities ◽

Physical Activities ◽

Prevalence Odds Ratio ◽

Ethnic Variability ◽

Race Ethnicity ◽

Racial Ethnic

Background. The mortality and prevalence of diabetes mellitus (DM) vary across racial/ethnic groups with African Americans/blacks being disproportionately affected. However, it is unclear to what extent such disparities persist after the adjustment for covariates related to race/ethnicity and/or DM in the population. We aimed to assess racial/ethnic disparities in DM and to determine which covariates account for the observed racial/ethnic variabilities. Materials and Methods. We utilized a large cross-sectional survey of the US noninstitutionalized residents (n=30,852) to investigate the racial/ethnic disparities in diabetes mellitus, and the degree in which the disparities are explained by the relevant covariates. Pearson’s chi-square was used to examine study variables by race/ethnicity, while logistic regression was used to assess the effect of race/ethnicity and other covariates on DM prevalence. Results. There were statistically significant ethnic/racial differences with respect to income, education, marital status, smoking, alcohol, physical activities, body mass index, and age, P<0.05, but not insurance coverage, P>0.05. Race/ethnicity was a single independent predictor of DM, with African Americans (non-Hispanic blacks) more likely to be diagnosed for DM compared with non-Hispanic whites, prevalence odds ratio (POR) 1.45, 95% confidence interval (CI) 1.30–1.62, while Hispanics were less likely to be diagnosed, POR = 0.98, 95% CI 0.87–1.09. Similarly, after controlling for potential confounders, the racial/ethnic variability in DM between AA/blacks and non-Hispanic whites persisted, adjusted POR = 1.30, 95% CI 1.15–1.47. Conclusions. Racial/ethnic variability exists in DM prevalence and is unexplained by racial/ethnic variance in education, income, marital status, smoking, alcohol, physical activities, age, and sex.

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