A retrospective cohort study on the risk of stroke in relation to a priori health knowledge level among people with type 2 diabetes mellitus in Taiwan

BMC Cardiovascular Disorders
Yun-Ju LaiD Chu

Abstract

Intervention of diabetes care education with regular laboratory check-up in outpatient visits showed long-term benefits to reduce the risk of macrovascular complications among people with type 2 diabetes. However, research on the level of a priori health knowledge to the prevention of diabetic complications in community settings has been scarce. We therefore aimed to investigate the association of health knowledge and stroke incidence in patients with type 2 diabetes in Taiwan. A nationally representative sample of general Taiwanese population was selected using a multistage systematic sampling process from Taiwan National Health Interview Survey (NHIS) in 2005. Subjects were interviewed by a standardized face-to-face questionnaire in the survey, obtaining information of demographics, socioeconomic status, family medical history, obesity, health behaviors, and 15-item health knowledge assessment. The NHIS dataset was linked to Taiwan National Health Insurance claims data to retrieve the diagnosis of type 2 diabetes in NHIS participants at baseline and identify follow-up incidence of stroke from 2005 to 2013. Univariate and multivariate Cox regressions were used to estimate the effect of baseline health knowledge level to the ri...Continue Reading

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Citations

Jan 26, 2020·Journal of Basic and Clinical Physiology and Pharmacology·Anisyah AchmadLaksmi Sasiarini
Oct 22, 2020·Phytomedicine : International Journal of Phytotherapy and Phytopharmacology·Shu-Wen WengChun-Chuan Shih
Aug 20, 2021·Risk Management and Healthcare Policy·Abreham Degu MelakZemene Demelash Kifle

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