Biopsychosocial and Economic Factors Affecting the Quality of Life in Patients with Type II Diabetes Mellitus

Abstract

Background: Type 2 diabetes mellitus (DM) is a chronic metabolic disease that has a major impact on the quality of life (QoL). The type 2 DM patients to know their capacity to manage the disease and maintain their health and well-being. This study aims to determine biological, psychological, social and economic factors on the quality of life in type 2 DM patients. Subjects and Method: A cross-sectional study was conducted in Surakarta, Central Java. A sample of 100 type 2 DM patients was selected by purposive random sampling. The dependent variable was quality of life. The independent variables were quality of life (QoL). The independent variables were body mass index (BMI), HbA1C, occupation, education, physical activity, and family support. The data were obtained from medical record and questionnaire. The data were analyzed by a multiple logistic regression. Results: Quality of life in type 2 DM patients increased with high physical activity (OR= 6.33; 95% CI= 1.92 to 20.87; p= 0.002), strong family support (OR= 3.94; 95% CI= 1.21 to 12.78; p= 0.023), employed (OR= 4.17; 95% CI= 1.15 to 15.19; p= 0.030), and high education (OR= 4.37; 95% CI= 1.49 to 12.76; p= 0.007). Quality of life in type 2 DM patients decreased with obesity (OR= 0.37; 95% CI= 0.12 to 1.20; p= 0.099) and HbA1c (OR= 0.16; 95%= 0.05 to 0.53; p= 0.003). Conclusion: Quality of life in type 2 DM patients increases with high physical activity, strong family support, employed, and high education. Quality of life in type 2 DM patients decreases with obesity and HbA1c. Keywords: quality of life, type 2 diabetes melitus, biopsychosocial Correspondence: Rahsunji Intan Nurvitasari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: intan.nurvitasari@gmail.com. Mobile: +6281232599161.