Lower education and immigrant background are associated with lower participation in a diabetes education program - Insights from adult patients in the Outcomes & Multi-morbidity In Type 2 diabetes cohort (OMIT)

Ragnhild B Strandberg; Roy M Nilsen; Frans Pouwer; Jannicke Igland; Rachel B Forster; Anne Karen Jenum; Esben S Buhl; Marjolein M Iversen

doi:10.1016/j.pec.2022.107577

Lower education and immigrant background are associated with lower participation in a diabetes education program - Insights from adult patients in the Outcomes & Multi-morbidity In Type 2 diabetes cohort (OMIT)

Ragnhild B Strandberg, Roy M Nilsen, Frans Pouwer, Jannicke Igland, Rachel B Forster, Anne Karen Jenum, Esben S Buhl, Marjolein M Iversen

Research output: Contribution to journal › Journal article › Research › peer-review

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Abstract

OBJECTIVES: Diabetes educational programmes should be offered to patients with type 2 diabetes mellitus (T2DM). We assessed the proportion of diabetes educational program participation among adults with T2DM, and its associations with place of residence in Norway, education, and immigrant background.

METHODS: We identified 28,128 diagnosed with T2DM (2008-2019) in the Outcomes & Multi-morbidity In Type 2 diabetes cohort. To examine associations between sociodemographic factors and participation in diabetes start courses (yes/no), we computed adjusted risk ratios (95% CI) using log-binomial regression.

RESULTS: Overall, 18% participated on the diabetes start course, but partaking differed by Norwegian counties (range:12-34%). Individuals with an immigrant background were 29% less likely to participate (RR 0.71, CI 0.65-0.79). Similarly, those with a lower educational level were 23% less likely to participate (RR 0.77, CI 0.72-0.83) than those with the highest education. The association between education and start course participation was not significant in the subgroup of immigrant individuals (RR 0.88 CI 0.70-1.12).

CONCLUSIONS: We found that diabetes start course participation was overall low, especially in individuals with low education and immigrant background.

PRACTICE IMPLICATIONS: More efforts are needed to promote diabetes start courses in patients with T2DM.

Original language	English
Article number	107577
Journal	Patient Education and Counseling
Volume	107
ISSN	0738-3991
DOIs	https://doi.org/10.1016/j.pec.2022.107577
Publication status	Published - Feb 2023

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Strandberg, R. B., Nilsen, R. M., Pouwer, F., Igland, J., Forster, R. B., Jenum, A. K., Buhl, E. S., & Iversen, M. M. (2023). Lower education and immigrant background are associated with lower participation in a diabetes education program - Insights from adult patients in the Outcomes & Multi-morbidity In Type 2 diabetes cohort (OMIT). Patient Education and Counseling, 107, Article 107577. https://doi.org/10.1016/j.pec.2022.107577

@article{4adabcb46a544d738f42bfe21085fe6b,

title = "Lower education and immigrant background are associated with lower participation in a diabetes education program - Insights from adult patients in the Outcomes & Multi-morbidity In Type 2 diabetes cohort (OMIT)",

abstract = "OBJECTIVES: Diabetes educational programmes should be offered to patients with type 2 diabetes mellitus (T2DM). We assessed the proportion of diabetes educational program participation among adults with T2DM, and its associations with place of residence in Norway, education, and immigrant background.METHODS: We identified 28,128 diagnosed with T2DM (2008-2019) in the Outcomes & Multi-morbidity In Type 2 diabetes cohort. To examine associations between sociodemographic factors and participation in diabetes start courses (yes/no), we computed adjusted risk ratios (95% CI) using log-binomial regression.RESULTS: Overall, 18% participated on the diabetes start course, but partaking differed by Norwegian counties (range:12-34%). Individuals with an immigrant background were 29% less likely to participate (RR 0.71, CI 0.65-0.79). Similarly, those with a lower educational level were 23% less likely to participate (RR 0.77, CI 0.72-0.83) than those with the highest education. The association between education and start course participation was not significant in the subgroup of immigrant individuals (RR 0.88 CI 0.70-1.12).CONCLUSIONS: We found that diabetes start course participation was overall low, especially in individuals with low education and immigrant background.PRACTICE IMPLICATIONS: More efforts are needed to promote diabetes start courses in patients with T2DM.",

author = "Strandberg, {Ragnhild B} and Nilsen, {Roy M} and Frans Pouwer and Jannicke Igland and Forster, {Rachel B} and Jenum, {Anne Karen} and Buhl, {Esben S} and Iversen, {Marjolein M}",

year = "2023",

month = feb,

doi = "10.1016/j.pec.2022.107577",

language = "English",

volume = "107",

journal = "Patient Education and Counseling",

issn = "0738-3991",

publisher = "Elsevier",

}

Strandberg, RB, Nilsen, RM, Pouwer, F, Igland, J, Forster, RB, Jenum, AK, Buhl, ES & Iversen, MM 2023, 'Lower education and immigrant background are associated with lower participation in a diabetes education program - Insights from adult patients in the Outcomes & Multi-morbidity In Type 2 diabetes cohort (OMIT)', Patient Education and Counseling, vol. 107, 107577. https://doi.org/10.1016/j.pec.2022.107577

