Quantifying the Influence of Individual, Community, and Health System Factors on Quality of Life Among Inner-City African Americans With Type 2 Diabetes.
Jennifer A Campbell, Alice Yan, Renee E Walker and 4 others
PMID 34078179WHAT IT FOUND
In 241 inner-city African American adults with diabetes, depression and low education were linked to worse mental quality of life; employment, reported trauma, and having usual source of care were linked to better physical quality of life.
Key findings
01After adjustment, less than high school education and major depression were associated with lower mental quality of life.
02Employment, reported trauma, and having a usual source of care were associated with higher physical quality of life across all four regression approaches.
03In adjusted models, community-level factors did not remain significantly associated with mental quality of life.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study measured factors and quality of life at one time, so it cannot show that any factor caused better or worse quality of life. It was done in inner-city Milwaukee, so results may not apply to African American adults with diabetes in other regions. Participants reported many factors themselves, so recall bias may affect the answers. The sample was mostly not employed and had a high burden of comorbid conditions, so it may not represent all adults with diabetes.
Declared interests
All authors declared no conflict of interest. The study was supported by NIH extramural and non-U.S. government research support.
The easy way to misread this
Do not read these links as causes. The study measured factors and quality of life at one time, so it cannot show that depression, education, employment, trauma, or usual care caused better or worse quality of life. The finding that reported trauma was linked to higher physical quality of life is unexpected and should not be taken as evidence that trauma helps physical function.