psychosocial family factors and glycemic control among children aged 1-15 years with type 1 diabetes a population-based survey心理社会家庭因素和血糖控制在1 - 15岁儿童1型糖尿病患者以人群为基础的调查.pdfVIP

Haugstvedt et al. BMC Pediatrics 2011, 11:118 /1471-2431/11/118 RESEARCH ARTICLE Open Access Psychosocial family factors and glycemic control among children aged 1-15 years with type 1 diabetes: a population-based survey Anne Haugstvedt1,2,3*, Tore Wentzel-Larsen4,5,6, Berit Rokne2 and Marit Graue1,3 Abstract Background: Being the parents of children with diabetes is demanding. Jay Belsky’s determinants of parenting model emphasizes both the personal psychological resources, the characteristics of the child and contextual sources such as parents’ work, marital relations and social network support as important determinants for parenting. To better understand the factors influencing parental functioning among parents of children with type 1 diabetes, we aimed to investigate associations between the children’s glycated hemoglobin (HbA1c) and 1) variables related to the parents’ psychological and contextual resources, and 2) frequency of blood glucose measurement as a marker for diabetes-related parenting behavior. Methods: Mothers (n = 103) and fathers (n = 97) of 115 children younger than 16 years old participated in a population-based survey. The questionnaire comprised the Life Orientation Test, the Oslo 3-item Social Support Scale, a single question regarding perceived social limitation because of the child’s diabetes, the Relationship Satisfaction Scale and demographic and clinical variables. We investigated associations by using regression analysis. Related to the second aim hypoglycemic events, child age, diabetes duration, insulin regimen and comorbid diseases were included as covariates. Results: The mean HbA1c was 8.1%, and 29% had HbA1c ≤ 7.5%. In multiple regression analysis, lower HbA1c was associated with higher education and stronger perceptions of social limitation among the mothers. A higher freque