scholarly journals Can the municipalities prevent medication of lifestyle related diseases?

2012 ◽  
Vol 1 (2) ◽  
Author(s):  
Mickael Bech ◽  
Maja Bæksgaard Hansen ◽  
Jørgen Lauridsen ◽  
Christian Kronborg
Keyword(s):  
Type 2 Diabetes ◽  
Health Care ◽  
Cardiovascular Diseases ◽  
Obstructive Lung Disease ◽  
Secondary Sector ◽  
Lifestyle Related Diseases ◽  
The Relationship ◽  
Health Care Treatment ◽  
Large Municipality

In extension of a large municipality reform in 2007, which reduced the number of Danish municipalities from 275 to 98, it was the intention that the municipalities should assume responsibility for a part of the expenditure connected to secondary sector health care treatment. Furthermore, the municipalities were assigned the responsibility for – and equipped with a number of opportunities for – exerting primary preventive initiatives. The purpose of the present study is to investigate, whether the municipalities by applying these opportunities have been able to prevent medication of selected lifestyle related diseases (type 2 diabetes, cardiovascular diseases, and asthma and chronically obstructive lung disease). Though our results initially seem to support this, a closer investigation indicates that the relationship between municipal preventive initiatives and medication is a structural, intra-municipal relationship rather than a cause-response effect.

scholarly journals Hubungan Tingkat Pengetahuan terhadap Outcome Klinik Pasien Diabetes Melitus Tipe 2

2019 ◽  
Vol 9 (2) ◽  
Author(s):  
Laksmy Anggun Larasati ◽  
Tri Murti Andayani ◽  
Susi Ari Kristina
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Health Care ◽  
Type 2 Diabetes Mellitus ◽  
Chi Square ◽  
Good Glycemic Control ◽  
Primary Health ◽  
Level Of Knowledge ◽  
The Relationship

Diabetes is a chronic disease that requires good therapeutic management and self care to achieve optimal glycemic target. The important barrier to achieve good glycemic control is a lack of knowledge about optimal glycemic targets. The purpose of this study was to determine the relationship of the level of knowledge to clinical outcome of type 2 diabetes mellitus in Yogyakarta and Bantul primary health care. This was an observational study with a cross sectional design. The sampling technique was done by accidental sampling for patients visiting the primary health care from October to December 2018 that involved 200 type 2 diabetes mellitus patients who were included in the inclusion criteria. The level of knowledge was measured by the Diabetes Knowledge Questionnaire (DKQ)-24 which had 24 questions and the clinical outcome was obtained from laboratory measurement data as well as from medical record data when the patient was in routine control. Sociodemographic data were analyzed descriptively. The relationship between the level of knowledge and clinical outcomes was analyzed using chi square. The results showed that the knowledge level score had an average value of 12. The most incorrect answer was in etiology and diabetes self care, which is eating too much sugar and sweet foods is the cause of diabetes (97%), exercise regularly increasing the need of hormone insulin or diabetes medication (82%), the insulin reaction is caused by too much food (84%) and diabetics should clean the wound with betadine and alcohol (88%). There were 106 (53%) patients who achieved good glycemic control. Chi square test showed no relationship between the level of knowledge of clinical outcomes (p = 0.328). The result of this study may become a material and education content evaluation in diabetic patients.

scholarly journals Vitamin D, adipose tissue, and obesity

2013 ◽  
Vol 15 (3) ◽  
Author(s):  
Julie Marcotorchino ◽  
Franck Tourniaire ◽  
Jean-François Landrier
Keyword(s):  
Type 2 Diabetes ◽  
Vitamin D ◽  
Adipose Tissue ◽  
Cardiovascular Diseases ◽  
Vitamin D Deficiency ◽  
Epidemiological Studies ◽  
The Relationship ◽  
Diabetes And Obesity

AbstractEpidemiological studies have shown a link between vitamin D deficiency and numerous pathologies such as cancers, immunity diseases, cardiovascular diseases, hypertension, type 2 diabetes, and obesity. Recent studies in vitro and in animal models demonstrated an impact of vitamin D on adipose tissue and adipocyte biology. Such observations are of particular interest and provide mechanistic explanations on the relationship between vitamin D deficiency and obesity.

scholarly journals A Cross-Sectional Analysis of the Stigma Surrounding Type 2 Diabetes in Colombia

2021 ◽  
Vol 18 (23) ◽  
pp. 12657
Author(s):  
Victor Pedrero ◽  
Jorge Manzi ◽  
Luz Marina Alonso
Keyword(s):  
Type 2 Diabetes ◽  
Health Care ◽  
Self Efficacy ◽  
Self Esteem ◽  
Self Management ◽  
Psychosocial Variables ◽  
Cross Sectional ◽  
The Relationship ◽  
Management Behaviors

Type 2 diabetes is a global epidemic, and many people feel stigmatized for having this disease. The stigma is a relevant barrier to diabetes management. However, evidence in this regard is scarce in Latin America. This study aimed to analyze the level of stigma surrounding type 2 diabetes in the Colombian population and its relationships with sociodemographic, clinical, psychosocial variables and behaviors related to management of the disease (self-management behaviors). This cross-sectional study included 501 Colombian adults with type 2 diabetes. We estimated the relation between stigma and selected variables through linear regression models. Additionally, we analyzed the mediator role of psychosocial variables in the relationship between stigma and self-management behaviors through structural equation models. A total of 16.4% of patients showed concerning levels of stigma. The time elapsed since diagnosis (β = −0.23) and socioeconomic status (β = −0.13) were significant predictors of the level of stigma. Stigma was negatively correlated with self-efficacy (β = −0.36), self-esteem (β = −0.37), and relationship with health care provider (β = −0.46), and positively correlated with stress (β = 0.23). Self-efficacy, self-esteem, and the relationships with health care providers had a mediation role in the relationship between stigma and self-management behaviors. These variables would be part of the mechanisms through which the perception of stigma harms self-management behaviors. The stigma of type 2 diabetes is frequent in the Colombian population and negatively associated with important aspects of disease management.

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