Path Analysis on the Biopsychosocial and Economic Determinants of Quality of Life in Patients with Type II Diabetes Mellitus: Evidence from Surakarta, Central Java

Rahsunji Intan Nurvitasari, Didik Gunawan Tamtomo, Yulia Lanti Retno Dewi


Background: Type 2 diabetes mellitus (DM) is a chronic disease that is increasing to an alarm­ing stage in the world. Type 2 diabetes mellitus can have a major impact on the quality of life in patients. The quality of life in patients with type 2 DM is affected by various factors. This study aimed to analyze the biopsychosocial and econo­mic determinants of the quality of life in patients with type 2 DM.

Subjects and Method: This was an analytical observational study with a cross-sectional design. This study was conducted in Surakarta from March to May 2020. A sample of 100 patients was selected by purposive sampling. The depen­dent variable was quality of life. The independent vari­ables were age, blood sugar level, Body Mass Index (BMI), central obesity, education level, smoking habits, stress levels, family social support, physical activity, other diseases, occu­pation, income, health insurance. This study used a questionnaire to collect the data. This study was analyzed by path analysis using Stata version 13.

Results: The quality of life in patients with type 2 DM increased by family support (b= 0.86; 95%CI=-0.16 to 1.87; p=0.098), education (b= 1.47; 95%CI=0.47 to 2.47; p=0.004), and occu­pation (b=1.09; 95%CI=-0.06 to 2.23; p=0.062). The quality of life in patients with type 2 DM decreased by HbA1c levels (b=-1.74; 95%CI=-2.80 to -0.69; p=0.001) and BMI (b=-1.41; 95% CI= -2.49 to -0.34; p=0.010). Quality of life in patients with type 2 DM was indirectly affected by physical activity and education.

Conclusion: Quality of life in patients with type 2 DM is directly affected by HbA1c levels, BMI, family support, education, and occupation. Qua­lity of life in patients with type 2 DM is indirectly affected by physical activity and education.

Keywords: Quality of life, type 2 diabetes mellitus, biopsychosocial, path analysis.

Correspondence: Rahsunji Intan Nurvitasari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: Mobile: +6281232599161

Journal of Epidemiology and Public Health (2020), 05(03): 281-292


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