Table 3.
Associations of pandemic-related healthcare interruptions and diabetes distress among adults with Type 1 and 2 diabetes in the US, NHIS 2021
| Adults with Type 1 diabetes (n = 228) OR (95% CI; p-value) |
||||
|---|---|---|---|---|
| Exposure | No Diabetes Distress | Moderate Diabetes Distress | High Diabetes Distress | |
| Reported delayed medical care* | Unadjusted | Ref | 4.21 (1.85–9.58; p < 0.001) | 4.17 (1.68–10.32; p = 0.002) |
| Adjusted1 | Ref | 4.31 (1.91–9.72; p < 0.001) | 3.69 (1.20–11.30; p = 0.020) | |
| Reported not receiving medical care** | Unadjusted | Ref | 3.21 (1.26–8.15; p = 0.010) | 3.76 (1.40-10.09; p = 0.009) |
| Adjusted1 | Ref | 3.41 (1.31–8.87; p = 0.010) | 3.07 (0.82–11.50; p = 0.100) | |
|
Adults with Type 2 diabetes (n = 2534) OR (95% CI; p-value) |
||||
| Reported delayed medical care* | Unadjusted | Ref | 1.72 (1.35–2.19; p < 0.001) | 2.60 (1.75–3.86; p < 0.001) |
| Adjusted1 | Ref | 1.61 (1.25–2.07; p < 0.001) | 2.27 (1.48–3.49; p < 0.001) | |
| Reported not receiving medical care** | Unadjusted | Ref | 1.54 (1.67–2.03; p = 0.002) | 2.65 (1.73–4.06; p < 0.001) |
| Adjusted1 | Ref | 1.37 (1.03–1.83; p = 0.03) | 2.08 (1.27–3.39; p = 0.003) | |
Notes: Odds ratios were estimated for multinomial logistic regression models with levels of diabetes distress as the outcome (reference = no diabetes distress) and healthcare disruptions as the exposure
* Reference: Did not report delayed medical care
**Reference: Did not report not receiving medical care
1 Adjusted for age, sex, race and ethnicity, education, income, health insurance status, marital status, employment status, geographical region, anxiety, and depression