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Self-rated health and multimorbidity in patients with type 2 diabetes.

Umeh, K (2021) Self-rated health and multimorbidity in patients with type 2 diabetes. Journal of Health Psychology. pp. 1-20. ISSN 1359-1053

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Abstract

The relationship between multimorbidity and self-rated health is well established. This study examined self-rated health in relation to multimorbidity, glycaemia and body weight specifically in adults with type 2 diabetes. Bootstrapped hierarchical logistic regression and structural equation modelling (SEM) were used to analyse survey data from 280 adults with type 2 diabetes. The odds of 'fair/bad/very bad' self-rated health increased 10-fold in patients with three (OR = 10.11 (3.36-30.40)) and four conditions (OR = 10.58 (2.9-38.25)), irrespective of glycaemic control (p < 0.001). The relationship between multimorbidity and perceived health was more pronounced in male patients. SEM generated a model with good fit, χ2 (CMIN) = 5.10, df = 3, p = 0.164, χ2 (CMIN)/df = 1.70, RMSEA = 0.05, CFI = 0.97, TLI = 0.95 and NFI = 0.94; self-rated health mediated relations between multimorbidity and BMI. Overall, this study highlights the potential of self-rated health to mediate relationships between multimorbidity and BMI, but not glycaemic control, in adults with type 2 diabetes.

Item Type: Article
Uncontrolled Keywords: 1302 Curriculum and Pedagogy, 1701 Psychology, 1702 Cognitive Sciences
Subjects: B Philosophy. Psychology. Religion > BF Psychology
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Psychology (new Sep 2019)
Publisher: Sage
Related URLs:
Date Deposited: 16 Apr 2021 12:39
Last Modified: 16 Apr 2021 12:39
DOI or Identification number: 10.1177/13591053211001419
URI: https://researchonline.ljmu.ac.uk/id/eprint/14808

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