RESUMO
OBJECTIVE: to investigate factors associated with glycemic control in individuals with diabetes mellitus (DM). METHODS: this was a cross-sectional study, with participants in the Longitudinal Study of Adult Health with self-reported DM; binomial logistic regression was used. RESULTS: 1,242 individuals were included; 54.2% had glycated hemoglobin ≥6.5%, showing inadequate glycemic control; factors associated with inadequate glycemic control were male sex (OR=1.39 - 95%CI 1.05;1.85), black skin color (OR=1.74 - 95%CI 1.22;2.48) or brown skin color (OR=1,57 - 95%CI 1.14;2.16), average occupation level (OR=1.63 - 95%CI 1.02;2.58), not having health insurance (OR=1.47 - 95%CI 1.09;1.96), use of insulin (OR=7.34 - 95%CI 3.56;15.15), increased waist-to-hip ratio (OR=1.87 - 95%CI 1.19;2.93), smoking (OR=1.73 - 95%CI 1.09;2.74), and poor or very poor self-rated health (OR=2.37 - 95%CI 1.17;4.83). CONCLUSION: the results reinforce the multicausal context in glycemic control, which was associated with sociodemographic factors, lifestyles and health conditions.
Assuntos
Diabetes Mellitus , Controle Glicêmico , Adulto , Brasil/epidemiologia , Estudos Transversais , Diabetes Mellitus/epidemiologia , Diabetes Mellitus/terapia , Feminino , Controle Glicêmico/estatística & dados numéricos , Humanos , Estudos Longitudinais , Masculino , Fatores SocioeconômicosRESUMO
Objetivo: Investigar os fatores associados ao controle glicêmico em indivíduos com diabetes mellitus (DM). Métodos: estudo seccional, com participantes do Estudo Longitudinal de Saúde do Adulto com DM autorreferido; utilizou-se regressão logística binomial. Resultados: foram incluídos 1.242 indivíduos; 54,2% apresentaram hemoglobina glicada ≥6,5%, evidenciando controle glicêmico inadequado; mostraram-se fatores associados ao controle glicêmico inadequado o sexo masculino (OR=1,39 IC95%1,05;1,85), raça/cor da pele preta (OR=1,74 IC95%1,22;2,48) ou parda (OR=1,57 IC95%1,14;2,16), nível médio de ocupação (OR=1,63 IC95%1,02;2,58), não ter plano de saúde (OR=1,47 IC95%1,09;1,96), uso de insulina (OR=7,34 IC95%3,56;15,15), relação cintura-quadril alterada (OR=1,87 IC95%1,19;2,93), tabagismo (OR=1,73 IC95%1,09;2,74) e autoavaliação da saúde ruim ou muito ruim (OR=2,37 IC95%1,17;4,83). Conclusão: os resultados reforçam o contexto multicausal no controle glicêmico, que foi associado a fatores sociodemográficos, estilos de vida e condições de saúde.
Objetivo: investigar los factores asociados con el control glucémico en personas con diabetes mellitus (DM). Métodos: estudio seccional, con participantes en el Estudio Longitudinal de Salud del Adulto con DM autoinformada; se utilizó regresión logística binomial. Resultados: se incluyeron 1.242 individuos; el 54,2% tenía hemoglobina glicada ≥6,5%, mostrando un control glucémico inadecuado; los factores asociados con un control glucémico inadecuado fueron género masculino (OR=1,39 IC95% 1,05;1,85), raza/color de piel negra (OR=1,74 IC95%1,22;2,48) o parda (OR=1,57 IC95%1,14;2,16), nivel medio de ocupación (OR=1,63 IC95%1,02;2,58), sin seguro de salud (OR=1,47 IC95%1,09;1,96), uso de insulina (OR=7,34 IC95%3,56;15,15), aumento de la relación cintura-cadera (OR=1,87 IC95%1,19;2,93), tabaquismo (OR=1,73 IC95%1,09;2,74) y autoevaluación de mala salud o muy mala (OR=2,37 IC95%1,17;4,83). Conclusión: los resultados refuerzan el contexto multicausal en el control glucémico, que se asoció con factores sociodemográficos, estilos de vida y condiciones de salud.
Objective: to investigate factors associated with glycemic control in individuals with diabetes mellitus (DM). Methods: this was a cross-sectional study, with participants in the Longitudinal Study of Adult Health with self-reported DM; binomial logistic regression was used. Results: 1,242 individuals were included; 54.2% had glycated hemoglobin ≥6.5%, showing inadequate glycemic control; factors associated with inadequate glycemic control were male sex (OR=1.39 95%CI 1.05;1.85), black skin color (OR=1.74 95%CI 1.22;2.48) or brown skin color (OR=1,57 95%CI 1.14;2.16), average occupation level (OR=1.63 95%CI 1.02;2.58), not having health insurance (OR=1.47 95%CI 1.09;1.96), use of insulin (OR=7.34 95%CI 3.56;15.15), increased waist-to-hip ratio (OR=1.87 95%CI 1.19;2.93), smoking (OR=1.73 95%CI 1.09;2.74), and poor or very poor self-rated health (OR=2.37 95%CI 1.17;4.83). Conclusion: the results reinforce the multicausal context in glycemic control, which was associated with sociodemographic factors, lifestyles and health conditions.
