Patient Activation in Type 2 Diabetes: Does It Differ between Men and Women?

Background. Aim was to investigate whether the degree of patient activation of patients with type 2 diabetes (T2D) is different between men and women. Furthermore, we investigated which factors are associated with patient activation in men and women. Methods. This cross-sectional study included 1615...

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Main Authors: Steven H. Hendriks, Laura C. Hartog, Klaas H. Groenier, Angela H. E. M. Maas, Kornelis J. J. van Hateren, Nanne Kleefstra, Henk J. G. Bilo
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2016/7386532
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author Steven H. Hendriks
Laura C. Hartog
Klaas H. Groenier
Angela H. E. M. Maas
Kornelis J. J. van Hateren
Nanne Kleefstra
Henk J. G. Bilo
author_facet Steven H. Hendriks
Laura C. Hartog
Klaas H. Groenier
Angela H. E. M. Maas
Kornelis J. J. van Hateren
Nanne Kleefstra
Henk J. G. Bilo
author_sort Steven H. Hendriks
collection DOAJ
description Background. Aim was to investigate whether the degree of patient activation of patients with type 2 diabetes (T2D) is different between men and women. Furthermore, we investigated which factors are associated with patient activation in men and women. Methods. This cross-sectional study included 1615 patients with T2D from general practices. Patient activation was measured with the Patient Activation Measure (PAM) questionnaire. Multivariate linear regression analyses were used to investigate the association between gender and patient activation. Stratified analyses according to gender were performed to investigate which factors are associated with patient activation. Results. No association between gender and PAM score was found after adjustment for all selected confounders (p=0.094). In men, lower age (p=0.001), a higher WHO-5 score (p<0.001), and a lower BMI (p=0.013) were associated with a higher PAM score. In women, a higher WHO-5 score (p<0.017) and the absence of macrovascular complications (p<0.031) were associated with a higher PAM score. Conclusion. There is no difference in the degree of patient activation of men and women with T2D. Age, well-being, and BMI were found to be associated with patient activation in men, whereas well-being and macrovascular complications were found to be associated with patient activation in women.
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spelling doaj-art-9aec3f4d2c784f5f8df1754ef17f3ea82025-02-03T05:48:39ZengWileyJournal of Diabetes Research2314-67452314-67532016-01-01201610.1155/2016/73865327386532Patient Activation in Type 2 Diabetes: Does It Differ between Men and Women?Steven H. Hendriks0Laura C. Hartog1Klaas H. Groenier2Angela H. E. M. Maas3Kornelis J. J. van Hateren4Nanne Kleefstra5Henk J. G. Bilo6Diabetes Centre, Isala, 8000 GK Zwolle, NetherlandsDiabetes Centre, Isala, 8000 GK Zwolle, NetherlandsDepartment of General Practice, University of Groningen and University Medical Center Groningen, 9713 GZ Groningen, NetherlandsDepartment of Cardiology, Radboud University Medical Center, 6525 HP Nijmegen, NetherlandsLangerhans Medical Research Group, 8025 BT Zwolle, NetherlandsLangerhans Medical Research Group, 8025 BT Zwolle, NetherlandsDiabetes Centre, Isala, 8000 GK Zwolle, NetherlandsBackground. Aim was to investigate whether the degree of patient activation of patients with type 2 diabetes (T2D) is different between men and women. Furthermore, we investigated which factors are associated with patient activation in men and women. Methods. This cross-sectional study included 1615 patients with T2D from general practices. Patient activation was measured with the Patient Activation Measure (PAM) questionnaire. Multivariate linear regression analyses were used to investigate the association between gender and patient activation. Stratified analyses according to gender were performed to investigate which factors are associated with patient activation. Results. No association between gender and PAM score was found after adjustment for all selected confounders (p=0.094). In men, lower age (p=0.001), a higher WHO-5 score (p<0.001), and a lower BMI (p=0.013) were associated with a higher PAM score. In women, a higher WHO-5 score (p<0.017) and the absence of macrovascular complications (p<0.031) were associated with a higher PAM score. Conclusion. There is no difference in the degree of patient activation of men and women with T2D. Age, well-being, and BMI were found to be associated with patient activation in men, whereas well-being and macrovascular complications were found to be associated with patient activation in women.http://dx.doi.org/10.1155/2016/7386532
spellingShingle Steven H. Hendriks
Laura C. Hartog
Klaas H. Groenier
Angela H. E. M. Maas
Kornelis J. J. van Hateren
Nanne Kleefstra
Henk J. G. Bilo
Patient Activation in Type 2 Diabetes: Does It Differ between Men and Women?
Journal of Diabetes Research
title Patient Activation in Type 2 Diabetes: Does It Differ between Men and Women?
title_full Patient Activation in Type 2 Diabetes: Does It Differ between Men and Women?
title_fullStr Patient Activation in Type 2 Diabetes: Does It Differ between Men and Women?
title_full_unstemmed Patient Activation in Type 2 Diabetes: Does It Differ between Men and Women?
title_short Patient Activation in Type 2 Diabetes: Does It Differ between Men and Women?
title_sort patient activation in type 2 diabetes does it differ between men and women
url http://dx.doi.org/10.1155/2016/7386532
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