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Work-related, personal, and diabetes-related factors relevant to dropout from outpatient diabetes treatment visits among Japanese male employees with diabetes

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Abstract

Aim

In recent years, support for coexisting diabetes treatment and work (Ryoritsu Shien) has become increasingly important for employees with diabetes. It is important to identify factors associated with dropout from outpatient visits for diabetes treatment among employees with diabetes to determine appropriate support to prevent dropout. Therefore, we explored work-related, personal, and diabetes-related factors relevant for dropout from outpatient diabetes treatment visits among Japanese employees with diabetes.

Methods

This cross-sectional study was conducted in 2018. Participants were 140 full-time employees with type 2 diabetes aged over 40 years. Participants were classified into two groups: a dropout group and a continuation group. Work-related, personal, and diabetes-related factors were evaluated using a self-administered questionnaire and specific health checkup data.

Results

Of the 140 employees with diabetes, 12 (8.6%) were classified in the dropout group. Multivariable logistic regression analysis revealed three factors associated with a lower risk for dropout from diabetes treatment outpatient visits. These were: high supervisor support, as measured by the Job Content Questionnaire (multivariable-adjusted odds ratio [OR] 0.71, 95% confidence interval [CI] 0.52–0.97, per 1 score); older age (multivariable-adjusted OR 0.79, 95% CI: 0.66–0.95, per 1 year); and presence of metabolic syndrome (multivariable-adjusted OR 0.04, 95% CI 0.01–0.28, presence vs. absence).

Conclusions

Our findings suggest that supervisor support, age, and metabolic syndrome are important factors related to dropout from outpatient diabetes treatment visits among Japanese male employees with diabetes.

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Acknowledgements

This work was supported by a Grant-in-Aid for Scientific Research (B) from the Japan Society for the Promotion of Science (Grant number: 18H03118). We thank Audrey Holmes, MA, from Edanz Group for editing a draft of this manuscript.

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Authors and Affiliations

Authors

Contributions

NS designed this study, acquired data, performed the analyses, and wrote the manuscript. SW and YO designed this study, acquired data, performed data interpretation, and contributed to editing the manuscript. KG acquired data, performed data interpretation, and contributed to editing the manuscript. CH, YS, SO, and MS performed data interpretation and contributed to editing the manuscript. AM designed this study, acquired data, performed data interpretation, and contributed to editing the manuscript. All authors approved the final version of the manuscript.

Corresponding author

Correspondence to Nao Sonoda.

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The authors declare that they have no conflict of interest.

Human rights statement

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1964 and later versions.

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All Informed consent or substitute for it was obtained from all patients for being included in this study.

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Sonoda, N., Watanabe, S., Ohno, Y. et al. Work-related, personal, and diabetes-related factors relevant to dropout from outpatient diabetes treatment visits among Japanese male employees with diabetes. Diabetol Int 11, 261–268 (2020). https://doi.org/10.1007/s13340-019-00420-x

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