身心健康在糖尿病患者受歧视程度与心理性胰岛素抵抗之间的中介作用  

The mediating role of physical and mental health in the relationship between discrimination experienced by diabetic patients and psychological insulin resistance

作　　者：张世龙 张馨丹 范文瑜 马兴丽 王海鹏 张贝贝[3] ZHANG Shi-long;ZHANG Xin-dan;FAN Wen-yu;MA Xing-li;WANG Hai-peng;ZHANG Bei-bei(Center for Health Management and Policy Research,School of Public Health,Qilu Medical College,Shandong University,Jinan,Shandong 250012,China;不详)

机构地区：[1]山东大学齐鲁医学院公共卫生学院卫生管理与政策研究中心,山东济南250012 [2]国家卫生健康委员会卫生经济与政策研究重点实验室(山东大学),山东济南250012 [3]山东省精神卫生中心检验科,山东济南250014

出　　处：《现代预防医学》2024年第17期3073-3076,3113,共5页Modern Preventive Medicine

基　　金：国家重点研发计划项目(2020YFC2006500,2020YFC2006505)。

摘　　要：目的了解糖尿病患者受歧视程度对心理性胰岛素抵抗的影响路径。方法采用多阶段分层随机抽样方法选取山东省27个村糖尿病患者进行问卷调查,回收有效问卷660份。调查问卷包括一般资料调查表、世界卫生组织幸福感指数量表(World Health Organization-5well-being index,WHO-5)、我对胰岛素看法量表。结果糖尿病患者心理性胰岛素抵抗得分(72.97±11.38)分,WHO-5得分(17.93±4.68)分。患者受歧视程度、身心健康、心理性胰岛素抵抗间存在相关性。患者受歧视程度对心理性胰岛素抵抗的直接效应值为2.245(偏差矫正95%CI:1.023~3.403),间接效应值为0.368(偏差矫正95%CI:0.065~0.758)。结论糖尿病患者身心健康状况中等偏上,心理性胰岛素抵抗较为严重,身心健康在患者受歧视程度与心理性胰岛素抵抗间存在中介效应。Objective To investigate the influence pathway of the level of discrimination experienced by diabetic patients on psychological insulin resistance.Methods A multi-stage stratified random sampling method was used to select diabetic patients from 27 villages in Shandong Province for a questionnaire survey,with 660 valid responses received.The survey employed a general information questionnaire,the World Health Organization-5 Well-Being Index(WHO-5),and a scale assessing attitudes towards insulin.Results The score for psychological insulin resistance among diabetic patients was(72.97±11.38),and the WHO-5 score was(17.93±4.68).There were correlations among the level of discrimination experienced by patients,their physical and mental health,and psychological insulin resistance.The direct effect value of discrimination on psychological insulin resistance was 2.245(bias-corrected 95%CI:1.023-3.403),and the indirect effect value was 0.368(bias-corrected 95%CI:0.065-0.758).Conclusion Diabetic patients exhibit moderate to high levels of physical and mental health,with significant psychological insulin resistance.Physical and mental health plays a mediating role between the level of discrimination experienced by patients and psychological insulin resistance.

关 键 词：糖尿病 患者歧视 心理性胰岛素抵抗 我对胰岛素看法 中介作用 

分 类 号：R587.1[医药卫生—内分泌]