Predictors of health-related quality of life among people with type II diabetes Mellitus in Ardabil, Northwest of Iran, 2014

• Predictors of the HRQOL were socioeconomic factors, comorbidities and complications.
• The QOL among people that merely utilized diet as treatment was higher.
• Disease duration and complications had adverse effects on QOL.
• The QOL among patients with nephropathy was lower in all dimensions.
• Compared with men, scores of all QOL domains were lower in women.

AimsThe present study aims at investigating different dimensions of the Health-Related Quality of Life (HRQOL) and its determinants among type II diabetes Mellitus (T2DM) referred to diabetes clinic in Ardabil.MethodsThe present study was conducted through a cross-sectional method in which 300 people with T2DM were selected using a convenience sampling method between January and May 2014. Data were collected through 26-item structured and WHOQOL-BREF questionnaires. Data analysis was performed using descriptive and analytical statistical methods, independent t-test, Mann Whitney test, ANOVA, Kruskal Wallis, Welch test, and multivariable linear regression model using SPSS (V.20).ResultsThe mean age of the participants was 54.13 ± 9.13, and about 72% of the patients were women. The mean score of the total HRQOL was 53.07 ± 17.09; the highest score of HRQOL was related to the environmental domain (57.10 ± 10.52) and the lowest to the dimension of social health (45.68 ± 17.25). Based on multivariable linear regression, total QOL was influenced by gender, marital status, MHI, and comorbid renal disease. PH Dimension was associated with MHI and neuropathy; PSH with education level, comorbid depression, comorbid renal, and other disease; SR with marital, comorbid renal, and other disease; EH with marital status, Monthly household income (MHI), and education level.ConclusionAccording to the results of this study, Predictors of the HRQOL in T2DM are associated with demographic and socioeconomic factors, comorbidities, and with less impact, diabetes complications, respectively. Moreover, diabetic patients had moderate HRQOL, and compared with men, scores of all domains were lower in women.