Clustering of unhealthy lifestyle behaviors is associated with nonadherence to clinical preventive recommendations among adults with diabetes

• Published in: Journal of diabetes and its complications Vol. 25; no. 2; pp. 107 - 113
• Main Authors: Jiménez-García, Rodrigo, Esteban-Hernández, Jesus, Hernández-Barrera, Valentín, Jimenez-Trujillo, Isabel, López-de-Andrés, Ana, Carrasco Garrido, Pilar
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.03.2011; Elsevier Limited
• Subjects: Adolescent; Adult; Aged; Aged, 80 and over; Alcohol consumption; Behavior; Bias; Blood pressure; Blood pressure control; Cluster Analysis; Cross-Sectional Studies; Dental care; Diabetes; Diabetes Complications - epidemiology; Diabetes Complications - prevention & control; Diabetes Mellitus - epidemiology; Endocrinology & Metabolism; Epidemiology; Female; Food habits; Guideline Adherence - statistics & numerical data; Health; Health Behavior; Health care; Humans; Immunization; Influenza; Influenza vaccine; Insurance coverage; Life Style; Lifestyle; Lipid profiles; Lipids; Male; Middle Aged; Mortality; National health surveys; Patient Compliance - statistics & numerical data; Physical activity; Preventive medicine; Primary Prevention - methods; Primary Prevention - statistics & numerical data; Smoking; Studies; Surveys and Questionnaires; Variables; Young Adult; Spain; Alcohol consumption; Physical activity; Blood pressure control; Food habits; Lipid profiles; Lifestyle; Preventive medicine; Epidemiology; Influenza vaccine; Dental care; National health surveys; Smoking
• ISSN: 1056-8727; 1873-460X
• DOI: 10.1016/j.jdiacomp.2010.04.002

Abstract Aim Analyze clustering of unhealthy lifestyle behavior and its relationship with nonadherence to clinical preventive care services among Spanish diabetic adults. Methods Cross-sectional study including 2156 diabetic adults from the 2006 Spanish National Health Survey. Subjects were asked about their uptake of BP measurement, lipid profile, influenza vaccination, and dental examination. Lifestyle behaviors included smoking status, physical activity, alcohol consumption, and dieting. Binary logistic regression models were built to assess the association between clustering of unhealthy lifestyle and the uptake of each preventive activity. Results Almost 16% and 36% of the subjects had not undergone blood pressure (BP) and blood lipids measurements, respectively. Forty percent had not been vaccinated and 72% had not received dental examination. Fourteen percent of the subjects had three to four unhealthy behaviors and this increased the probability of not having BP check-up (OR 2.32, 95% CI 1.38–3.91), blood lipids testing (OR 1.63, 95% CI 1.14–2.33), and not being vaccinated (OR 1.99, 95% CI 1.37–2.89). Number of unhealthy lifestyle behaviors is linearly associated with number of preventive measures unfulfilled. Conclusions Adherence to recommended clinical preventive services is under desirable levels among Spanish diabetes sufferers. These preventive services are provided neither equitably nor efficiently, since subjects with unhealthier lifestyles are less likely to receive them.