{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T20:23:29Z","timestamp":1772915009393,"version":"3.50.1"},"reference-count":41,"publisher":"BMJ","issue":"4","license":[{"start":{"date-parts":[[2022,11,10]],"date-time":"2022-11-10T00:00:00Z","timestamp":1668038400000},"content-version":"unspecified","delay-in-days":9,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Fam Med Com Health"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>This study aimed to determine the association of health determinants, lifestyle and socioeconomic variables on healthcare use in people with diabetes in Europe.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A cross-sectional study was conducted using data from the European Health Interview Survey wave 2 (ie, secondary analysis).<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>The sample included data from 25 European countries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>The sample included 16\u2009270 patients with diabetes aged 15 years or older (49.1% men and 50.9%\u2009women).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The survey data showed that 58.2% of respondents had seen their primary care physician in the past month and 22.6% had been admitted to the hospital in the past year. Use of primary care was associated with being retired (prevalence ratio (PR) 1.13, 95%\u2009CI 1.07 to 1.19) and having very poor self-perceived health (PR 1.80, 95%\u2009CI 1.51 to 2.15), long-standing health problems (PR 1.14, 95%\u2009CI 1.04 to 1.24), high blood pressure (PR 1.06, 95%\u2009CI 1.03 to 1.10) and chronic back pain (PR 1.07, 95%\u2009CI 1.04 to 1.11). Hospital admission was associated with very poor self-perceived health (PR 3.03, 95%\u2009CI 2.14 to 4.31), accidents at home (PR 1.54, 95%\u2009CI 1.40 to 1.69), chronic obstructive pulmonary disease (COPD) (PR 1.34, 95%\u2009CI 1.22 to 1.47), high blood pressure (PR 1.08, 95%\u2009CI 1.01 to 1.17), chronic back pain (PR 0.91, 95%\u2009CI 0.84 to 0.98), moderate difficulty walking (PR 1.33, 95%\u2009CI 1.21 to 1.45) and severe difficulty walking (PR 1.67, 95%\u2009CI 1.51 to 1.85).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In the European diabetic population, the high cumulative incidences of primary care visits and hospital admissions are associated with labour status, alcohol consumption, self-perceived health, long-standing health problems, high blood pressure, chronic back pain, accidents at home, COPD and difficulty walking.<\/jats:p><\/jats:sec>","DOI":"10.1136\/fmch-2022-001700","type":"journal-article","created":{"date-parts":[[2022,11,10]],"date-time":"2022-11-10T14:55:14Z","timestamp":1668092114000},"page":"e001700","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Healthcare use among people with diabetes mellitus in Europe: a population-based cross-sectional study"],"prefix":"10.1136","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1024-1620","authenticated-orcid":false,"given":"\u00c1lvaro","family":"Fuentes-Merlos","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6947-7531","authenticated-orcid":false,"given":"Jos\u00e9 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