Association Between Non-adherence to Diabetes Management and Poor Sleep Quality Based on the Korean Community Health Survey
Objectives: Adhering to management guidelines, including routine follow-up and education, is crucial for the effective management of chronic diseases such as diabetes. Uncontrolled diabetes is linked to poor sleep quality. We used nationally representative data from community-dwelling Koreans to inv...
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| Format: | Article |
| Language: | English |
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Korean Society for Preventive Medicine
2025-05-01
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| Series: | Journal of Preventive Medicine and Public Health |
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| Online Access: | http://jpmph.org/upload/pdf/jpmph-24-486.pdf |
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| author | Horim A. Hwang Hyunsuk Jeong Hyeon Woo Yim |
| author_facet | Horim A. Hwang Hyunsuk Jeong Hyeon Woo Yim |
| author_sort | Horim A. Hwang |
| collection | DOAJ |
| description | Objectives: Adhering to management guidelines, including routine follow-up and education, is crucial for the effective management of chronic diseases such as diabetes. Uncontrolled diabetes is linked to poor sleep quality. We used nationally representative data from community-dwelling Koreans to investigate potential associations between non-adherence to diabetes management and poor sleep quality. Methods: Of the 228 340 participants in the 2018 Korea Community Health Survey, we analyzed data from 68 246 participants aged 65 years and older. Based on their diabetes status and adherence to diabetes-related tests (glycated hemoglobin, fundus examination, and urine microalbuminuria) and management education, study participants were divided into 3 groups: no diabetes, adherence, and non-adherence. Outcome variables included poor overall sleep quality and sleep disturbances, as measured by the Pittsburgh Sleep Quality Index. Results: The study included 934 participants in the adherence group (2.0%) and 13 420 in the non-adherence group (20.2%). Participants displaying non-adherence were significantly more likely to report poor overall sleep quality (adjusted odds ratio [aOR], 1.09; 95% confidence interval [CI], 1.04 to 1.13) and to experience sleep fragmentation, nocturia, pain during sleep, and difficulty falling asleep compared to participants without diabetes. Even in the earlier stage of diabetes, non-adherent participants were more likely to report poor sleep quality (aOR, 1.06; 95% CI, 1.00 to 1.18). Conclusions: Patients with diabetes who do not follow management guidelines are more likely to experience poor sleep quality than those without diabetes. Emphasizing diabetes management and increasing awareness of management strategies may improve sleep quality among patients with this disease. |
| format | Article |
| id | doaj-art-511e6c4aa4874bcb9fa2c22f0ac090c5 |
| institution | DOAJ |
| issn | 1975-8375 2233-4521 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Korean Society for Preventive Medicine |
| record_format | Article |
| series | Journal of Preventive Medicine and Public Health |
| spelling | doaj-art-511e6c4aa4874bcb9fa2c22f0ac090c52025-08-20T03:21:55ZengKorean Society for Preventive MedicineJournal of Preventive Medicine and Public Health1975-83752233-45212025-05-0158326026810.3961/jpmph.24.4862420Association Between Non-adherence to Diabetes Management and Poor Sleep Quality Based on the Korean Community Health SurveyHorim A. Hwang0Hyunsuk Jeong1Hyeon Woo Yim2 Department of Preventive Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea Department of Preventive Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea Department of Preventive Medicine, College of Medicine, The Catholic University of Korea, Seoul, KoreaObjectives: Adhering to management guidelines, including routine follow-up and education, is crucial for the effective management of chronic diseases such as diabetes. Uncontrolled diabetes is linked to poor sleep quality. We used nationally representative data from community-dwelling Koreans to investigate potential associations between non-adherence to diabetes management and poor sleep quality. Methods: Of the 228 340 participants in the 2018 Korea Community Health Survey, we analyzed data from 68 246 participants aged 65 years and older. Based on their diabetes status and adherence to diabetes-related tests (glycated hemoglobin, fundus examination, and urine microalbuminuria) and management education, study participants were divided into 3 groups: no diabetes, adherence, and non-adherence. Outcome variables included poor overall sleep quality and sleep disturbances, as measured by the Pittsburgh Sleep Quality Index. Results: The study included 934 participants in the adherence group (2.0%) and 13 420 in the non-adherence group (20.2%). Participants displaying non-adherence were significantly more likely to report poor overall sleep quality (adjusted odds ratio [aOR], 1.09; 95% confidence interval [CI], 1.04 to 1.13) and to experience sleep fragmentation, nocturia, pain during sleep, and difficulty falling asleep compared to participants without diabetes. Even in the earlier stage of diabetes, non-adherent participants were more likely to report poor sleep quality (aOR, 1.06; 95% CI, 1.00 to 1.18). Conclusions: Patients with diabetes who do not follow management guidelines are more likely to experience poor sleep quality than those without diabetes. Emphasizing diabetes management and increasing awareness of management strategies may improve sleep quality among patients with this disease.http://jpmph.org/upload/pdf/jpmph-24-486.pdfdiabetessleep qualityagedself report |
| spellingShingle | Horim A. Hwang Hyunsuk Jeong Hyeon Woo Yim Association Between Non-adherence to Diabetes Management and Poor Sleep Quality Based on the Korean Community Health Survey Journal of Preventive Medicine and Public Health diabetes sleep quality aged self report |
| title | Association Between Non-adherence to Diabetes Management and Poor Sleep Quality Based on the Korean Community Health Survey |
| title_full | Association Between Non-adherence to Diabetes Management and Poor Sleep Quality Based on the Korean Community Health Survey |
| title_fullStr | Association Between Non-adherence to Diabetes Management and Poor Sleep Quality Based on the Korean Community Health Survey |
| title_full_unstemmed | Association Between Non-adherence to Diabetes Management and Poor Sleep Quality Based on the Korean Community Health Survey |
| title_short | Association Between Non-adherence to Diabetes Management and Poor Sleep Quality Based on the Korean Community Health Survey |
| title_sort | association between non adherence to diabetes management and poor sleep quality based on the korean community health survey |
| topic | diabetes sleep quality aged self report |
| url | http://jpmph.org/upload/pdf/jpmph-24-486.pdf |
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