Relationship between schizophrenia, diabetes, and the length of hospital stay, with patient's gender as the moderator.
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Boateng, Nana-Kwadwo.
Relationship between schizophrenia, diabetes, and the length of hospital stay, with patient's gender as the moderator. Retrieved from
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TitleRelationship between schizophrenia, diabetes, and the length of hospital stay, with patient's gender as the moderator.
Date Created2020
Other Date2020-08 (degree)
Extent1 online resource (x, 140 pages)
DescriptionThe prevalence of diabetes and obesity is significantly higher in patients diagnosed with
schizophrenia than those without schizophrenia, and the increased risk of death is six-fold
for patients diagnosed with both schizophrenia and diabetes mellitus, compared to those
only with schizophrenia. Gender has been identified as a factor influencing schizophrenia
and diabetes in various ways, but few previous scholars had addressed the effect of
patients’ gender as a moderator to the healthcare costs associated with hospitalizations
related to schizophrenia and diabetes. This researcher performed quantitative
correlational analysis using data from the Healthcare Cost and Utilization Project to
explore the relationships between schizophrenia, diabetes, patients’ gender, and length of
hospital stay. The analyses revealed that patients’ gender is a significant moderator in two
instances. Firstly, the effect of having schizophrenia on length of stay decreases from
female to male (β = -.068, p < 0.05). Secondly, the effect of having diabetes on length of
stay increases from female to male (β = .150, p < 0.05). There was no statistical evidence
found to conclude that gender is a significant moderator on the effect of both
schizophrenia and diabetes on the length of stay. The findings of the study expanded the
literature on the use of self-regulation theory, which posits that certain underlying
processes, cognitive and physical operation, and emotional repercussions may vary
between genders, in the context of patients of comorbid diseases specifically on
schizophrenia and diabetes. The findings support the self-regulation theory in relation to
the claim that people differ in their basic abilities and styles of self-control, which
manifest as different outcomes among individuals based on their levels of self-control,
adherence, lifestyle choices, behavioral functions, and inherent practices. However, the
findings of this study only partial supports the moderating effect of gender between
comorbid disease and length of stay which existed among patients with schizophrenia and
diabetes, but not with patients with both comorbid diseases. The conclusions could also
be used by healthcare practitioners to develop specific interventions for reducing
healthcare costs and improving outcomes for this patient population by taking gender differences
into consideration.
NotePh.D.
NoteIncludes bibliographical references
Genretheses, ETD doctoral
LanguageEnglish
CollectionSchool of Health Professions ETD Collection
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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