Table 4:
Adjusted multiple linear regression model with A1C, SBP and DBP showing the adjusted multivariate analyses by each study outcome for Lebanese dults with T2DM recruited from PHCs in Beirut, Lebanon.
| Variables | A1C | SYSBP | DBP | |||
|---|---|---|---|---|---|---|
| β | β | β | ||||
| Demographic Characteristics Variables | ||||||
| Age | −0.014 | −0.06 | −0.19 | |||
| Sex | ||||||
| Male (ref) | 0.533 | 7.41 | 3.59 | |||
| Marital status | ||||||
| Married (ref) | 0.373 | 2.58 | −1.74 | |||
| Education | ||||||
| ≥ high school grad (ref) | 0.16 | 0.96 | 0.8 | |||
| Employment status | ||||||
| Employed | −0.44 | 2.03 | −0.78 | |||
| Income | ||||||
| 500$ – 1499$ | 0.04 | −2.42 | 0.8 | |||
| ≥1500$ | −0.49 | −1.48 | −1.13 | |||
| Not reported | −0.05 | 3.64 | 2.67 | |||
| Insurance | ||||||
| Yes | −0.25 | −0.82 | 0.75 | |||
| Confidence in filling out medical forms | ||||||
| No | −0.1 | −1.88 | −4.89 | |||
| Socioeconomic Status Variables | ||||||
| Financial status | ||||||
| Have enough to make ends meet | −0.35 | 3.65 | −0.2 | |||
| Do not have enough to make ends meet | −0.51 | 6.31 | 2.18 | |||
| Family size | 0.08 | 0.33 | 0.56 | |||
| Financial independence | −0.05 | −0.6 | 0.04 | |||
| Number of persons per bedroom | −0.06 | −1.05 | −1.61 | |||
| Number of rooms | −0.04 | 1.47 | 0.26 | |||
| Psychosocial Variables | ||||||
| Diabetes Fatalism (Dfs12) | 0.01 | 0.087 | 0.11 | |||
| Adverse Childhood Experience (ACE) Total Score | −0.13 | −0.9 | −0.34 | |||
| Patient Health Questionnaire (PHQ9) | 0.03 | −0.27 | −0.1 | |||
| Neighborhood/Built Environment Variables | ||||||
| Food insecurity total score | 0.16 | 0.64 | 0.64 | |||
| Drinking water | ||||||
| Yes | 0.05 | 6.36 | 1.18 | |||
| Television | ||||||
| Yes | −0.63 | 19.07 | −3.57 | |||
| Cable subscription | ||||||
| Yes | −0.002 | −0.53 | 0.45 | |||
| Telephone | ||||||
| Yes | 0.02 | 2.12 | −2.71 | |||
| Air conditioner | ||||||
| Yes | −0.64 | 4.28 | 0.23 | |||
| Heater | ||||||
| Yes | 0.41 | 2.41 | 0.93 | |||
| Wireless-internet subscription | ||||||
| Yes | 0.38 | −1.81 | 1.43 | |||
| Computer | ||||||
| Yes | −0.31 | −4.42 | 0.11 | |||
| Refrigerator | ||||||
| Yes | −0.43 | −4.88 | −0.99 | |||
| Means of transportation | ||||||
| Public | −0.28 | 5.67 | 1.1 | |||
| Car | −0.48 | −3.44 | −3.99 | |||
| Walking | −0.93 | 2.52 | −2.79 | |||
Significant values p<0.05
Table 4 presents detailed information on the relationship between social determinants of health variables (i.e., socioeconomic status, psychosocial, and neighborhood/built environment) and clinical outcomes including hemoglobin A1c, systolic blood pressure and diastolic blood pressure for fully adjusted models. Significant associations are marked with asterisks.
Each model is adjusted for age, sex, marital status, education, employment status, monthly income, insurance, confidence in filling out health forms, family size, financial independence, number of persons per bedroom, number of rooms, diabetes fatalism, adverse childhood experience, depression (PHQ9), food insecurity, home availability of drinking water, television, cable subscription, air conditioner, heater, wireless-internet subscription, and refrigerator, and means of transportation.