Ali Gholami1, Maryam Khazaee-Pool2, Negar Rezaee3, Bahareh Amirkalali4, Abbas A Bbasi Ghahremanlo5, Farhad Moradpour6, Abdolalhalim Rajabi3, Masoud Reza Sohrabi4, Reyhaneh Yarmohammadi4, Zahra Mousavi Jahromi7. 1. 1)Department of Public Health, School of Public Health, Neyshabur University of Medical Sciences, Neyshabur, Iran. 2)Department of Epidemiology, School of Public Health, Iran University of Medical Sciences, Tehran, Iran. 3)Non Communicable Diseases Research Center, Endocrinology and Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran. 2. Department of Health Education and Promotion, School of Public Health, Zanjan University of Medical Sciences, Zanjan, Iran. 3. Department of Epidemiology, School of Public Health, Iran University of Medical Sciences, Tehran, Iran. 4. Gastrointestinal and Liver Disease Research Center (GILDRC), Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran. 5. 6)Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran. 2)Department of Epidemiology, School of Public Health, Iran University of Medical Sciences, Tehran, Iran. 6. 7)Social Determinant of Health Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran. 2)Department of Epidemiology, School of Public Health, Iran University of Medical Sciences, Tehran, Iran. 7. 8)Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran. 9)School of Public Health, Zabol University of Medical Sciences, Zabol, Iran.
Abstract
BACKGROUND: Health-related quality of life (HRQOL) is associated with household food insecurity (HFI). However, the studies examining the relationship between HFI and HRQOL in patients with type 2 diabetes are scarce. Thus, this study was designed to examine the relationship between HFI and HRQOL in rural type 2 diabetic patients. METHODS: In this cross-sectional study, we included 1847 rural patients with type 2 diabetes in Neyshabur from April to July 2012. HRQOL and HFI were measured with 36-item HRQOL (SF-36) and 6-item version of Household Food Security questionnaires, respectively. HRQOL was divided into eight dimensions and two summary components. We categorized households as high food secure (HFS), low food secure (LFS), and very low food secure (VLFS). Multiple linear regression model was applied to assess the independent effect of food insecurity on HRQOL. RESULTS: The mean age of participants was 59.65 ± 12.3 years (range: 30-97) with 69.8% women. The overall prevalence of HFI was 46.1%, and the total mean score of HRQOL was 51.11. Multiple linear regression model showed that HFI was significantly associated with the total mean score of HRQOL and its eight dimensions. One-way ANOVA test also showed that HRQOL (in all dimensions) was significantly different between 3 groups of household food security status (HFS, LFS, and VLFS) (P < 0.05). CONCLUSIONS: The results of this study showed that HFI was associated with all dimensions of HRQOL and it is one of the strongest variables, in association with HRQOL among rural patients with type 2 diabetes.
BACKGROUND: Health-related quality of life (HRQOL) is associated with household food insecurity (HFI). However, the studies examining the relationship between HFI and HRQOL in patients with type 2 diabetes are scarce. Thus, this study was designed to examine the relationship between HFI and HRQOL in rural type 2 diabeticpatients. METHODS: In this cross-sectional study, we included 1847 rural patients with type 2 diabetes in Neyshabur from April to July 2012. HRQOL and HFI were measured with 36-item HRQOL (SF-36) and 6-item version of Household Food Security questionnaires, respectively. HRQOL was divided into eight dimensions and two summary components. We categorized households as high food secure (HFS), low food secure (LFS), and very low food secure (VLFS). Multiple linear regression model was applied to assess the independent effect of food insecurity on HRQOL. RESULTS: The mean age of participants was 59.65 ± 12.3 years (range: 30-97) with 69.8% women. The overall prevalence of HFI was 46.1%, and the total mean score of HRQOL was 51.11. Multiple linear regression model showed that HFI was significantly associated with the total mean score of HRQOL and its eight dimensions. One-way ANOVA test also showed that HRQOL (in all dimensions) was significantly different between 3 groups of household food security status (HFS, LFS, and VLFS) (P < 0.05). CONCLUSIONS: The results of this study showed that HFI was associated with all dimensions of HRQOL and it is one of the strongest variables, in association with HRQOL among rural patients with type 2 diabetes.