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Int. J. Environ. Res. Public Health 2015, 12(9), 11304-11327;

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

Anesthesia Department of Zhongshan People's Hospital, Zhongshan 528403, China
Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA 30322, USA
Department of Epidemiology, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA
School of Nursing, Johns Hopkins University, Baltimore, MD 21205, USA
School of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu 611137, China
School of Food Science, Guangdong Pharmaceutical University, Zhongshan 528458, China
These authors contributed equally to this work.
Authors to whom correspondence should be addressed.
Academic Editor: Omorogieva Ojo
Received: 27 July 2015 / Revised: 26 August 2015 / Accepted: 2 September 2015 / Published: 10 September 2015
(This article belongs to the Collection Health Care and Diabetes)
Full-Text   |   PDF [882 KB, uploaded 10 September 2015]   |  


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. View Full-Text
Keywords: Chinese adults; diabetes self-management; type 2 diabetes; systematic review Chinese adults; diabetes self-management; type 2 diabetes; systematic review

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Luo, X.; Liu, T.; Yuan, X.; Ge, S.; Yang, J.; Li, C.; Sun, W. Factors Influencing Self-Management in Chinese Adults with Type 2 Diabetes: A Systematic Review and Meta-Analysis. Int. J. Environ. Res. Public Health 2015, 12, 11304-11327.

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