Using Patient Health Profile Evaluation for Predicting the Likelihood of Retinopathy in Patients with Type 2 Diabetes: A Cross-Sectional Study Using Latent Profile Analysis

Shang-Jyh Chiou, Kuomeng Liao, Kuan-Chia Lin and Wender Lin
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Shang-Jyh Chiou: Department of Health Care Management, National Taipei University of Nursing and Health Sciences, Taipei 112303, Taiwan
Kuomeng Liao: Department of Endocrinology and Metabolism, Zhongxiao Branch, Taipei City Hospital, Taipei 115006, Taiwan
Kuan-Chia Lin: Institute of Hospital and Health Care Administration, National Yang-Ming University, Taipei 112213, Taiwan
Wender Lin: Department of Health Care Administration, Chang Jung Christian University, 1 Changda Rd., Gueiren District, Tainan City 711301, Taiwan

IJERPH, 2022, vol. 19, issue 10, 1-13

Abstract: Background: To determine whether long-term self-management among patients with type 2 diabetes mellitus has the risk of developing complications. Methods: We conducted a survey of self-management behavior using diabetes self-management scales (DMSES-C and TSRQ-d) from November 2019 to May 2020 linked with biomarkers (glucose, lipid profile, blood pressure, and kidney function), and the varying measure values were transformed into normal rate proportions. We performed latent profile analysis (LPA) to categorize the patient into different patient health profiles using five classes (C1–C5), and we predicted the risk of retinopathy after adjusting for covariates. Results : The patients in C1, C2, and C4 had a higher likelihood of retinopathy events than those in C5, with odds ratios (ORs) of 1.655, 2.168, and 1.788, respectively ( p = 0.032). In addition, a longer duration of diabetes was correlated with an increased risk of retinopathy events as well as being elderly. Conclusions: Optimal biomarker health profiles and patients with strong motivation pertaining to their T2DM care yielded better outcomes. Health profiles portraying patient control of diabetes over the long term can categorize patients with T2DM into different behavior groups. Customizing diabetes care information into different health profiles raises awareness of control strategies for caregivers and patients.

Keywords: patient health profiles; diabetic retinopathy; self-efficiency; self-management; latent profile analysis; type 2 diabetes (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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