Table 3.
Association between pandemic exposure and diabetes self-care and outcomes and how these associations differed by income and gender.
Specific diet | Exercise | Blood glucose monitoring | Medication adherence to insulin | Medication adherence to diabetes pills | Cost-related non-adherence | HbA1c | Systolic blood pressure | Diabetes distress | |
---|---|---|---|---|---|---|---|---|---|
β estimate [95% CI] | OR [95% CI] | β estimate [95% CI] | OR [95% CI] | ||||||
Time | |||||||||
Pre-pandemic | REFERENCE | ||||||||
COVID-19 (May–Sept) | 0.2 | 1.2 | 0.6 | 0.00 | 0.01 | 0.6 | −0.4 | 13.3 | 0.8 |
[−0.2 to 0.7] | [0.7–1.8]** | [−0.3 to 1.5] | [−0.4 to 0.4] | [−0.4 to 0.4] | [0.3–1.2] | [−1.0 to 0.2] | [8.4–18.2]** | [0.4–1.7] | |
COVID-19 (Oct–Jan) | 0.3 | 0.4 | 0.4 | 0.12 | −0.05 | 0.8 | −1.1 | 15 [10.3–19.7]** | 0.81 |
[−0.1 to 0.8] | [−0.1 to 1.0] | [−0.5 to 1.4] | [−0.2 to 0.5] | [−0.4 to 0.3] | [0.4–1.5] | [−1.8 to −0.4]** | [0.4–1.6] | ||
Gender | |||||||||
Male | REFERENCE | ||||||||
Female | 0.6 | −0.5 | 0.4 | 0.12 | −0.2 | 0.9 | −0.3 | −8.0 | 1.9 |
[0.2–1.0]** | [−0.9 to −0.04]* | [−0.2 to 1.1] | [−0.2 to 0.4] | [−0.5 to 0.1] | [0.5–1.6] | [−0.8 to 0.1] | [−12.0 to −4.1]** | [1.1–3.4]* | |
Income | |||||||||
Low | 0.1 | 0.01 | 0.1 | 0.02 | −0.13 | 1.2 | 0.4 | 2.7 | 0.47 |
[−0.3 to 0.6] | [−0.5 to 0.5] | [−0.5 to 0.7] | [−0.4 to 0.4] | [−0.6 to 0.3] | [0.6–2.3] | [−0.03 to 0.8] | [−2.3 to 7.9] | [0.2–1.0] | |
Middle | 0.2 | −0.1 | −0.07 | −0.15 | 0.06 | 1.7 | 0.15 | −0.2 | 0.7 |
[−0.2 to 0.7] | [−0.6 to 0.4] | [−0.7 to 0.5] | [−0.5 to 0.2] | [−0.3 to 0.4] | [0.9–3.2] | [−0.2 to 0.5] | [−4.9 to 4.3] | [0.3–1.4] | |
High | REFERENCE |
Models adjusted for age, number of chronic conditions, number of unmet social needs, marital status, and years living with diabetes.
P < 0.05.
P < 0.01.