Relationship between social network, social support and health behaviour in people with type 1 and type 2 diabetes: cross-sectional studies

BMC Public Health

Research Article

Lene E. Joensen¹  Nana F. Hempler¹  Ingrid Willaing¹ 

[1] Steno Diabetes Center, Health Promotion Research, Niels Steensens Vej 8, 2820, Gentofte, Denmark;

关键词: Type 1 diabetes;    Type 2 diabetes;    Gender;    Social network;    Social support;    Health behaviour;   

DOI  :  10.1186/s12889-016-2819-1

 received in 2014-06-05, accepted in 2016-02-03,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundPsychosocial and behavioural aspects of diabetes may differ according to diabetes type. This study compared people with type 1 and type 2 diabetes with respect to social relations (cohabitation status, contact with the social network and social support) and health behaviours (diet and physical activity). Furthermore, we examined whether potential differences in health behaviour between people with type 1 and type 2 diabetes were influenced by education level and social relations.MethodsWe conducted two cross-sectional surveys consisting of people with type 2 diabetes (N = 1081) and type 1 diabetes (N = 2419) from a specialist diabetes clinic. Gender-stratified stepwise multiple regression models assessed differences by diabetes type and other variables of interest.ResultsSignificant associations were found between diabetes type and social network, social support and health behaviour. No differences were observed regarding cohabitation status. People with type 2 diabetes were less physically active, less likely to follow recommended diet (men), had fewer contacts with family and friends and were less certain of counting on help in case of severe illness than people with type 1 diabetes. No impact of education level, social network and social support were observed concerning differences in health behaviours by diabetes type; however, in women, the association between physical activity and diabetes type was not significant after adjustment for social relations and education level.ConclusionsPeople with type 2 diabetes had less contact with the social network, less certainty about support in case of severe illness and fewer healthy behaviours than people with type 1 diabetes. It may be important to draw attention to differences in health behaviours and social relations between people with type 1 and type 2 diabetes in diabetes care, patient education and support initiatives.

【 授权许可】

CC BY   
© Hempler et al. 2016