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Health-Related Quality of Life of Adolescents and Children With Type 1 Diabetes in the Jazan Region of Saudi Arabia.
Gohal, Gassem A; Majhali, Aqilah; Moafa, Esaam; Talebi, Sarah H; Maashi, Bushra I; Mutaen, Amani; Alhamdan, Walaa J; Dighriri, Ibrahim M.
Afiliación
  • Gohal GA; Department of Pediatrics, Faculty of Medicine, Jazan University, Jazan, SAU.
  • Majhali A; Department of Medicine, Faculty of Medicine, Jazan University, Jazan, SAU.
  • Moafa E; Department of Internal Medicine, Faculty of Medicine, Jazan University, Jazan, SAU.
  • Talebi SH; Department of Medicine, Faculty of Medicine, Jazan University, Jazan, SAU.
  • Maashi BI; Department of Medicine, Faculty of Medicine, Jazan University, Jazan, SAU.
  • Mutaen A; Department of Medicine, Faculty of Medicine, Jazan University, Jazan, SAU.
  • Alhamdan WJ; Department of Medicine, Medical University of Warsaw, Warsaw, POL.
  • Dighriri IM; Department of Pharmacy, King Abdulaziz Specialist Hospital, Taif, SAU.
Cureus ; 16(1): e53307, 2024 Jan.
Article en En | MEDLINE | ID: mdl-38435866
ABSTRACT

BACKGROUND:

Type 1 diabetes mellitus (T1DM) is increasingly prevalent among Saudi Arabian youth, particularly in the Jazan region. This chronic condition necessitates lifelong insulin therapy and poses significant daily management challenges for affected adolescents. Despite the high incidence rates, there is a notable lack of research into how T1DM impacts the health-related quality of life (HRQoL) of these individuals.

OBJECTIVE:

This study aimed to assess HRQoL and its demographic correlates in T1DM patients in the Jazan region of Saudi Arabia.

METHODS:

In this cross-sectional study, 236 T1DM patients completed the Pediatric Quality of Life Inventory Diabetes Module 3.0 (PedsQL DM). The HRQoL across domains of diabetes symptoms, treatment barriers, adherence, worry, and communication was compared by gender, nationality, age, education, residence, and healthcare follow-up using t-tests and ANOVA. Multivariate regression identified predictors of overall HRQoL.

RESULTS:

Most respondents were female (51.3%), 42.8% were between the ages of seven and 12 years, and 94.5% were Saudi nationals. Males reported better HRQoL than females, with fewer symptoms, treatment barriers, and better communication (all p<0.05). Non-Saudis had better treatment adherence, communication, and overall HRQoL than Saudis (all p<0.05). Older children (13-18 years) reported lower treatment barriers than younger children (three to six years) (p<0.05). Those with intermediate education had lower treatment barriers than those with preliminary education (p = 0.038). Only the female gender (-0.171, p = 0.009) independently predicted poorer overall HRQoL.

CONCLUSION:

This study revealed disparities in HRQoL among T1DM children and adolescents. Males, non-Saudis, older children, and those with more education had better HRQoL. Females were at particular risk for poorer outcomes. Targeted interventions are needed to address this region's demographic disparities in diabetes-related HRQoL.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cureus Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cureus Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos