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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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Anesthesia Department of Zhongshan People's Hospital, Zhongshan 528403, China
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Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA 30322, USA
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Department of Epidemiology, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA
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School of Nursing, Johns Hopkins University, Baltimore, MD 21205, USA
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School of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu 611137, China
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School of Food Science, Guangdong Pharmaceutical University, Zhongshan 528458, China
*
Authors to whom correspondence should be addressed.
These authors contributed equally to this work.
Academic Editor: Omorogieva Ojo
Int. J. Environ. Res. Public Health 2015, 12(9), 11304-11327; https://doi.org/10.3390/ijerph120911304
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)
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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