Health Policy Manag.  2019 Dec;29(4):431-444. 10.4332/KJHPA.2019.29.4.431.

Factors Associated with Self-Rated Health among Poor Glycemic Control Group with Diabetes Mellitus: The 4th–6th Korea National Health and Nutrition Examination Survey (2007–2015)

• Lee S
• Kim H
• Kim K
• Lee Y
• Chung W

• KMID: 2470451
• DOI: http://doi.org/10.4332/KJHPA.2019.29.4.431

Abstract

BACKGROUND
This study aimed to properly manage diseases such as blood sugar control so that patients with diabetes can benefit from both medication and health activities. Also, these health practices are greatly influenced by self-rated health, a subjective assessment of health status. Because self-rated health does not necessarily match the objective health status, it is important to identify which factors affect self-rated health.
METHODS
For the study, the data was gathered from the 4th-6th National Health Nutrition Survey (2007-2015). Out of the total 73,353 participants in the survey, 2,303 patients with uncontrolled blood sugar with an HbA1c level of more than 7% were selected for the final study. Dependent variables fell into two categories depending on how the participant reported whether he or she was in good health or not. Independent variables included socio-demographics, health behavioral, and health status factors. This study performed logistic regression analysis.
RESULTS
Out of 2,303 participants, 18.1% reported that their heath was "˜good,' despite the fact that their blood sugar level was not controlled. After running a logistic regression model, the odds ratio of groups that perceive subjective health awareness as good was higher in the groups of people as below: in the people over 60 years old; in the people who graduated from a junior college or higher than those who had a level of education of primary school completion or less; in the people living in Chungnam than those living in Seoul; and in the group with hypertriglyceridemia.
CONCLUSION
The study identified factors associated with those failed to perceive the blood sugar level as a severe health problem despite of the fact that blood sugar was not controlled. To improve public health, diabetes management policies need to be addressed to population groups with these problems above.

Keyword

Diabetes; Self rated health; Perceived health status; Korean National Health and Nutrition Examination Survey

MeSH Terms

Blood Glucose
Chungcheongnam-do
Diabetes Mellitus*
Diagnostic Self Evaluation
Education
Health Behavior
Humans
Hypertriglyceridemia
Korea*
Logistic Models
Nutrition Surveys*
Odds Ratio
Population Groups
Public Health
Running
Seoul
Blood Glucose