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BMC Public Health
Published in: BMC Public Health 1/2016

Open Access 01-12-2016 | Research article

Comparing the mortality risks of nursing professionals with diabetes and general patients with diabetes: a nationwide matched cohort study

Authors: Hsiu-Ling Huang, Chuan-Yu Kung, Cheng-Chin Pan, Pei-Tseng Kung, Shun-Mu Wang, Wen-Yu Chou, Wen-Chen Tsai

Published in: BMC Public Health | Issue 1/2016

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Abstract

Background

Nursing professionals have received comprehensive medical education and training. However, whether these medical professionals exhibit positive patient care attitudes and behaviors and thus reduce mortality risks when they themselves are diagnosed with chronic diseases is worth exploring. This study compared the mortality risks of female nurses and general patients with diabetes and elucidated factors that caused this difference.

Methods

A total of 510,058 female patients newly diagnosed with diabetes between 1998 and 2006 as recorded in the National Health Insurance Research Database were the participants in this study. Nurses with diabetes and general population with diabetes were matched with propensity score method in a 1:10 ratio. The participants were tracked from the date of diagnosis to 2009. The Cox proportional hazards model was utilized to compare the mortality risks in the two groups.

Results

Nurses were newly diagnosed with diabetes at a younger age compared with the general public (42.01 ± 12.03 y vs. 59.29 ± 13.11 y). Nevertheless, the matching results showed that nurses had lower mortality risks (HR: 0.53, 95 % CI: 0.38–0.74) and nurses with diabetes in the < 35 and 35–44 age groups exhibited significantly lower mortality risks compared with general patients (HR: 0.23 and 0.36). A further analysis indicated that the factors that influenced the mortality risks of nurses with diabetes included age, catastrophic illnesses, and the severity of diabetes complications.

Conclusion

Nurses with diabetes exhibited lower mortality risks possibly because they had received comprehensive medical education and training, may had more knowledge regarding chronic disease control and change their lifestyles. The results can serve as a reference for developing heath education, and for preventing occupational hazards in nurses.
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Metadata
Title
Comparing the mortality risks of nursing professionals with diabetes and general patients with diabetes: a nationwide matched cohort study
Authors
Hsiu-Ling Huang
Chuan-Yu Kung
Cheng-Chin Pan
Pei-Tseng Kung
Shun-Mu Wang
Wen-Yu Chou
Wen-Chen Tsai
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2016
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-016-3734-1

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