Health Policy Manag.  2016 Sep;26(3):207-218. 10.4332/KJHPA.2016.26.3.207.

The Associated Factors with Utilization of Tests for Diabetes Complication and Hemoglobin A1c among Some Diabetes Patients

Affiliations
  • 1Department of Health Science, Chosun University Graduate School, Gwangju, Korea.
  • 2Department of Preventive Medicine, Chosun University College of Medicine, Gwangju, Korea. canrsy@chosun.ac.kr

Abstract

BACKGROUND
This study was performed to identify factors associated with the utilization of tests for diabetes complication and hemoglobin A1c (HbA1c) among diabetes patients in Jeollanam-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 hierarchical 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. In the results of hierarchical regression, fundus examination was significantly related to age, education level in predisposing factors, residential area in enabling factors and recognition of blood sugar, drug therapy, and 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, and subjective health status in need factors. HbA1c examination was significantly related to age, education level, marital status in predisposing factors, residential area in enabling factors and drinking, recognition of blood sugar, drug therapy, and diabetic education in need factors.
CONCLUSION
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.

Keyword

Diabetes complications; Health care utilization; Koreans; Prevention and control; Risk factors

MeSH Terms

Asian Continental Ancestry Group
Blood Glucose
Causality
Chronic Disease
Diabetes Complications*
Diagnostic Self Evaluation
Drinking
Drug Therapy
Education
Health Surveys
Humans
Jeollanam-do
Korea
Marital Status
Mass Screening
Patient Acceptance of Health Care
Risk Factors
Blood Glucose
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