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. 2025 Feb 19;17:62. doi: 10.1186/s13098-025-01631-w

Table 2.

High diabetes distress point prevalence (%) across sociodemographic, lifestyle- and clinical factors among HUNT4 participants

N (PAID responders) Point prevalence high diabetes distress (Rescaled PAID-5 sum score ≥ 40) 95% CI) Model 1*
Odds ratio (95% CI)
Model 2≠
Odds ratio (95% CI)
Overall 1954 11.9 (10.6, 13.4)
Socio-demographics
Sex
 Men 1117 11.2 (9.5, 13.2) Ref.
 Women 837 12.9 (10.8, 15.4) 1.1 (0.9, 1.5)
Age at participation
 20–49 yrs. 140 18.6 (13.0, 25.9) Ref.
 50–64 yrs. 1354 15.4 (12.7, 18.6) 0.8 (0.5, 1.3)
 ≥65 yrs. 460 9.6 (8.1, 11.3) 0.5 (0.3, 0.8)
Age at diabetes diagnosis
 20–49 yrs. 572 17.5 (14.6, 20.9) Ref.
 50–64 yrs. 912 9.9 (8.1, 12.0) 0.5 (0.4, 0.7)
 ≥65 yrs. 352 8.4 (5.9, 11.9) 0.4 (0.3, 0.7)
Marital status
 Not living alone 1239 11.1 (9.5, 13.0) Ref.
 Living alone 713 13.3 (11.0, 16.0) 0.9 (0.7, 1.1)
Educational level
 No college/university 1418 11.0 (9.5, 12.7) Ref.
 College/university 525 14.1 (11.4, 17.3) 1.2 (0.9, 1.7)
Lifestyle factors
BMI
 ≤25 407 9.3 (6.9, 12.6) Ref. Ref.
 26–30 811 11.2 (10.7, 17.2) 1.2 (0.8, 1.8) 1.1 (0.7, 1.6)
 >30 719 13.6 (10.7, 17.2) 1.4 (0.9, 2.0) 1.2 (0.8, 1.9)
Smoking
 Not current smoker 1785 11.8 (10.3-13-3) Ref. Ref.
 Current smoker 152 18.8 (9.2, 20.3) 1.1 (0.7, 1.8) 1.1 (0.7, 1.8)
Exercise
 ≤ 1 h a week 389 10.0 (7.4, 13.4) Ref. Ref.
 >1 h a week 1521 12.4 (10.8, 14.1) 1.3 (0.9, 1.8) 1.3 (0.9, 1.9)
Clinical factors
Duration of diabetes
 <1 year 63 20.6 (12.4, 32.4) Ref. Ref.
 ≥ 1 year 1711 11.7 (10.2, 13.3) 0.8 (0.6, 1.3) 0.6 (0.3, 1.1)
Hypertension (systolic blood pressure > 140)
 No 1219 13.1 (11.3, 15.1) Ref. Ref.
 Yes 735 9.9 (8.0-12.3) 0.8 (0.6, 1.1) 0.9 (0.6, 1.2)
Glycemic control
HbA1c
 On target (≤ 53 mmol/mol (≤ 7.0%)) 1303 10.4 (8.8, 12.1) Ref. Ref.
 not on target (> 53 mmol/mol (> 7.0%)) 621 15.3 (12.7, 18.4) 1.6 (1.2, 2.2) 1.3 (0.9, 1.8)
Using insulin now 30
 Yes 421 21.9 (18.2, 26.1) 3.2 (2.3, 4.3) 2.9 (2.1, 4.1)
 No 1438 9.1 (7.7, 10.7) Ref. Ref.
Microvascular complications
Diabetes eye- problems
 No 1444 10.8 (9.3, 12.5) Ref. Ref.
 Yes 150 17.3 (12.1, 24.2) 1.9 (1.2, 3.8) 1.3 (0.8, 2.2)
Diabetes foot ulcers
 No 1831 11.3 (9.9, 12.8) Ref. Ref.
 Yes 97 23.7 (16.3, 33.2) 2.5 (1.5, 4.2) 2.6 (1.5, 4.4)

CI indicates confidence interval

PAID-5 sum scores were rescaled to a range between 0-100 by multiplying the sum score by five

* Adjustment variables in model 1: age and sex

≠ adjustment variables in model 2. Separate models for each variable of interest with adjustment for relevant confounders. Model for smoking/duration of diabetes adjusted for age, sex, and education; Model for education adjusted for age and sex; Model for BMI adjusted for age, sex, education, exercise, HbA1c, duration of diabetes, and current use of insulin; Model for HbA1c adjusted for age, sex, education, duration of diabetes and use of insulin; Model for hypertension/use of insulin adjusted for age, sex, education, HbA1c, and duration of diabetes; Model for history of diabetes foot ulcer/diabetes eye problems adjusted for age, sex, education, HbA1c, duration of diabetes, and current use of insulin