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Self-care time and rating of health state in persons with diabetes: Results from the population-based KORA survey in Germany.
Health Qual. Life Outcomes 20:163 (2022)
BACKGROUND: The amount of empirical research on whether people in fact include health-related changes in leisure time into health state valuations is limited and the results are inconclusive. In this exploratory study, we analyse whether time aspects of diabetes self-care might explain the ratings of the health state (HSR) in addition to the effects of physical and mental health-related quality of life. METHODS: Using the data from participants with diagnosed type 2 diabetes in the population-based KORA FF4 study (n = 190, 60% Male, mean age 69 ± 10 years), multiple logistic regression models were fitted to explain HSR (good vs. poor) in terms of the SF-12 physical and mental component summary (PCS and MCS) scores, time spent on diabetes self-care and a number of background variables. RESULTS: There was no significant association between time spent on diabetes self-care and HSR in models without interaction. Significant interaction term was found between the SF-12 PCS score and time spent on self-care. In models with interaction self-care time has a small, but significant impact on the HSR. In particular, for a PCS score under 40, more time increases the chance to rate the health state as "good", while for a PCS score above 40 there is a reverse effect. CONCLUSIONS: The additional impact of self-care time on HSR in our sample is small and seems to interact with physical health-related quality of life. More research is needed on whether inclusion of health-related leisure time changes in the denominator of cost-effectiveness analysis is sufficient.
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Publication type
Article: Journal article
Document type
Scientific Article
Keywords
Diabetes Mellitus ; Health Economic Evaluation, Population-based Study ; Patient Time Use
ISSN (print) / ISBN
1477-7525
e-ISSN
1477-7525
Quellenangaben
Volume: 20,
Issue: 1,
Article Number: 163
Publisher
BioMed Central
Non-patent literature
Publications
Reviewing status
Peer reviewed
Institute(s)
Institute of Epidemiology II (EPI2)
Grants
Deutsches Forschungszentrum für Gesundheit und Umwelt, Helmholtz Zentrum München
Bundesministerium für Bildung und Forschung
North Rhine-Westphalian Ministry of Science
German Federal Ministry of Health
Bundesministerium für Bildung und Forschung
North Rhine-Westphalian Ministry of Science
German Federal Ministry of Health