Open AccessSelf-rated health and multimorbidity in patients with type 2 diabetes
Author(s) -
Kanayo Umeh
Publication year - 2021
Publication title -
journal of health psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.716
H-Index - 88
eISSN - 1461-7277
pISSN - 1359-1053
DOI - 10.1177/13591053211001419
Subject(s) - medicine , structural equation modeling , type 2 diabetes , cmin , multilevel model , self rated health , logistic regression , odds , body mass index , diabetes mellitus , multimorbidity , demography , comorbidity , odds ratio , gerontology , endocrinology , statistics , mathematics , cmax , machine learning , sociology , pharmacokinetics , computer science
The relationship between multimorbidity and self-rated health is well established. This study examined self-rated health in relation to multimorbidity, glycaemia and body weight specifically in adults with type 2 diabetes. Bootstrapped hierarchical logistic regression and structural equation modelling (SEM) were used to analyse survey data from 280 adults with type 2 diabetes. The odds of 'fair/bad/very bad' self-rated health increased 10-fold in patients with three (OR = 10.11 (3.36-30.40)) and four conditions (OR = 10.58 (2.9-38.25)), irrespective of glycaemic control ( p < 0.001). The relationship between multimorbidity and perceived health was more pronounced in male patients. SEM generated a model with good fit, χ 2 (CMIN) = 5.10, df = 3, p = 0.164, χ 2 (CMIN)/df = 1.70, RMSEA = 0.05, CFI = 0.97, TLI = 0.95 and NFI = 0.94; self-rated health mediated relations between multimorbidity and BMI. Overall, this study highlights the potential of self-rated health to mediate relationships between multimorbidity and BMI, but not glycaemic control, in adults with type 2 diabetes.