ABSTRACT

The associated factors with utilization of tests for diabetes complication and HbA1c among some diabetes patients


Son, Young-Eun
Advisor : Prof. Ryu, So Yeon M.D., Ph.D
Department of Public Health,
Graduate School of Health Science,
Chosun University


Objectives: This study was performed to identify factors associated with the utilization of tests for diabetes complication and HbA1c among diabetes patients in Jeollanameollanam-Do, Korea.
Methods: The study subjects were 2,310 diabetes patients participated in 2014 Community Health Survey in Jeollanam-Do, Korea. Dependent variables were the utilizations of fundus examination, microalbuminuria test and HbA1c test. The used statistical analysis methods were chi-square test and multiple logistic regression analysis with weight in consideration of complex sample design.
Results: The utilization rates of fundus examination, microalbuminuria test and HbA1c test were 25.8%, 27.4% and 12.3%, respectively. The results of multiple logistic regression, fundus examination was significantly related to age, education level in predisposing factors, residential area, island residence in enabling factors and recognition of blood sugar, drug therapy, subjective health status in need factors. Microalbuminuria examination was significantly related to monthly income, residential area in predisposing and health screening, recognition of blood sugar, drug therapy, diabetic education, number of chronic disease, subjective health status in need factors. HbA1c examination was significantly related to age, education level, marital status in predisposing factors, drinking, recognition of blood sugar, drug therapy, diabetic education in need factors.
Conclusions: The results of this study were shown that perception of their disease seriousness, education about diabetes management and accessibility of tests were important to utilization of test for diabetes complication and HbA1c. It might be necessary to the develop and strength strategies for enhancing the utilization of tests for diabetes complication and management in diabetes patients.