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Perceptions and Correlates of Distress Due to the COVID-19 Pandemic and Stress Management Strategies Among Adults With Diabetes: A Mixed-Methods Study.
Im, James H B; Escudero, Carlos; Zhang, Kendra; Choi, Dorothy; Sivakumar, Arani; Booth, Gillian L; Sale, Joanna; Pritlove, Cheryl; Advani, Andrew; Yu, Catherine H.
  • Im JHB; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
  • Escudero C; GKT School of Medical Education, King's College London, London, United Kingdom.
  • Zhang K; School of Medicine, Queen's University, Kingston, Ontario, Canada.
  • Choi D; St. Michael's Hospital, Unity Health Toronto, Toronto, Ontario, Canada.
  • Sivakumar A; St. Michael's Hospital, Unity Health Toronto, Toronto, Ontario, Canada.
  • Booth GL; St. Michael's Hospital, Unity Health Toronto, Toronto, Ontario, Canada; Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
  • Sale J; St. Michael's Hospital, Unity Health Toronto, Toronto, Ontario, Canada; Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada; Department of Surgery, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
  • Pritlove C; St. Michael's Hospital, Unity Health Toronto, Toronto, Ontario, Canada; School of Kinesiology and Health Science, York University, Toronto, Ontario Canada.
  • Advani A; St. Michael's Hospital, Unity Health Toronto, Toronto, Ontario, Canada.
  • Yu CH; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada; St. Michael's Hospital, Unity Health Toronto, Toronto, Ontario, Canada; Department of Medicine, University of Toronto, Toronto, Ontario, Canada. Electronic address: catherine.yu@unityhealth.to.
Can J Diabetes ; 46(3): 253-261, 2022 Apr.
Article in English | MEDLINE | ID: covidwho-1474706
ABSTRACT

BACKGROUND:

Greater risk of adverse health outcomes and public health measures have increased distress among people with diabetes during the coronavirus-2019 (COVID-19) pandemic. The objectives of this study were to explore how the experiences of people with diabetes during the COVID-19 pandemic differ according to sociodemographic characteristics and identify diabetes-related psychosocial correlates of COVID distress.

METHODS:

Patients with type 1 or 2 diabetes were recruited from clinics and community health centres in Toronto, Ontario, as well as patient networks. Participants were interviewed to explore the experiences of people with diabetes with varied sociodemographic and clinical identities, with respect to wellness (physical, emotional, social, financial, occupational), level of stress and management strategies. Multiple linear regression was used to assess the relationships between diabetes distress, diabetes self-efficacy and resilient coping with COVID distress.

RESULTS:

Interviews revealed that specific aspects of psychosocial wellness affected by the pandemic, and stress and illness management strategies utilized by people with diabetes differed based on socioeconomic status, gender, type of diabetes and race. Resilient coping (ß=-0.0517; 95% confidence interval [CI], -0.0918 to -0.0116; p=0.012), diabetes distress (ß=0.0260; 95% CI, 0.0149 to 0.0371; p<0.0001) and diabetes self-efficacy (ß=-0.0184; 95% CI, -0.0316 to -0.0052; p=0.007) were significantly associated with COVID distress.

CONCLUSIONS:

Certain subgroups of people with diabetes have experienced a disproportionate amount of COVID distress. Assessing correlates of COVID distress among people with diabetes will help inform interventions such as diabetes self-management education to address the psychosocial distress caused by the pandemic.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Diabetes Mellitus / COVID-19 Type of study: Observational study / Prognostic study / Qualitative research Limits: Adult / Humans Language: English Journal: Can J Diabetes Year: 2022 Document Type: Article Affiliation country: J.jcjd.2021.10.006

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Diabetes Mellitus / COVID-19 Type of study: Observational study / Prognostic study / Qualitative research Limits: Adult / Humans Language: English Journal: Can J Diabetes Year: 2022 Document Type: Article Affiliation country: J.jcjd.2021.10.006