Key result
Among 247 inpatient diabetics in a rural tertiary care center, 39.3% experienced perceived stress, which was independently associated with younger age, shorter diabetes duration, comorbidities, being underweight, interpersonal conflicts, and financial constraints.
Why the study?
Stress is both an etiological link and an outcome in diabetes mellitus, but literature regarding stress levels and associated factors among diabetic patients in India is sparse.
Cross-Sectional (n=247)
No
Approximately 40% of diabetic inpatients in a rural Indian tertiary center experience perceived stress, highlighting the need for integrating stress management into diabetes education programs.
May warrant stress screening in rural diabetic inpatients; leaves open causal links and intervention trials.
BACKGROUND: "Stress" acts as both etiological link and also as an outcome in the case of diabetes mellitus. There is a paucity of literature regarding stress levels and also factors associated with it among diabetic patients in India. OBJECTIVE: To assess the perceived stress levels and their associated factors among diabetic inpatients in a rural tertiary health care center, South India. MATERIALS AND METHODS: A facility-based cross-sectional analytical study was conducted among inpatient diabetics seeking care at a rural tertiary care center in Kolar district of Karnataka. A pre-tested semi-structured questionnaire was used to capture the sociodemographic, disease-related, treatment-related and behavior-related characteristics of the inpatients. The outcome of "perceived stress" was captured using a standard questionnaire of Cohen Perceived Stress Scale-10. Poisson regression was used for multivariable analysis, and the association was expressed as prevalence ratio with 95% confidence intervals (CI). RESULTS: Out of the 247 study participants analysed, "perceived stress" was seen among 97 (39.3%) of the participants (95% CI: 33.3%-45.5%). Multivariable analysis showed that factors like younger age, lesser duration of diabetes, presence of any comorbidity, being underweight, having conflicts at work place/home in the last 1 month, and not having enough money for treatment had shown higher levels of "perceived stress." CONCLUSION: About two out of five inpatient diabetics seeking care from rural tertiary health centres had shown to have "perceived stress." There is a need for the inclusion of stress management techniques in the diabetes education program at all levels of health-care systems.
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Siddharthan et al. (2021) conducted a cross-sectional in Diabetes Mellitus (n=247). Sociodemographic and clinical risk factors vs. Absence of risk factors was evaluated on Prevalence of perceived stress (Cohen Perceived Stress Scale-10 score ≥ 20) (95% CI 33.3-45.5). Among 247 inpatient diabetics in a rural tertiary care center, 39.3% experienced perceived stress, which was independently associated with younger age, shorter diabetes duration, comorbidities, being underweight, interpersonal conflicts, and financial constraints.
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