Diabetes-Related Distress Among People with Type 2 Diabetes in Ho Chi Minh City, Vietnam: Prevalence and Associated Factors
Received 15 December 2020
Accepted for publication 29 January 2021
Published 15 February 2021 Volume 2021:14 Pages 683—690
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Professor Ming-Hui Zou
Giao Huynh,1 Thien Thuan Tran,1 Thi Hoai Thuong Do,1 Thi Thuy Dung Truong,1 Phuc Thinh Ong,2 Thi Ngoc Han Nguyen,3 Le An Pham4
1Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam; 2Center for Population Health Sciences, Hanoi University of Public Health, Hanoi, Vietnam; 3Infection Control Department, University Medical Center Ho Chi Minh City, Ho Chi Minh City, Vietnam; 4Family Medicine Training Center, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam
Correspondence: Le An Pham; Giao Huynh
University of Medicine and Pharmacy at Ho Chi Minh City, 217 Hong Bang Street, District 5, Ho Chi Minh City, Vietnam
Tel +84908153743; +84908608338
Email firstname.lastname@example.org; email@example.com
Background: Diabetes-related distress (DRD) refers to the condition of negative emotion as a result of living with diabetes and the burden of self-care. This study aims to evaluate the prevalence and associated factors of DRD among people with type 2 diabetes.
Methods: A cross-sectional study was carried out on people with Type 2 Diabetes at three hospitals in Ho Chi Minh City, between April and November 2020. The study used the Vietnamese version of the Diabetes Distress Scale (DDS) which includes 17 items. The mean total distress score was calculated on the average of the 17 items. A mean score of equal to 2.0 or higher was classified as moderate to severe distress. Descriptive statistics were performed by frequency and percentage, and the multivariate Logistic Regression Analysis was used to assess information where p-value < 0.05 was considered statistically significant.
Results: A total of 517 participants, who were mainly over 60 years old (56.8%) with females being 65.0%, participated in the study. Results showed that 23.6% and 5.8% of them, respectively, were found as being moderately or highly distressed. Some factors that correlated with the total distress results included age, timescale of diabetes, and glycemic control level (HbA1c). The rate of total distress in those who were over 60 years old and had a HbA1c < 7 were less prevalent than those who were under 60, and had a HbA1c ≥ 7 (OR 0.5 95% CI 0.3– 0.7; OR 0.5 95% CI: 0.3– 0.9, respectively, all p< 0.05), whilst the timescale of diabetes between 5 and 10 years was significantly more prevalent than those who had a timescale less 5 years (OR 1.8 95% CI 1.1– 2.9, p< 0.05).
Conclusion: A high rate of distress exists in people with diabetes. Therefore, combining the evaluation of distress as part of the regular diagnostic procedures of diabetes care, and recommending physicians apply a comprehensive approach to diabetes management, is necessary.
Keywords: diabetes, diabetes distress scale, distress, Vietnam
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