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Table 3 Factors associated with diabetes distress among the study participants (N = 412)

From: Diabetes distress and associated factors among adults with diabetes mellitus residing in a metropolitan city of India: a community-based study

Sociodemographic and health related characteristics

Distress present (N = 146)

cOR

(95% CI)

p- value

aOR

(95% CI)

p- value

Sex

Male (%)

36 (23.7)

1

< 0.001

1

0.044

Female (%)

110 (42.3)

2.36

(1.51–3.70)

1.68 (1.01–2.78)

Age (years)

Mean (SD)

59 (10.9)

1.00

(0.98–1.02)

0.961

  

Education*

Illiterate/ less than primary school (%)

98 (40.0)

1

0.019

  

Primary school or higher (%)

48 (28.7)

0.61

(0.40–0.92)

 

Marital Status

Married presently (%)

97 (33.2)

1

0.143

1

0.071

Separated/divorced/ widowed/not married (%)

49 (40.8)

1.39

(0.90–2.15)

0.60 (0.35–1.04)

Employment Status*

Employed (%)

33 (27.5)

1

0.032

  

Not employed (%)

113 (38.7)

1.66

(1.05–2.65)

 

Socioeconomic Status¶

Lower class (%)

97 (39.3)

1

0.047

1

0.041

Middle/ upper (%)

49 (29.7)

0.65

(0.43–0.99)

0.59 (0.36–0.98)

Self-reported comorbidities

Yes (%)

113 (40.7)

1

0.002

1

0.012

No (%)

33 (24.6)

0.48

(0.30–0.76)

0.52 (0.31–0.86)

Known case of hypertension

No (%)

67 (34.4)

1

0.665

  

Yes (%)

79 (36.4)

1.09

(0.73–1.64)

  

Duration of DM

< 5 years (%)

27 (28.4)

1

 

1

 

5 - <10 years (%)

38 (29.0)

1.03

(0.57–1.85)

0.923

1.05 (0.54–2.04)

0.895

10 + years (%)

81 (43.6)

1.94

(1.14–3.30)

0.014

2.28 (1.23–4.25)

< 0.001

Place where the treatment was prescribed

Private (%)

66 (34.9)

1

 

1

 

Government (%)

68 (40.2)

1.25

(0.81–1.93)

0.300

1.09 (0.68–1.76)

0.717

Not on treatment (%)

12 (22.2)

0.53

(0.26–1.08)

0.081

0.42 (0.19–0.94)

0.035

Level of health facility where the treatment was prescribed (N = 358, includes only those on treatment)

Primary care level (%)

90 (39.5)

1

0.290

  

Secondary or tertiary (%)

44 (33.9)

0.78

(0.50–1.23)

  

Insulin use

No (%)

133 (34.8)

1

0.350

  

Yes (%)

13 (43.3)

1.43

(0.67–3.04)

  

Polypharmacy (5 NCD medicines/day)

No (%)

103 (34.5)

1

0.495

  

Yes (%)

43 (38.1)

1.17

(0.75–1.83)

  

Social support (tangible and informational)

No unmet need (%)

107 (29.6)

1

< 0.001

1

< 0.001

Unmet need (%)

39 (76.5)

7.71

(3.89–15.31)

7.99 (3.74–17.10)

Knowledge regarding complications and curability of diabetes

None (Score 0/2) (%)

18 (51.4)

1

0.042

1

0.095

Some (Score 1/2 or 2/2) (%)

128 (34.0)

0.49

(0.24–0.97)

0.50 (0.22–1.13)

  1. * Education and employment status were not included in multivariable regression due to their inclusion in socioeconomic status which was included in the model
  2. As per modified Kuppuswamy scale: lower and upper lower class have been clubbed to form lower class and upper class, upper middle and lower middle have been clubbed to form middle/ upper classl