Next Article in Journal
Health and Quality of Life Perception in Older Adults: The Joint Role of Cognitive Efficiency and Functional Mobility
Next Article in Special Issue
Association of TCF7L2 Genetic Polymorphisms with Type 2 Diabetes Mellitus in the Uygur Population of China
Previous Article in Journal
Environmental Restrictors to Occupational Participation in Old Age: Exploring Differences across Gender in Puerto Rico
Previous Article in Special Issue
Use of the Monocyte-to-Lymphocyte Ratio to Predict Diabetic Retinopathy
Open AccessArticle

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
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;
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
Show Figures

Figure 1

MDPI and ACS Style

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.

Show more citation formats Show less citations formats

Article Access Map by Country/Region

Only visits after 24 November 2015 are recorded.
Back to TopTop