Abstract
Objective-To evaluate the health-related quality of life in diabetic subjects in primary health care.Design-A cross-sectional, questionnaire survey of diabetic patients registered with primary health services, compared with a standard population sample.Setting-Three community health centres in the Metropolitan Stockholm area.Subjects-341 diabetic individuals aged 21–84 years, with 229 respondents, i.e. 67%. Matched controls of the same age and sex from a standard population sample of 2366 individuals. Main outcome measures-Quality of life was assessed by the Swedish Health-Related Quality of Life Survey (SWED-QUAL), adapted from the Medical Outcomes Study and consisting of 61 items covering aspects of physical, mental, social, and general health. Medical data were extracted from the medical records.Conclusions-Diabetic patients in primary health care have a markedly lower health-related quality of life, compared with a standard population.Results-Diabetic patients had significantly lower scores on all scales (p<0.001 for ten, and p<0.01 for one), except for social health, when compared with the standard population sample. Outcomes were correlated with vascular and non-vascular comorbidity, age, and income, but not with level of metabolic control.
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