Type 2 Diabetes Self-Management Behaviors and Glycemic Control Under China's Diabetes Prevention and Control Action Program.

IF 2.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Journal of Public Health Pub Date : 2025-05-30 eCollection Date: 2025-01-01 DOI:10.3389/ijph.2025.1608067

Shuyan Gu, Xiaoyong Wang, Fangfang Shen, Hai Gu, Ning Zhang, Yuan Zhou, Xiaoling Wang

{"title":"Type 2 Diabetes Self-Management Behaviors and Glycemic Control Under China's Diabetes Prevention and Control Action Program.","authors":"Shuyan Gu, Xiaoyong Wang, Fangfang Shen, Hai Gu, Ning Zhang, Yuan Zhou, Xiaoling Wang","doi":"10.3389/ijph.2025.1608067","DOIUrl":null,"url":null,"abstract":"Objectives: To investigate type 2 diabetes self-management behaviors and glycemic control under the impacts of COVID-19 legacy and Diabetes Prevention and Control Action, and explore the heterogeneous impacts of five self-management activities on glycemic control and how these impacts differ across key groups.Methods: A cross-sectional survey was conducted between April and September 2023 in hospitals and communities in China. Overall, 1817 adults with type 2 diabetes and normal cognitive and behavioral capacities completed a questionnaire regarding diabetes self-management behaviors and glycemic control. Ordinary least squares regression analyses were conducted.Results: Mean score of overall self-management behaviors was 5.89. About 26.86% reported good glycemic control. Among five self-management activities, medication adherence was the best (mean = 6.77) but glucose-monitoring adherence was the worst (mean = 5.18). Overall self-management behaviors and the five activities (coefficient = 0.031-0.146, all p < 0.001) all exerted positive impacts on glycemic control, with dietary control showing the greatest impact while medication adherence the least. Younger persons, rural persons, and persons with financial difficulties were key groups benefiting less from self-management.Conclusion: Diabetes self-management behaviors and glycemic control were suboptimal. Customized health promotions should focus on key groups and addressing the deficiencies in self-management activities especially dietary control.","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1608067"},"PeriodicalIF":2.6000,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12162350/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Public Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3389/ijph.2025.1608067","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}

引用次数: 0

Abstract

Objectives: To investigate type 2 diabetes self-management behaviors and glycemic control under the impacts of COVID-19 legacy and Diabetes Prevention and Control Action, and explore the heterogeneous impacts of five self-management activities on glycemic control and how these impacts differ across key groups.

Methods: A cross-sectional survey was conducted between April and September 2023 in hospitals and communities in China. Overall, 1817 adults with type 2 diabetes and normal cognitive and behavioral capacities completed a questionnaire regarding diabetes self-management behaviors and glycemic control. Ordinary least squares regression analyses were conducted.

Results: Mean score of overall self-management behaviors was 5.89. About 26.86% reported good glycemic control. Among five self-management activities, medication adherence was the best (mean = 6.77) but glucose-monitoring adherence was the worst (mean = 5.18). Overall self-management behaviors and the five activities (coefficient = 0.031-0.146, all p < 0.001) all exerted positive impacts on glycemic control, with dietary control showing the greatest impact while medication adherence the least. Younger persons, rural persons, and persons with financial difficulties were key groups benefiting less from self-management.

Conclusion: Diabetes self-management behaviors and glycemic control were suboptimal. Customized health promotions should focus on key groups and addressing the deficiencies in self-management activities especially dietary control.

查看原文本刊更多论文

中国糖尿病防治行动计划下的2型糖尿病自我管理行为与血糖控制

目的：探讨新型冠状病毒病毒史和糖尿病防治行动对2型糖尿病患者自我管理行为和血糖控制的影响，探讨5种自我管理活动对血糖控制的异质性影响，以及这些影响在关键人群中的差异。方法：于2023年4月至9月在中国医院和社区进行横断面调查。总体而言，1817名认知和行为能力正常的2型糖尿病成年人完成了关于糖尿病自我管理行为和血糖控制的问卷调查。进行普通最小二乘回归分析。结果：患者自我管理行为总分平均为5.89分。约26.86%报告血糖控制良好。在5项自我管理活动中，药物依从性最好（平均= 6.77），血糖监测依从性最差（平均= 5.18）。总体自我管理行为和五项活动对血糖控制均有正向影响（系数= 0.031-0.146，均p < 0.001），其中饮食控制影响最大，药物依从性影响最小。年轻人、农村人和有经济困难的人是自我管理受益较少的关键群体。结论：糖尿病自我管理行为和血糖控制不理想。量身定制的健康宣传应侧重于关键群体，并解决自我管理活动特别是饮食控制方面的不足。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

International Journal of Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.20

自引率

2.20%

发文量

269

审稿时长

12 months

期刊介绍： The International Journal of Public Health publishes scientific articles relevant to global public health, from different countries and cultures, and assembles them into issues that raise awareness and understanding of public health problems and solutions. The Journal welcomes submissions of original research, critical and relevant reviews, methodological papers and manuscripts that emphasize theoretical content. IJPH sometimes publishes commentaries and opinions. Special issues highlight key areas of current research. The Editorial Board''s mission is to provide a thoughtful forum for contemporary issues and challenges in global public health research and practice.