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Epidemiologia e Serviços de Saúde

Print version ISSN 1679-4974On-line version ISSN 2237-9622

Abstract

MORAES, Helaine Aparecida Bonatto de; MENGUE, Sotero Serrate; MOLINA, Maria del Carmem Bisi  and  CADE, Nágela Valadão. Factors associated with glycemic control in a sample of individuals with Diabetes Mellitus taken from the Longitudinal Study of Adult Health, Brazil, 2008-2010. Epidemiol. Serv. Saúde [online]. 2020, vol.29, n.3, e2018500.  Epub June 10, 2020. ISSN 1679-4974.  http://dx.doi.org/10.5123/s1679-49742020000300017.

Objective

to investigate factors associated with glycemic control in individuals with diabetes mellitus (DM).

Methods

this was a cross-sectional study, with participants in the Longitudinal Study of Adult Health with self-reported DM; binomial logistic regression was used.

Results

1,242 individuals were included; 54.2% had glycated hemoglobin ≥6.5%, showing inadequate glycemic control; factors associated with inadequate glycemic control were male sex (OR=1.39 – 95%CI 1.05;1.85), black skin color (OR=1.74 – 95%CI 1.22;2.48) or brown skin color (OR=1,57 – 95%CI 1.14;2.16), average occupation level (OR=1.63 – 95%CI 1.02;2.58), not having health insurance (OR=1.47 – 95%CI 1.09;1.96), use of insulin (OR=7.34 – 95%CI 3.56;15.15), increased waist-to-hip ratio (OR=1.87 – 95%CI 1.19;2.93), smoking (OR=1.73 – 95%CI 1.09;2.74), and poor or very poor self-rated health (OR=2.37 – 95%CI 1.17;4.83).

Conclusion

the results reinforce the multicausal context in glycemic control, which was associated with sociodemographic factors, lifestyles and health conditions.

Keywords : Diabetes Mellitus; Glycated Hemoglobin A; Diabetes Complications; Hyperglycemia.

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