Longitudinal Development and the Influencing Factors of Glycemic Control in Adolescents With Type 1 Diabetes in Taiwan: Gender Differences

2.50
Hdl Handle:
http://hdl.handle.net/10755/303863
Category:
Abstract
Type:
Presentation
Title:
Longitudinal Development and the Influencing Factors of Glycemic Control in Adolescents With Type 1 Diabetes in Taiwan: Gender Differences
Author(s):
Wang, Ruey-Hsia; Kuan-Chia, Lin
Lead Author STTI Affiliation:
Non-member
Author Details:
Wang Ruey-Hsia, PhD, wrhsia@kmu.edu.tw
Abstract:

Poster presented on: Thursday, July 25, 2013, Wednesday, July 24, 2013

Purpose: The purposes of this study were to understand (1) longitudinal development of HbA1c over 18 months, and (2) the influence of baseline demographic and psychosocial factors on the longitudinal development of HbA1c in adolescents with type 1 diabetes vis-�-vis both genders.

Methods: Totally, 178 adolescents aged 13 to 18 years with type1 diabetes participated in an 18-month longitudinal study. At baseline, a structured questionnaire was used to collect demographic data, self-care behaviors, school support, resilience, adolescent- and parent-reported conflict diabetes-specific conflict, parental involvement in diabetes care, and quality of life (life satisfaction, diabetes-related worry, diabetes impact). HbA1c was gathered from medical records every 3 months after the administration of questionnaires. Generalized estimating equations were used to explore the trajectory stability of HbA1c and the influencing factors of the longitudinal development of HbA1c.

Results: The trajectory stability in girls (OR=39.18, 95% CI: 14.99-102.44) was higher than that in boys (OR=9.18, 95% CI: 3.64-23.20). The longitudinal development of HbA1c in girls was more stable than boys. High socioeconomic status (SES) and older age were important predictors of longitudinal development of decreasing HbA1c in boys. Middle SES, better self-care behaviors, low parental report parent-child conflict, and better life satisfaction were important predictors of longitudinal development of decreasing HbA1c in girls.

Conclusion: Intervention to have early good glycemic control in girls might be more cost-benefit than for boys. Improving self-care behaviors, life satisfaction, and decreasing parent child conflict should be emphasized for girls with type 1 diabetes. More studies are needed to discover the contributing psychosocial factors of longitudinal developmental in boys.

Keywords:
Longitudinal development; Type 1 Diabetes; Glycemic control
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleLongitudinal Development and the Influencing Factors of Glycemic Control in Adolescents With Type 1 Diabetes in Taiwan: Gender Differencesen_GB
dc.contributor.authorWang, Ruey-Hsiaen_GB
dc.contributor.authorKuan-Chia, Linen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsWang Ruey-Hsia, PhD, wrhsia@kmu.edu.twen_GB
dc.identifier.urihttp://hdl.handle.net/10755/303863-
dc.description.abstract<p>Poster presented on: Thursday, July 25, 2013, Wednesday, July 24, 2013</p><b>Purpose: </b>The purposes of this study were to understand (1) longitudinal development of HbA1c over 18 months, and (2) the influence of baseline demographic and psychosocial factors on the longitudinal development of HbA1c in adolescents with type 1 diabetes vis-�-vis both genders. <p><b>Methods: </b>Totally, 178 adolescents aged 13 to 18 years with type1 diabetes participated in an 18-month longitudinal study. At baseline, a structured questionnaire was used to collect demographic data, self-care behaviors, school support, resilience, adolescent- and parent-reported conflict diabetes-specific conflict, parental involvement in diabetes care, and quality of life (life satisfaction, diabetes-related worry, diabetes impact). HbA1c was gathered from medical records every 3 months after the administration of questionnaires. Generalized estimating equations were used to explore the trajectory stability of HbA1c and the influencing factors of the longitudinal development of HbA1c. <p><b>Results: </b><span lang="EN-US">The trajectory stability in girls (OR=39.18, 95% CI: 14.99-102.44) was higher than that in boys (OR=9.18, 95% CI: 3.64-23.20). The longitudinal development of HbA1c in girls was more stable than boys. High socioeconomic status (SES) and older age were important predictors of longitudinal development of decreasing HbA1c in boys. Middle SES, better self-care behaviors, low parental report parent-child conflict, and better life satisfaction were important predictors of longitudinal development of decreasing HbA1c in girls.</span><p><b>Conclusion: </b>Intervention to have early good glycemic control in girls might be more cost-benefit than for boys. Improving self-care behaviors, life satisfaction, and decreasing parent child conflict should be emphasized for girls with type 1 diabetes. More studies are needed to discover the contributing psychosocial factors of longitudinal developmental in boys.en_GB
dc.subjectLongitudinal developmenten_GB
dc.subjectType 1 Diabetesen_GB
dc.subjectGlycemic controlen_GB
dc.date.available2013-10-22T20:24:40Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:24:40Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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