기사
Investing time in health: do socioeconomically disadvantaged patients spend more or less extra time on diabetes selfcare? /
- 개인저자
- Ettner, Susan L. et al
- 수록페이지
- 645-663 p.
- 발행일자
- 2009.06.23
- 출판사
- Wiley
초록
[영문]Background: Research on selfcare for chronic disease has not examined time requirements. Translating Research into Action for Diabetes TRIAD, a multisite study of managed care patients with diabetes, is among the first to assess selfcare time.Objective: To examine associations between socioeconomic position and extra time patients spend on foot care, shoppingcooking, and exercise due to diabetes.Data: Eleven thousand nine hundred and twentyseven patient surveys from 2000 to 2001.Methods: Bayesian twopart models were used to estimate associations of selfreported extra time spent on selfcare with raceethnicity, education, and income, controlling for demographic and clinical characteristics.Results: Proportions of patients spending no extra time on foot care, shoppingcooking, and exercise were, respectively, 37, 52, and 31. Extra time spent on foot care and shoppingcooking was greater among racialethnic minorities, lesseducated and lowerincome patients. For example, AfricanAmericans were about 10 percentage points more likely to report spending extra time on foot care than whites and extra time spent was about 3?min more per day.Discussion: Extra time spent on selfcare was greater for socioeconomically disadvantaged patients than for advantaged patients, perhaps because their perceived opportunity cost of time is lower or they cannot afford substitutes. Our findings suggest that poorly controlled diabetes risk factors among disadvantaged populations may not be attributable to selfcare practices