東華大學圖書館 |

Diabetes Management of Employed Type 2 Diabetes Patients in Hong Kong : = Association between Working Conditions, Self-management Behaviours and Glycaemic Control.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Diabetes Management of Employed Type 2 Diabetes Patients in Hong Kong :/
其他題名:	Association between Working Conditions, Self-management Behaviours and Glycaemic Control.
作者:	Hung, Heidi Hoi Yi.
面頁冊數:	1 online resource (299 pages)
附註:	Source: Dissertations Abstracts International, Volume: 83-12, Section: B.
Contained By:	Dissertations Abstracts International83-12B.
標題:	Public health. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=29263795click for full text (PQDT)
ISBN:	9798802726518

Diabetes Management of Employed Type 2 Diabetes Patients in Hong Kong : = Association between Working Conditions, Self-management Behaviours and Glycaemic Control.
Hung, Heidi Hoi Yi.

Diabetes Management of Employed Type 2 Diabetes Patients in Hong Kong :Association between Working Conditions, Self-management Behaviours and Glycaemic Control. - 1 online resource (299 pages)

Source: Dissertations Abstracts International, Volume: 83-12, Section: B.

Thesis (Ph.D.)--The Chinese University of Hong Kong (Hong Kong), 2022.

Includes bibliographical references

With continuous increase in the incidence of type 2 diabetes mellitus (T2DM) among people of working age globally and locally, its implications on health and productivity are critical. Daily routines of employed persons with T2DM are shaped heavily by their working conditions, which may have a role to play over their disease management, in particular day-to-day self-management behaviours. A local study examining the relationship between working conditions and disease management of employed persons with T2DM is warranted as a potential strategy to improve diabetes management of this group of patients, given the very limited existing knowledge, Hong Kong's long working hours, and the current policy gap in chronic disease management focusing on employed patients.Guided by existing theoretical frameworks on diabetes management, diabetes self-management, and psychosocial working conditions and health, this thesis consists of four interlinked studies aiming to understand the role of working conditions in diabetes management of employed persons with T2DM in Hong Kong. First, occupation as a risk factor for diabetes mellitus status among the employed population in Hong Kong was examined. Second, a cross-sectional study investigated if employment was associated with poorer diabetes self-management behaviours. Third, a mixed-methods study among employed persons with T2DM was conducted to investigate if certain psychosocial working conditions were associated with specific self-management behaviours. Finally, cross-sectional analysis was done to ascertain if self-management behaviours associated with working conditions were in turn associated with glycaemic control.The thesis found that elementary occupation was an independent risk factor for diabetes status among employed population in Hong Kong. An exploratory study further found that employed persons with diabetes mellitus ate out more often when compared with their non-employed counterparts, pointing to the direction that diet-related diabetes self-management behaviours among employed patients might warrant more attention. The core studies of this thesis found that employed type 2 diabetic patients with mobile work location and higher job psychological demand were more likely to consume restaurant-prepared meal during work hours; and consumption of restaurant-prepared meal was associated with higher HbA1c level. Specifically, employed type 2 diabetic patients with higher job psychological demand were 1.22 times more likely to consume restaurant-prepared meals, and the source of meal during work hours alone explained 3.5% variance in HbA1c level.Healthcare professionals should consider tailoring diabetes management advice for employed patients in light of their working conditions. Type 2 diabetic patients with fixed work location or lower job psychological demands should be advised to consume home-prepared meals during work hours; while other employed patients should be equipped with the skills to maintain healthy diet while eating out. Findings of this thesis could contribute to the development of stronger patient-centred diabetes care for employed patients, and an overarching policy on facilitating disease management by employed persons with T2DM, which should be underpinned by measures related to both public health and labour protection.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2023

Mode of access: World Wide Web

ISBN: 9798802726518Subjects--Topical Terms:

534748
Public health.
Subjects--Index Terms:

Diabetes managementIndex Terms--Genre/Form:

542853
Electronic books.

Diabetes Management of Employed Type 2 Diabetes Patients in Hong Kong : = Association between Working Conditions, Self-management Behaviours and Glycaemic Control.
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504 $a Includes bibliographical references
520 $a With continuous increase in the incidence of type 2 diabetes mellitus (T2DM) among people of working age globally and locally, its implications on health and productivity are critical. Daily routines of employed persons with T2DM are shaped heavily by their working conditions, which may have a role to play over their disease management, in particular day-to-day self-management behaviours. A local study examining the relationship between working conditions and disease management of employed persons with T2DM is warranted as a potential strategy to improve diabetes management of this group of patients, given the very limited existing knowledge, Hong Kong's long working hours, and the current policy gap in chronic disease management focusing on employed patients.Guided by existing theoretical frameworks on diabetes management, diabetes self-management, and psychosocial working conditions and health, this thesis consists of four interlinked studies aiming to understand the role of working conditions in diabetes management of employed persons with T2DM in Hong Kong. First, occupation as a risk factor for diabetes mellitus status among the employed population in Hong Kong was examined. Second, a cross-sectional study investigated if employment was associated with poorer diabetes self-management behaviours. Third, a mixed-methods study among employed persons with T2DM was conducted to investigate if certain psychosocial working conditions were associated with specific self-management behaviours. Finally, cross-sectional analysis was done to ascertain if self-management behaviours associated with working conditions were in turn associated with glycaemic control.The thesis found that elementary occupation was an independent risk factor for diabetes status among employed population in Hong Kong. An exploratory study further found that employed persons with diabetes mellitus ate out more often when compared with their non-employed counterparts, pointing to the direction that diet-related diabetes self-management behaviours among employed patients might warrant more attention. The core studies of this thesis found that employed type 2 diabetic patients with mobile work location and higher job psychological demand were more likely to consume restaurant-prepared meal during work hours; and consumption of restaurant-prepared meal was associated with higher HbA1c level. Specifically, employed type 2 diabetic patients with higher job psychological demand were 1.22 times more likely to consume restaurant-prepared meals, and the source of meal during work hours alone explained 3.5% variance in HbA1c level.Healthcare professionals should consider tailoring diabetes management advice for employed patients in light of their working conditions. Type 2 diabetic patients with fixed work location or lower job psychological demands should be advised to consume home-prepared meals during work hours; while other employed patients should be equipped with the skills to maintain healthy diet while eating out. Findings of this thesis could contribute to the development of stronger patient-centred diabetes care for employed patients, and an overarching policy on facilitating disease management by employed persons with T2DM, which should be underpinned by measures related to both public health and labour protection.
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