Table of Contents
International Journal of Family Medicine
Volume 2014 (2014), Article ID 864572, 7 pages
http://dx.doi.org/10.1155/2014/864572
Research Article

Childhood Adversities are Associated with Diabetes Management in Working Age in Finland

1Department of General Practice, Medical School, University of Tampere, Lääkärinkatu 1, 33520 Tampere, Finland
2Health Centre of Tampere, Finland
3Hjelt Institute, University of Helsinki, Finland
4Centre for General Practice, Pirkanmaa Hospital District, Tampere, Finland

Received 27 October 2013; Revised 8 February 2014; Accepted 27 March 2014; Published 28 April 2014

Academic Editor: Geoffrey Mitchell

Copyright © 2014 Lauri Pisto et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Backgrounds. Research findings suggest that the mind can cause physical disease. To plan the best quality of care, general practitioner needs to understand an individual's health problems in physical, social, and psychological dimensions. This study sought to establish whether adverse life events occurring in childhood and adolescence are associated with diabetes. Methods. The cohort was collected from the health and social support (HeSSup) study—a postal follow-up survey of randomized working-aged Finns initiated in 1998. The response rate was 40.0% and the final cohort size 24057. Data on reimbursed diabetes medication during the years 1998–2006 were obtained from the Social Insurance Institute of Finland registers. Subjects were divided into insulin, tablet, combination therapy, and drug-naive groups together with a control group without diabetes. The prevalence of childhood adversities was assessed based on answers to six survey questions. Results. Childhood adversities showed predominant linkage to diabetes type 2 groups, especially to the combination therapy group requiring combined insulin and tablet treatment. No connection was found between childhood adversities and insulin use. Cumulative adversities did not markedly increase the association. Conclusions. Stressful events in childhood are associated with diabetes combination therapy in working age. The meaning of the relationship remains unsolved.