Comparison of Self-Care Behaviors in Patients with Type 2 Diabetes before and after the Covid-19 Pandemic: Tehran Lipid and Glucose Study
Background and Objectives: The Covid-19 prevalence can threaten self-care behaviors and disease control in people with type 2 diabetes (T2D) through increasing anxiety and stress levels and limited access to medical services. This study was conducted to investigate the association of the Covid-19 pa...
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| Format: | Article |
| Language: | fas |
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Tehran University of Medical Sciences
2021-09-01
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| Series: | مجله اپیدمیولوژی ایران |
| Subjects: | |
| Online Access: | http://irje.tums.ac.ir/article-1-6995-en.html |
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| author | Sara Jalali-Farahani Parisa Amiri Zeinab Shayeghian Parnian Parvin Leila Cheraghi Fereidoun Azizi |
| author_facet | Sara Jalali-Farahani Parisa Amiri Zeinab Shayeghian Parnian Parvin Leila Cheraghi Fereidoun Azizi |
| author_sort | Sara Jalali-Farahani |
| collection | DOAJ |
| description | Background and Objectives: The Covid-19 prevalence can threaten self-care behaviors and disease control in people with type 2 diabetes (T2D) through increasing anxiety and stress levels and limited access to medical services. This study was conducted to investigate the association of the Covid-19 pandemic with self-care behaviors in patients with T2D.
Methods: The present study was conducted on 318 adults with T2D who participated in the Tehran Lipid and Glucose Study (TLGS) between 1397 and 1399 and completed the summary of diabetes self-care activities (SDSCA) questionnaire. Data on self-care activities during the Covid-19 pandemic were collected 3-4 months after the announcement of the epidemic in the country via telephone calls. For data analysis, a multiple linear regression model and paired t-test were used.
Results: The mean total scores of self-care behaviors were 49.7±14.8 and 56.1±13.1 before and after the Covid-19 pandemic, respectively (P<0.001). After the Covid-19 pandemic, women's total self-care score increased with an increase in the diabetes duration (β= 0.31, P= 0.020) after adjusting for the aforementioned related conditions. This score showed a significant decrease in women with a high school education compared to those with higher education (β= -6.57, P= 0.024). Moreover, the diet and foot care subscales in both sexes and the blood glucose testing score in women were significantly higher after versus before the pandemic.
Conclusion: Following the Covid-19 pandemic, self-care behaviors, especially those related to diet, foot care, and blood glucose testing, improved in the short term |
| first_indexed | 2024-04-13T00:34:51Z |
| format | Article |
| id | doaj.art-c32b677fc1344e81abb6f46298ab6fd2 |
| institution | Directory Open Access Journal |
| issn | 1735-7489 2228-7507 |
| language | fas |
| last_indexed | 2024-04-13T00:34:51Z |
| publishDate | 2021-09-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | مجله اپیدمیولوژی ایران |
| spelling | doaj.art-c32b677fc1344e81abb6f46298ab6fd22022-12-22T03:10:23ZfasTehran University of Medical Sciencesمجله اپیدمیولوژی ایران1735-74892228-75072021-09-01172174183Comparison of Self-Care Behaviors in Patients with Type 2 Diabetes before and after the Covid-19 Pandemic: Tehran Lipid and Glucose StudySara Jalali-Farahani0Parisa Amiri1Zeinab Shayeghian2Parnian Parvin3Leila Cheraghi4Fereidoun Azizi5 PhD by Research Student, Research Center for Social Determinants of Health, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran Professor of Health Education, Research Center for Social Determinants of Health, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran PhD Psychology, Research Center for Social Determinants of Health, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran General Practitioner, Research Center for Social Determinants of Health, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran Msc Biostatistics, Department of Epidemiology and Biostatistics, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran Professor of Internal Medicine and Endocrinology, Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran Background and Objectives: The Covid-19 prevalence can threaten self-care behaviors and disease control in people with type 2 diabetes (T2D) through increasing anxiety and stress levels and limited access to medical services. This study was conducted to investigate the association of the Covid-19 pandemic with self-care behaviors in patients with T2D. Methods: The present study was conducted on 318 adults with T2D who participated in the Tehran Lipid and Glucose Study (TLGS) between 1397 and 1399 and completed the summary of diabetes self-care activities (SDSCA) questionnaire. Data on self-care activities during the Covid-19 pandemic were collected 3-4 months after the announcement of the epidemic in the country via telephone calls. For data analysis, a multiple linear regression model and paired t-test were used. Results: The mean total scores of self-care behaviors were 49.7±14.8 and 56.1±13.1 before and after the Covid-19 pandemic, respectively (P<0.001). After the Covid-19 pandemic, women's total self-care score increased with an increase in the diabetes duration (β= 0.31, P= 0.020) after adjusting for the aforementioned related conditions. This score showed a significant decrease in women with a high school education compared to those with higher education (β= -6.57, P= 0.024). Moreover, the diet and foot care subscales in both sexes and the blood glucose testing score in women were significantly higher after versus before the pandemic. Conclusion: Following the Covid-19 pandemic, self-care behaviors, especially those related to diet, foot care, and blood glucose testing, improved in the short termhttp://irje.tums.ac.ir/article-1-6995-en.htmlself-carediabetescovid-19tehran lipid and glucose study |
| spellingShingle | Sara Jalali-Farahani Parisa Amiri Zeinab Shayeghian Parnian Parvin Leila Cheraghi Fereidoun Azizi Comparison of Self-Care Behaviors in Patients with Type 2 Diabetes before and after the Covid-19 Pandemic: Tehran Lipid and Glucose Study مجله اپیدمیولوژی ایران self-care diabetes covid-19 tehran lipid and glucose study |
| title | Comparison of Self-Care Behaviors in Patients with Type 2 Diabetes before and after the Covid-19 Pandemic: Tehran Lipid and Glucose Study |
| title_full | Comparison of Self-Care Behaviors in Patients with Type 2 Diabetes before and after the Covid-19 Pandemic: Tehran Lipid and Glucose Study |
| title_fullStr | Comparison of Self-Care Behaviors in Patients with Type 2 Diabetes before and after the Covid-19 Pandemic: Tehran Lipid and Glucose Study |
| title_full_unstemmed | Comparison of Self-Care Behaviors in Patients with Type 2 Diabetes before and after the Covid-19 Pandemic: Tehran Lipid and Glucose Study |
| title_short | Comparison of Self-Care Behaviors in Patients with Type 2 Diabetes before and after the Covid-19 Pandemic: Tehran Lipid and Glucose Study |
| title_sort | comparison of self care behaviors in patients with type 2 diabetes before and after the covid 19 pandemic tehran lipid and glucose study |
| topic | self-care diabetes covid-19 tehran lipid and glucose study |
| url | http://irje.tums.ac.ir/article-1-6995-en.html |
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