The association between social capital and quality of life among type 2 diabetes patients in Anhui province, China: a cross-sectional study.
BACKGROUND
To investigate the association between social capital and quality of life among type 2 diabetes patients in Anhui province, China.


METHODS
In a cross-sectional study, 436 adults with type 2 diabetes were interviewed. The two domains of Quality of life, physical component summary (PCS) and mental component summary (MCS), were measured using the Short-Form Health Survey (SF-36). A modified instrument scale was used to measure cognitive and structural social capital. Multiple logistic regression models were used to assess the associations between social capital and quality of life, adjusting for social economic status and risk factors for health.


RESULTS
24.3 % of participants (106) were in poor PCS and 25.0 % (109) in poor MCS. The proportions of participants who had low cognitive and structural social capital were 47.0 % (205) and 64.4 % (281), respectively. Results of logistic regression models showed that cognitive social capital was positively associated with PCS (OR = 1.84; 95 % CI: 1.12, 3.02) and MCS (OR = 1.65; 95 % CI: 1.03, 2.66). However, the associations between structural social capital and PCS (OR = 0.80, 95 % CI: 0.48, 1.34) and MCS (OR = 0.62; 95 % CI: 0.38, 1.01) were not statistically significant.


CONCLUSIONS
It is the first study in China to investigate associations between quality of life and social capital in type 2 diabetes. Findings document that cognitive social capital is associated with the quality of life of type 2 diabetes patients. Our study suggests that the social capital theory may provide a new approach to increase physical resources in diabetes prevention and control, especially in Low and Middle Income countries (LMICs).
Hefei Second People's Hospital, Hefei, China. hufuyong@126.com.|School of Health Services Management, Anhui Medical University, No. 81, Meishan Road, Hefei, 230032, Anhui, China. hufuyong@126.com.
Fuyong
F
Hu
The First Affiliated Hospital of Anhui Medical University, Hefei, China. xiaoyouniu@163.com.
Li
L
Niu
School of Health Services Management, Anhui Medical University, No. 81, Meishan Road, Hefei, 230032, Anhui, China. chenren2006@hotmail.com.
Ren
R
Chen
School of Health Services Management, Anhui Medical University, No. 81, Meishan Road, Hefei, 230032, Anhui, China. 2994190236@qq.com.
Ying
Y
Ma
School of Health Services Management, Anhui Medical University, No. 81, Meishan Road, Hefei, 230032, Anhui, China. aywgqinxia@sina.com.
Xia
X
Qin
School of Health Services Management, Anhui Medical University, No. 81, Meishan Road, Hefei, 230032, Anhui, China. aywghz@126.com.
Zhi
Z
Hu
D002681:China / Q000453:epidemiology; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology* / Q000517:prevention & control / Q000523:psychology; D005260:Female; D006306:Health Surveys; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D011788:Quality of Life; D012307:Risk Factors; D066270:Social Capital; D012959:Socioeconomic Factors