Women Suffered More Than Men Both During and After the COVID‐19 Pandemic—A Cross‐Sectional Study Among 29,079 Patients With Type 2 Diabetes

ABSTRACT Objective To investigate the gender differences and the disparities between infected and noninfected patients with type 2 diabetes (T2D) regarding patient‐reported experiences during the COVID‐19 pandemic in Norway. Method Register study using questionnaires sent electronically to patients...

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Main Authors: Grethe Åstrøm Ueland, Tony Ernes, Tone Vonheim Madsen, Sverre Sandberg, Bjørn Olav Åsvold, Karianne Fjeld Løvaas, John Graham Cooper
Format: Article
Language:English
Published: Wiley 2024-11-01
Series:Endocrinology, Diabetes & Metabolism
Online Access:https://doi.org/10.1002/edm2.70004
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author Grethe Åstrøm Ueland
Tony Ernes
Tone Vonheim Madsen
Sverre Sandberg
Bjørn Olav Åsvold
Karianne Fjeld Løvaas
John Graham Cooper
author_facet Grethe Åstrøm Ueland
Tony Ernes
Tone Vonheim Madsen
Sverre Sandberg
Bjørn Olav Åsvold
Karianne Fjeld Løvaas
John Graham Cooper
author_sort Grethe Åstrøm Ueland
collection DOAJ
description ABSTRACT Objective To investigate the gender differences and the disparities between infected and noninfected patients with type 2 diabetes (T2D) regarding patient‐reported experiences during the COVID‐19 pandemic in Norway. Method Register study using questionnaires sent electronically to patients with T2D, June 2022. The questionnaire included 82 questions covering COVID‐19 disease, symptoms, medications, comorbidities, hospital care, possibility of working from home and information received from health authorities. Clinical and demographic data were collected from the Norwegian diabetes registry for adults. Results A total of 29,079 T2D patients participated, of whom 38.1% were women. Patients infected with COVID‐19 were younger, had shorter diabetes duration and less comorbidities than noninfected (p < 0.01). Women reported significantly more anxiety, depression and fear of not getting their diabetes medication than men did. Most patients were vaccinated against COVID‐19 (98.3%), whereas approximately 60% had received seasonal flu vaccine, and only 27.2% the pneumococcal vaccine. Women described more vaccine adverse effects and long Covid symptoms. Overall, 14% experienced vaccine complications and 27.3% of infected individuals reported long Covid symptoms. 2.4% of the infected patients needed hospital admission. Patients were satisfied with the follow‐up of their diabetes, and with information from the government during the pandemic. Conclusion Female patients were more likely to experience a prolonged Covid course, and higher degree of adverse effects from the COVID‐19 vaccine than male patients. Also, long Covid symptoms were significantly more often reported among female patients, while men were more prone to be hospitalised when infected. Hospitalised patients, both men and women, had significantly higher HbA1C than those who were not hospitalised. T2D patients had a surprisingly low pneumococcal vaccination coverage, despite recommendations in national guidelines.
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spelling doaj-art-ebbb3ea4f5b34c60a56394a3bcdf53092024-11-25T04:44:35ZengWileyEndocrinology, Diabetes & Metabolism2398-92382024-11-0176n/an/a10.1002/edm2.70004Women Suffered More Than Men Both During and After the COVID‐19 Pandemic—A Cross‐Sectional Study Among 29,079 Patients With Type 2 DiabetesGrethe Åstrøm Ueland0Tony Ernes1Tone Vonheim Madsen2Sverre Sandberg3Bjørn Olav Åsvold4Karianne Fjeld Løvaas5John Graham Cooper6Norwegian Quality Improvement of Laboratory Examinations (Noklus) Haraldsplass Deaconess Hospital Bergen NorwayNorwegian Quality Improvement of Laboratory Examinations (Noklus) Haraldsplass Deaconess Hospital Bergen NorwayNorwegian Quality Improvement of Laboratory Examinations (Noklus) Haraldsplass Deaconess Hospital Bergen NorwayNorwegian Quality Improvement of Laboratory Examinations (Noklus) Haraldsplass Deaconess Hospital Bergen NorwayHUNT Center for Molecular and Clinical Epidemiology, Department of Public Health and Nursing, NTNU Norwegian University of Science and Technology Trondheim NorwayNorwegian Quality Improvement of Laboratory Examinations (Noklus) Haraldsplass Deaconess Hospital Bergen NorwayNorwegian Quality Improvement of Laboratory Examinations (Noklus) Haraldsplass Deaconess Hospital Bergen NorwayABSTRACT Objective To investigate the gender differences and the disparities between infected and noninfected patients with type 2 diabetes (T2D) regarding patient‐reported experiences during the COVID‐19 pandemic in Norway. Method Register study using questionnaires sent electronically to patients with T2D, June 2022. The questionnaire included 82 questions covering COVID‐19 disease, symptoms, medications, comorbidities, hospital care, possibility of working from home and information received from health authorities. Clinical and demographic data were collected from the Norwegian diabetes registry for adults. Results A total of 29,079 T2D patients participated, of whom 38.1% were women. Patients infected with COVID‐19 were younger, had shorter diabetes duration and less comorbidities than noninfected (p < 0.01). Women reported significantly more anxiety, depression and fear of not getting their diabetes medication than men did. Most patients were vaccinated against COVID‐19 (98.3%), whereas approximately 60% had received seasonal flu vaccine, and only 27.2% the pneumococcal vaccine. Women described more vaccine adverse effects and long Covid symptoms. Overall, 14% experienced vaccine complications and 27.3% of infected individuals reported long Covid symptoms. 2.4% of the infected patients needed hospital admission. Patients were satisfied with the follow‐up of their diabetes, and with information from the government during the pandemic. Conclusion Female patients were more likely to experience a prolonged Covid course, and higher degree of adverse effects from the COVID‐19 vaccine than male patients. Also, long Covid symptoms were significantly more often reported among female patients, while men were more prone to be hospitalised when infected. Hospitalised patients, both men and women, had significantly higher HbA1C than those who were not hospitalised. T2D patients had a surprisingly low pneumococcal vaccination coverage, despite recommendations in national guidelines.https://doi.org/10.1002/edm2.70004
spellingShingle Grethe Åstrøm Ueland
Tony Ernes
Tone Vonheim Madsen
Sverre Sandberg
Bjørn Olav Åsvold
Karianne Fjeld Løvaas
John Graham Cooper
Women Suffered More Than Men Both During and After the COVID‐19 Pandemic—A Cross‐Sectional Study Among 29,079 Patients With Type 2 Diabetes
Endocrinology, Diabetes & Metabolism
title Women Suffered More Than Men Both During and After the COVID‐19 Pandemic—A Cross‐Sectional Study Among 29,079 Patients With Type 2 Diabetes
title_full Women Suffered More Than Men Both During and After the COVID‐19 Pandemic—A Cross‐Sectional Study Among 29,079 Patients With Type 2 Diabetes
title_fullStr Women Suffered More Than Men Both During and After the COVID‐19 Pandemic—A Cross‐Sectional Study Among 29,079 Patients With Type 2 Diabetes
title_full_unstemmed Women Suffered More Than Men Both During and After the COVID‐19 Pandemic—A Cross‐Sectional Study Among 29,079 Patients With Type 2 Diabetes
title_short Women Suffered More Than Men Both During and After the COVID‐19 Pandemic—A Cross‐Sectional Study Among 29,079 Patients With Type 2 Diabetes
title_sort women suffered more than men both during and after the covid 19 pandemic a cross sectional study among 29 079 patients with type 2 diabetes
url https://doi.org/10.1002/edm2.70004
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