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

Xiaoping Luo, Tingting Liu, Xiaojing Yuan, Song Ge, Jing Yang, Changwei Li and Wenjie Sun
Additional contact information
Xiaoping Luo: Anesthesia Department of Zhongshan People's Hospital, Zhongshan 528403, China
Tingting Liu: Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA 30322, USA
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

IJERPH, 2015, vol. 12, issue 9, 1-24

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.

Keywords: Chinese adults; diabetes self-management; type 2 diabetes; systematic review (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2015
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

Downloads: (external link)
https://www.mdpi.com/1660-4601/12/9/11304/pdf (application/pdf)
https://www.mdpi.com/1660-4601/12/9/11304/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:12:y:2015:i:9:p:11304-11327:d:55531

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().