Lower education and immigrant background are associated with lower participation in a diabetes education program - Insights from adult patients in the Outcomes & Multi-morbidity In Type 2 diabetes cohort (OMIT). / Strandberg, Ragnhild B; Nilsen, Roy M; Pouwer, Frans et al.
In: Patient Education and Counseling, Vol. 107, 107577, 02.2023.

Research output: Contribution to journal › Journal article › Research › peer-review

TY - JOUR

T1 - Lower education and immigrant background are associated with lower participation in a diabetes education program - Insights from adult patients in the Outcomes & Multi-morbidity In Type 2 diabetes cohort (OMIT)

AU - Strandberg, Ragnhild B

AU - Nilsen, Roy M

AU - Pouwer, Frans

AU - Igland, Jannicke

AU - Forster, Rachel B

AU - Jenum, Anne Karen

AU - Buhl, Esben S

AU - Iversen, Marjolein M

PY - 2023/2

Y1 - 2023/2

N2 - OBJECTIVES: Diabetes educational programmes should be offered to patients with type 2 diabetes mellitus (T2DM). We assessed the proportion of diabetes educational program participation among adults with T2DM, and its associations with place of residence in Norway, education, and immigrant background.METHODS: We identified 28,128 diagnosed with T2DM (2008-2019) in the Outcomes & Multi-morbidity In Type 2 diabetes cohort. To examine associations between sociodemographic factors and participation in diabetes start courses (yes/no), we computed adjusted risk ratios (95% CI) using log-binomial regression.RESULTS: Overall, 18% participated on the diabetes start course, but partaking differed by Norwegian counties (range:12-34%). Individuals with an immigrant background were 29% less likely to participate (RR 0.71, CI 0.65-0.79). Similarly, those with a lower educational level were 23% less likely to participate (RR 0.77, CI 0.72-0.83) than those with the highest education. The association between education and start course participation was not significant in the subgroup of immigrant individuals (RR 0.88 CI 0.70-1.12).CONCLUSIONS: We found that diabetes start course participation was overall low, especially in individuals with low education and immigrant background.PRACTICE IMPLICATIONS: More efforts are needed to promote diabetes start courses in patients with T2DM.

AB - OBJECTIVES: Diabetes educational programmes should be offered to patients with type 2 diabetes mellitus (T2DM). We assessed the proportion of diabetes educational program participation among adults with T2DM, and its associations with place of residence in Norway, education, and immigrant background.METHODS: We identified 28,128 diagnosed with T2DM (2008-2019) in the Outcomes & Multi-morbidity In Type 2 diabetes cohort. To examine associations between sociodemographic factors and participation in diabetes start courses (yes/no), we computed adjusted risk ratios (95% CI) using log-binomial regression.RESULTS: Overall, 18% participated on the diabetes start course, but partaking differed by Norwegian counties (range:12-34%). Individuals with an immigrant background were 29% less likely to participate (RR 0.71, CI 0.65-0.79). Similarly, those with a lower educational level were 23% less likely to participate (RR 0.77, CI 0.72-0.83) than those with the highest education. The association between education and start course participation was not significant in the subgroup of immigrant individuals (RR 0.88 CI 0.70-1.12).CONCLUSIONS: We found that diabetes start course participation was overall low, especially in individuals with low education and immigrant background.PRACTICE IMPLICATIONS: More efforts are needed to promote diabetes start courses in patients with T2DM.

U2 - 10.1016/j.pec.2022.107577

DO - 10.1016/j.pec.2022.107577

M3 - Journal article

C2 - 36462290

SN - 0738-3991

VL - 107

JO - Patient Education and Counseling

JF - Patient Education and Counseling

M1 - 107577

ER -

Strandberg RB, Nilsen RM, Pouwer F, Igland J, Forster RB, Jenum AK et al. Lower education and immigrant background are associated with lower participation in a diabetes education program - Insights from adult patients in the Outcomes & Multi-morbidity In Type 2 diabetes cohort (OMIT). Patient Education and Counseling. 2023 Feb;107:107577. doi: 10.1016/j.pec.2022.107577