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Author Notes:

Authors to whom correspondence should be addressed; E-Mails: tingting.liu@emory.edu (T.L.); wsun3@tulane.edu (W.S.); Tel./Fax: +1-404-988-3738 (C.L.); +1-504-988-4223 (W.S.).

All authors made important contributions to the manuscript preparation in terms of experimental design, literature search, literature review, conceptual model development, and data interpretation.

Tingting Liu and Xiaoping Luo wrote the manuscript.

Wenjie Sun, Jing Yang, Changwei Li, Xiaojing Yuan, and Song Ge critically reviewed and revised the manuscript.

All authors read and approved the final version of the manuscript.

The authors would like to thank Carolyn Brown, a nursing informationist at Emory University, for her assistance in retrieving the literature.

The authors declare no conflict of interest.

Subject:

Keywords:

  • Science & Technology
  • Life Sciences & Biomedicine
  • Environmental Sciences
  • Public, Environmental & Occupational Health
  • Environmental Sciences & Ecology
  • Chinese adults
  • diabetes self-management
  • type 2 diabetes
  • systematic review
  • CARE
  • EDUCATION
  • EFFICACY
  • QUALITY
  • MODEL

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

Tools:

Journal Title:

International Journal of Environmental Research and Public Health

Volume:

Volume 12, Number 9

Publisher:

, Pages 11304-11327

Type of Work:

Article | Final Publisher PDF

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.

Copyright information:

© 2015 by the authors; licensee MDPI, Basel, Switzerland.

This is an Open Access work distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0/).
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