Observational Study
Copyright ©The Author(s) 2017.
World J Diabetes. Aug 15, 2017; 8(8): 407-413
Published online Aug 15, 2017. doi: 10.4239/wjd.v8.i8.407
Table 1 Demographic characteristics of diabetic people referring to diabetes clinics of Tabriz, 2015
VariableSubgroupsn (%)
Age1≤ 4985 (21.6)
59-50147 (37.3)
≥ 60162 (41.1)
GenderMale134 (34)
Female260 (66)
Level educationIlliterate143 (36.3)
Primary school149 (37.8)
Secondary school and higher102 (25.9)
Marital statusSingle45 (11.4)
Married349 (88.6)
OccupationEmployed70 (17.8)
Housekeeper252 (63.9)
Retired/other72 (18.3)
Health insuranceYes378 (95.9)
No16 (4.1)
Household monthly income2< 50025 (6.3)
1000-500199 (50.5)
> 1000170 (43.1)
Smoking statusYes40 (10.2)
No354 (89.8)
Table 2 The status of different domains of health related quality of life according to the gender of diabetic people referring to diabetes clinics of Tabriz, 2015
HRQOL dimensionsTotal
Male
Female
P-value
MeanSDMeanSDMeanSD
Physical health51.2413.3454.9712.9249.3413.18< 0.001
Psychological health60.3814.5465.2613.3057.8814.54< 0.001
Social relationship38.3216.7441.9616.7136.4616.480.002
Environmental58.4810.4859.6411.1357.8810.100.115
Total HRQOL score52.1111.5355.4611.3450.3911.27< 0.001
Table 3 Different dimensions of health related quality of life according to the clinical aspects of diabetes among diabetic people referring to diabetes clinics of Tabriz, 2015
VariableSubgroupsn (%)Physical healthSocial relationshipEnvironmentalPsychological healthTotal HRQOL
GenderMale134 (34)54.97 (12.92)41.96 (16.71)59.65 (11.14)65.26 (13.30)55.46 (11.34)
Female260 (66)49.34 (13.18)36.46 (16.48)57.88 (10.11)57.88 (14.54)50.39 (11.27)
P-value-< 0.0010.0020.115< 0.001< 0.001
Age≤ 4985 (21.6)58.65 (11.64)47.8 (17.59)61.64 (11.14)64.11 (16.15)58.8 (11.66)
59-50147 (37.3)52.36 (12.97)39.68 (15.17)59.71 (10.9)61.37 (14.71)53.28 (11.19)
≥ 60162 (41.1)46.32 (12.53)32.08 (15.02)55.68 (9.01)57.5 (12.91)47.89 (10.11)
P-value-< 0.001< 0.001< 0.0010.002< 0.001
EducationIlliterate143 (36.3)44.56 (11.04)29.8 (13.21)54.34 (8.57)55.06 (12.25)45.94 (8.73)
Primary school149 (37.8)51.99 (12.93)40.25 (16.08)57.46 (10.13)59.79 (14.31)52.37 (10.87)
Secondary school and higher102 (25.9)59.61 (11.92)47.55 (16.52)65.83 (9.7)68.77 (14.15)60.44 (10.68)
P-value-< 0.001< 0.001< 0.001< 0.001< 0.001
IncomeLow (< 1000)224 (56.8)48.43 (12.82)35.44 (17.47)56.22 (9.98)57.9 (14.73)49.50 (11.39)
acceptable170 (43.2)54.23 (13.27)41.38 (15.41)60.86 (10.49)63 (13.9)54.86 (11.06)
P-value-< 0.001< 0.001< 0.001< 0.001< 0.001
Disease duration (yr)≥ 3 yr51 (12.9)56.12 (13.81)41.88 (16.86)61.7 (12.31)65.48 (14.81)56.29 (12.18)
4-793 (23.6)51.09 (10.95)37.3 (16.15)57.52 (9.29)59.47 (12.48)51.34 (10.06)
≤ 7 yr250 (63.5)50.33 (13.89)38 (16.91)58.19 (10.43)59.7 (15.03)51.55 (11.78)
P-value-0.0190.260.0580.029< 0.001
< 2572 (20.2)55.21 (12.90)42.08 (17.32)60.77 (12.09)64.36 (15.85)55.6 (12.53)
25-29.9148 (41.6)54.2 (13.01)39.25 (15.68)59.2 (10.26)62.15 (14.22)53.7 (11.66)
