Factors associated with control of type I diabetes in Malaysian adolescents and young adults

S. M K Tan, Z. Shafiee, Loo Ling Wu, Mohd Rizal Abdul Manaf, J. M. Rey

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Objectives: To examine the association between ethnicity, depression, quality of life, and diabetic control in Malaysian adolescents and young adults with type I diabetes mellitus. Methods: Fifty-two outpatients with type I diabetes (mean age 15.5 years) who attended a Diabetes Clinic were included. The level of HbA 1c was the measure of diabetes control used (better control defined as HbA 1c < 10%). Other variables were measured through questionnaires (e.g., depressive symptoms, quality of life), computerized diagnostic interviews (major depression), and medical records (e.g., demographic, family circumstances, compliance with treatment). Results: Ethnic Chinese youth showed better diabetic control than Malays and Indians (mean HbA 1c 9.1%, 10.3%, and 11.0% respectively). Young people with better diabetic control (HbA 1c < 10%) were more likely to have better quality of life and less likely to live in problematic families. When the cut-off for diabetic control was stricter (HbA 1c ≤ 8%), the young person's compliance was the main predictor of poor control. Family problems were also associated with poor control but to a lesser extent. The initial association between poorer diabetes control and depression became non-significant when quality of life was taken into account. Conclusions: There are ethnic differences in juvenile diabetic control in this Malaysian sample which need to be understood further. Previous findings of an association between quality of life and glycemic control were verified but different definitions of good control showed different associations with individual and environmental variables. Clinicians' awareness and early intervention for psychosocial problems (for example, inadequate family support) could improve diabetes control.

Original languageEnglish
Pages (from-to)123-136
Number of pages14
JournalInternational Journal of Psychiatry in Medicine
Volume35
Issue number2
DOIs
Publication statusPublished - 2005

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Type 1 Diabetes Mellitus
Young Adult
Quality of Life
Depression
Compliance
Medical Records
Outpatients
Demography
Interviews
Therapeutics

Keywords

  • Depression
  • Diabetes control
  • Ethnicity
  • Quality of life
  • Type I diabetes mellitus

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Factors associated with control of type I diabetes in Malaysian adolescents and young adults. / Tan, S. M K; Shafiee, Z.; Wu, Loo Ling; Abdul Manaf, Mohd Rizal; Rey, J. M.

In: International Journal of Psychiatry in Medicine, Vol. 35, No. 2, 2005, p. 123-136.

Research output: Contribution to journalArticle

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