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Social Support and Health in Diabetes Patients: An Observational Study in Six European Countries in an Era of Austerity

Author

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  • Jan Koetsenruijter
  • Jan van Lieshout
  • Christos Lionis
  • Maria Carmen Portillo
  • Ivo Vassilev
  • Elka Todorova
  • Christina Foss
  • Manuel Serrano Gil
  • Ingrid Ruud Knutsen
  • Agapi Angelaki
  • Agurtzane Mujika
  • Poli Roukova
  • Anne Kennedy
  • Anne Rogers
  • Michel Wensing

Abstract

Introduction: Support from individual social networks, community organizations and neighborhoods is associated with better self-management and health outcomes. This international study examined the relative impact of different types of support on health and health-related behaviors in patients with type 2 diabetes. Methods: Observational study (using interviews and questionnaires) in a sample of 1,692 type 2 diabetes patients with 5,433 connections from Bulgaria, Greece, Netherlands, Norway, Spain, and the United Kingdom. Outcomes were patient-reported health status (SF-12), physical exercise (RAPA), diet and smoking (SDCSCA). Random coefficient regression models were used to examine linkages with individual networks, community organizations, and neighborhood type (deprived rural, deprived urban, or affluent urban). Results: Patients had a median of 3 support connections and 34.6% participated in community organizations. Controlled for patients’ age, sex, education, income and comorbidities, large emotional support networks were associated with decrease of non-smoking (OR = 0.87). Large practical support networks were associated with worse physical and mental health (B = -0.46 and -0.27 respectively) and less physical activity (OR = 0.90). Participation in community organizations was associated with better physical and mental health (B = 1.39 and 1.22, respectively) and, in patients with low income, with more physical activity (OR = 1.53). Discussion: Participation in community organizations was most consistently related to better health status. Many diabetes patients have individual support networks, but this study did not provide evidence to increase their size as a public health strategy. The consistent association between participation in community organizations and health status provides a clear target for interventions and policies.

Suggested Citation

  • Jan Koetsenruijter & Jan van Lieshout & Christos Lionis & Maria Carmen Portillo & Ivo Vassilev & Elka Todorova & Christina Foss & Manuel Serrano Gil & Ingrid Ruud Knutsen & Agapi Angelaki & Agurtzane , 2015. "Social Support and Health in Diabetes Patients: An Observational Study in Six European Countries in an Era of Austerity," PLOS ONE, Public Library of Science, vol. 10(8), pages 1-12, August.
  • Handle: RePEc:plo:pone00:0135079
    DOI: 10.1371/journal.pone.0135079
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    References listed on IDEAS

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    1. Ifanti, Amalia A. & Argyriou, Andreas A. & Kalofonou, Foteini H. & Kalofonos, Haralabos P., 2013. "Financial crisis and austerity measures in Greece: Their impact on health promotion policies and public health care," Health Policy, Elsevier, vol. 113(1), pages 8-12.
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    3. Ivaylo Vassilev & Anne Rogers & Christian Blickem & Helen Brooks & Dharmi Kapadia & Anne Kennedy & Caroline Sanders & Sue Kirk & David Reeves, 2013. "Social Networks, the ‘Work’ and Work Force of Chronic Illness Self-Management: A Survey Analysis of Personal Communities," PLOS ONE, Public Library of Science, vol. 8(4), pages 1-13, April.
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    1. Ivaylo Vassilev & Anne Rogers & Anne Kennedy & Michel Wensing & Jan Koetsenruijter & Rosanna Orlando & Maria Carmen Portillo & David Culliford, 2016. "Social Network Type and Long-Term Condition Management Support: A Cross-Sectional Study in Six European Countries," PLOS ONE, Public Library of Science, vol. 11(8), pages 1-15, August.
    2. Silvia Corchon & Carmen Rodríguez-Blázquez & Alfonso Meneses & Marta Aranda-Gallardo & Lorena López & Maria Eugenia Ursúa & Maria Victoria Navarta-Sanchez & Mari Carmen Portillo & Leire Ambrosio, 2021. "The Determinants of Living with Long-Term Conditions: An International Cross-Sectional Study," IJERPH, MDPI, vol. 18(19), pages 1-11, October.
    3. Leire Ambrosio & Mari Carmen Portillo & Carmen Rodriguez‐Blazquez & Jose Manuel Rojo & Pablo Martinez‐Martin & EC‐PC Validation Group, 2019. "Influencing factors when living with Parkinson’s disease: A cross‐sectional study," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(17-18), pages 3168-3176, September.
    4. Laura K. Bech & Camilla Borch Jacobsen & Anne Sophie Mathiesen & Thordis Thomsen, 2019. "Preferring to manage by myself: A qualitative study of the perspectives of hardly reached people with type 2 diabetes on social support for diabetes management," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(9-10), pages 1889-1898, May.
    5. Shand, Calum & Crozier, Sarah & Vassilev, Ivaylo & Penn-Newman, Daniel & Dhuria, Preeti & Cooper, Cyrus & Rogers, Anne & Baird, Janis & Vogel, Christina, 2021. "Resources in women's social networks for food shopping are more strongly associated with better dietary quality than people: A cross-sectional study," Social Science & Medicine, Elsevier, vol. 284(C).

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