首页|Employment status and diabetic outpatient appointment non-attendance in middle to senior working generation with type 2 diabetes: the Japan diabetes outcome intervention trial-2 large-scale trial 005 (J-DOIT2-LT005)
Employment status and diabetic outpatient appointment non-attendance in middle to senior working generation with type 2 diabetes: the Japan diabetes outcome intervention trial-2 large-scale trial 005 (J-DOIT2-LT005)
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NSTL
Springer Nature
Aims Workplace demands， support， and relationships differ according to employment status (e。g。， employment that is full-time， part-time， or self-employed) and may lead to unequal opportunities to keep diabetic appointments。 We investigated the association between employment status and outpatient diabetic appointment non-attendance among working-age adults with type 2 diabetes。 Methods This was a secondary analysis of a cluster-randomized trial (the Japan diabetes outcome intervention trial 2 large-scale trial)。 The analysis included 2010 trial participants (40-65 years old) with type 2 diabetes who were regularly followed by primary care physicians (PCPs)。 The outcome measure was the first non-attendance (defined as a failure to visit a PCP within 2 months of the original appointment) during the one-year follow-up。 The association between baseline employment status and non-attendance was examined using Cox proportional hazard model in men and women。 Results During the 1279 and 789 person-year follow-up periods， 90 men and 34 women， respectively， experienced their first appointment non-attendance。 Among men， self-employed participants had a higher risk of non-attendance compared with full-time employees (adjusted HR， 1。84; 95% CI， 1。15， 2。95)。 The trial intervention (attendance promotion) was associated with a significantly reduced risk of non-attendance among self-employed participants (HR， 0。51; 95% CI， 0。26， 0。99)。 Among women， a significant association between employment status and non-attendance was not observed。 Conclusions Self-employed men with type 2 diabetes had a twofold increased risk of non-attendance than did full-time employees。 Our study suggests that self-employed men with type 2 diabetes should be targeted for interventions promoting appointment adherence。
Employment statusNon-attendanceType 2 diabetes mellitusPrimary care
NSTL
Springer Nature