≥ 30136 (38.2)47.97 (12.85)35.27 (17.46)57.16 (9.98)58.23 (13.79)49.66 (11.08)
P-value-< 0.0010.0140.0520.0080.001
HbA1c< 7180 (47.2)51.11 (12.70)38.02 (16.02)57.8 (10.84)60.1 (14.12)51.76 (11.07)
≥ 7201 (52.8)51.21 (14.01)37.96 (17.35)58.89 (10.25)60.83 (14.75)52.22 (12.05)
P-value-0.9380.9690.1360.620.696
NORMAL195 (49.6)53.83 (10.78)38.33 (15.11)60.4 (9.57)64.73 (11.81)54.32 (9.74)
Kessler psychological distressMILD72 (18.3)52.01 (13.65)41.97 (18.03)57.47 (10.25)60.84 (12.61)53.07 (11.57)
MODERATE52 (2.13)50.96 (14.41)39.19 (19.07)58.57 (12.12)59.76 (16.61)52.12 (13.91)
SEVER74 (18.8)43.9 (15.76)34.14 (17.23)54.33 (66.10)48.87 (15.22)45.31 (11.66)
P-value-< 0.0010.042< 0.001< 0.001< 0.001
Functional limitationNo106 (26.9)61.25 (10.89)47.47 (15.85)63.05 (11.16)67.91 (14.37)59.92 (10.79)
Moderate78 (19.8)54.92 (11.51)44.34 (18.16)61.12 (9.62)64.79 (12.13)56.29 (10.18)
Sever210 (53.3)44.8 (11.35)31.44 (13.25)55.17 (9.26)54.91 (13.17)46.58 (9.23)
P-value-< 0.001< 0.001< 0.001< 0.001< 0.001
TreatmentOral medication223 (57.4)53.57 (12.59)38.69 (15.71)58.97 (10.37)61.69 (14.64)53.11 (11.09)
Oral medication + insulin injection164 (42.2)48.92 (13.64)37.82 (17.96)58.07 (10.55)58.78 (14.38)50.9 (11.97)
P-value-0.0070.8830.1610.1010.12
ComorbiditiesNo102 (25.9)58.93 (11.79)42.23 (18.29)63.37 (10.57)66.51 (14.82)57.76 (11.75)
1207 (52.5)50.82 (12.07)38.28 (16.42)57.56 (10.03)60.49 (13.19)51.79 (10.66)
≥ 285 (21.6)43.05 (12.99)33.74 (14.41)54.83 (9.39)52.75 (13.88)46.09 (10.09)
P-value-< 0.0010.002< 0.001< 0.001< 0.001
Table 4 Multivariate linear regression models of significant factors predicting health related quality of life domains among diabetic people referring to diabetes clinics of Tabriz, 2015
HRQOL domainsVariablesB (SE)BetaP-value95%CI of B
Adjusted R2
LowerUpper
Physical healthEducation3.35 (0.83)0.198< 0.0011.774.930.436
BMI-1.55 (0.75)-0.0870.039-3.120.07
Functional limitation-4.79 (0.77)-0.229< 0.001-6.11-3.07
Kessler psychological distress-1.98 (0.46)-0.174< 0.001-2.90-1.06
Comorbidies-4.05 (0.85)-0.210< 0.001-5.73-2.37
Social relationshipAge-4.65 (1.2)-0.212< 0.001-7.01-2.280.279
Education5.3 (1.15)0.246< 0.0013.037.56
Functional limitation-4.05 (1.11)-0.208< 0.001-6.24-1.87
Psychological healthEducation3.52 (0.94)0.190< 0.0011.675.380.353
Functional limitation-3.94 (0.9)-0.234< 0.001-5.72-2.15
Comorbidies-3.72 (1.0)-0.176< 0.001-5.69-1.75
Kessler psychological distress-3.96 (0.55)-0.317< 0.001-5.04-2.88
EnvironmentEducation4.3 (0.73)0.318< 0.0012.865.750.257
Comorbidies-2.37 (0.78)-0.1540.003-3.91-0.83
Kessler psychological distress-1.33 (0.43)-0.1350.004-2.07-0.38
Functional limitation-1.77 (0.7)-0.1450.012-3.17-0.38
Income2.13 (1.02)0.1010.0370.124.14
Total HRQOL scoreEducation4.12 (0.7)0.278< 0.0012.735.50.433
Functional limitation-3.59 (0.67)-0.267< 0.001-4.92-2.26
Age1.48 (0.73)-0.0980.044-2.93-0.03
Kessler psychological distress-2.02 (0.41)-0.203< 0.0012.83-1.21
Income1.98 (0.97)0.0850.0440.053.9
Comorbidities-2.41 (0.75)-0.1430.001-3.89-9.41