Influence of Social Determinants of Health on Glycemic Control in Patients with Major Depressive Disorder and Type 2 Diabetes Mellitus
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Abstract
Purpose: This study aimed to examine the influence of social determinants of health risk and protective factors on glycemic control in patients with major depressive disorder and type 2 diabetes mellitus.
Design: Predictive correlational research.
Methods: The sample consisted of 104 patients with major depressive disorder and type 2 diabetes mellitus who attended the outpatient department of a university hospital in Bangkok. The patients were recruited by convenience sampling. Data were collected using questionnaires including demographic data, physical functioning, stress, and social support. Descriptive and logistic regression were used to analyze data.
Main findings: The results revealed that half of them (50%) showed good glycemic control. Gender and duration of having diabetes mellitus were significant predictor of glycemic control. Females had higher odds of poor glycemic control, compared to their male counterparts with 3.69 times (OR = 3.69, 95%CI = 1.29, 10.57; p < .05). The odds of poor glycemic control increased by 1.09 times when the duration of diabetes mellitus increased 1 years (OR = 1.09, 95%CI = 1.04, 1.15; p < .05).
Conclusion and recommendations: Female and diabetes duration could influence glycemic control in patients with MDD and Type 2 DM. Psychiatric nurses should be aware of this issue and provide counseling to empower women with major depressive disorder and type 2 diabetes mellitus to take better care of themselves aiming to enhance these at-risk patients to effectively manage glycemic control.
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