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

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  • Xiaoping Luo

    (Anesthesia Department of Zhongshan People's Hospital, Zhongshan 528403, China
    These authors contributed equally to this work.)

  • Tingting Liu

    (Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA 30322, USA
    These authors contributed equally to this work.)

  • Xiaojing Yuan

    (Department of Epidemiology, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA)

  • Song Ge

    (School of Nursing, Johns Hopkins University, Baltimore, MD 21205, USA)

  • Jing Yang

    (School of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu 611137, China)

  • Changwei Li

    (Department of Epidemiology, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA)

  • Wenjie Sun

    (School of Food Science, Guangdong Pharmaceutical University, Zhongshan 528458, China)

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.

Suggested Citation

  • Xiaoping Luo & Tingting Liu & Xiaojing Yuan & Song Ge & Jing Yang & Changwei Li & Wenjie Sun, 2015. "Factors Influencing Self-Management in Chinese Adults with Type 2 Diabetes: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 12(9), pages 1-24, September.
    • Handle: RePEc:gam:jijerp:v:12:y:2015:i:9:p:11304-11327:d:55531
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    References listed on IDEAS

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    1. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
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    Cited by:

    1. Rocío Zamanillo-Campos & Maria Jesús Serrano-Ripoll & Joana Maria Taltavull-Aparicio & Elena Gervilla-García & Joana Ripoll & Maria Antonia Fiol-deRoque & Anne-Marie Boylan & Ignacio Ricci-Cabello, 2022. "Patients’ Views on the Design of DiabeText, a New mHealth Intervention to Improve Adherence to Oral Antidiabetes Medication in Spain: A Qualitative Study," IJERPH, MDPI, vol. 19(3), pages 1-14, February.
    2. Ye Li & Meihong Xu & Rui Fan & Xiaotao Ma & Jiaojiao Gu & Xiaxia Cai & Rui Liu & Qihe Chen & Jinwei Ren & Ruixue Mao & Lei Bao & Zhaofeng Zhang & Junbo Wang & Yong Li, 2016. "The Effects of Intensive Nutrition Education on Late Middle-Aged Adults with Type 2 Diabetes," IJERPH, MDPI, vol. 13(9), pages 1-10, September.

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