Factors Influencing Self-Management in Chinese Adults with Type 2 Diabetes: A Systematic Review and Meta-Analysis

• Type of Material: Article
• Authors: Xiaoping Luo, Zhongshan Peoples Hosp; Tingting Liu, Emory University; Xiaojing Yuan, Tulane University; Song Ge, Johns Hopkins University; Chengwei Li, Emory University; Wenjie Sun, Guangdong Pharmaceutical University; Jing Yang, Chengdu University of Traditional Chinese Medicine
• Language: English
• Date: 2015-09-01
• Publisher: MDPI
• Publication Version: Final Published Version
• Copyright Statement: © 2015 by the authors; licensee MDPI, Basel, Switzerland.
• License: Creative Commons Attribution 4.0 International
• Final Published Version (URL): http://dx.doi.org/10.3390/ijerph120911304
• Title of Journal or Parent Work: International Journal of Environmental Research and Public Health
• Volume: 12
• Issue: 9
• Start Page: 11304
• End Page: 11327
• Keywords: QUALITY; systematic review; Life Sciences & Biomedicine; EDUCATION; diabetes self-management; Chinese adults; Science & Technology; Public, Environmental & Occupational Health; Environmental Sciences & Ecology; MODEL; CARE; type 2 diabetes; Environmental Sciences; EFFICACY
• Research Categories: Environmental Sciences

Abstract

Diabetes is a major public health problem in China. Diabetes self-management is critical for patients to achieved better health outcomes, however, previous studies have shown suboptimal diabetes self-management performance. We conducted a systematic review and meta-analysis to identify factors associated with diabetes self-management in Chinese adults. The results showed that confrontation, resignation, overall health beliefs, perceived susceptibility, perceived barriers, and self-efficacy were factors associated with overall diabetes self-management performance and six aspects of diabetes self-management behaviors. There is some limited evidence to suggest that provider-patient communication, married individuals, higher educational level, and higher household income level may also be linked to better diabetes self-management practice. Having healthcare insurance and utilizing chronic illness resources generally appeared to have a favorable effect on diabetes self-management performance. In addition, there were a number of factors for which the evidence is too limited to be able to ascertain its strength of association with diabetes self-management practice. The findings of this review suggest that diabetes self-management behaviors are affected by a wide range of personal and environmental factors, which allow health care providers to develop theory-based strategies to improve diabetes-self-management behaviors in this population.