Chenyu Zhou, Elizabeth Maitland, Stephen Nicholas, Xiaoyu Tian, Rugang Liu
{"title":"中国医疗联盟与糖尿病相关痛苦：自我效能感的部分中介作用","authors":"Chenyu Zhou, Elizabeth Maitland, Stephen Nicholas, Xiaoyu Tian, Rugang Liu","doi":"10.1093/inthealth/ihaf040","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The prevalence of diabetes-related distress is high among diabetes mellitus patients, causing physical, psychological and economic burdens. China's general medical alliances and compact general alliances provide treatment for patients with type 2 diabetes mellitus (T2DM). This study aims to analyse the influence of medical alliances on diabetes-related distress and verified the mediating role of self-efficacy among T2DM patients.</p><p><strong>Methods: </strong>From one general and one compact medical alliance, data on 2156 T2DM adults >45 y of age were investigated through a questionnaire survey conducted in China. Diabetes-related distress, medical alliance data, self-efficacy information and control variables were collected. Hierarchical linear regression mediation analysis was used to analyse the influence of compact medical alliances and general medical alliances on diabetes-related distress and to verify self-efficacy as a mediator between medical alliances and diabetes-related distress.</p><p><strong>Results: </strong>Most patients (94.57%) with T2DM were suffering from diabetes-related distress, with an average score of diabetes-related distress (11.77±7.65). The respondents from compact medical alliances had lower diabetes-related distress (11.08±8.64) than from general medical alliances (12.38±6.61). Self-efficacy mediated the association between the type of medical alliance and diabetes-related distress (p<0.05). Higher income, lower health expenditure, lower education level, less sleep time, low physical exercise and low diabetes cognition were significant risk factors of diabetes-related distress (p<0.05).</p><p><strong>Conclusions: </strong>Compact medical alliances reduced diabetic patients' diabetes-related distress significantly more than general medical alliances. Self-efficacy was a mediator between medical alliances and diabetes-related distress. Accelerating the transformation of the compact medical alliances can decrease diabetes-related distress and provide an integrated program of education, diabetes cognition and optimal sleep and exercise regimens to reduce diabetes-related distress.</p>","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":""},"PeriodicalIF":2.3000,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Medical alliances and diabetes-related distress in China: role of self-efficacy as a partial mediator.\",\"authors\":\"Chenyu Zhou, Elizabeth Maitland, Stephen Nicholas, Xiaoyu Tian, Rugang Liu\",\"doi\":\"10.1093/inthealth/ihaf040\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The prevalence of diabetes-related distress is high among diabetes mellitus patients, causing physical, psychological and economic burdens. China's general medical alliances and compact general alliances provide treatment for patients with type 2 diabetes mellitus (T2DM). This study aims to analyse the influence of medical alliances on diabetes-related distress and verified the mediating role of self-efficacy among T2DM patients.</p><p><strong>Methods: </strong>From one general and one compact medical alliance, data on 2156 T2DM adults >45 y of age were investigated through a questionnaire survey conducted in China. Diabetes-related distress, medical alliance data, self-efficacy information and control variables were collected. Hierarchical linear regression mediation analysis was used to analyse the influence of compact medical alliances and general medical alliances on diabetes-related distress and to verify self-efficacy as a mediator between medical alliances and diabetes-related distress.</p><p><strong>Results: </strong>Most patients (94.57%) with T2DM were suffering from diabetes-related distress, with an average score of diabetes-related distress (11.77±7.65). The respondents from compact medical alliances had lower diabetes-related distress (11.08±8.64) than from general medical alliances (12.38±6.61). Self-efficacy mediated the association between the type of medical alliance and diabetes-related distress (p<0.05). Higher income, lower health expenditure, lower education level, less sleep time, low physical exercise and low diabetes cognition were significant risk factors of diabetes-related distress (p<0.05).</p><p><strong>Conclusions: </strong>Compact medical alliances reduced diabetic patients' diabetes-related distress significantly more than general medical alliances. Self-efficacy was a mediator between medical alliances and diabetes-related distress. Accelerating the transformation of the compact medical alliances can decrease diabetes-related distress and provide an integrated program of education, diabetes cognition and optimal sleep and exercise regimens to reduce diabetes-related distress.</p>\",\"PeriodicalId\":49060,\"journal\":{\"name\":\"International Health\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2025-04-16\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1093/inthealth/ihaf040\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/inthealth/ihaf040","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Medical alliances and diabetes-related distress in China: role of self-efficacy as a partial mediator.
Background: The prevalence of diabetes-related distress is high among diabetes mellitus patients, causing physical, psychological and economic burdens. China's general medical alliances and compact general alliances provide treatment for patients with type 2 diabetes mellitus (T2DM). This study aims to analyse the influence of medical alliances on diabetes-related distress and verified the mediating role of self-efficacy among T2DM patients.
Methods: From one general and one compact medical alliance, data on 2156 T2DM adults >45 y of age were investigated through a questionnaire survey conducted in China. Diabetes-related distress, medical alliance data, self-efficacy information and control variables were collected. Hierarchical linear regression mediation analysis was used to analyse the influence of compact medical alliances and general medical alliances on diabetes-related distress and to verify self-efficacy as a mediator between medical alliances and diabetes-related distress.
Results: Most patients (94.57%) with T2DM were suffering from diabetes-related distress, with an average score of diabetes-related distress (11.77±7.65). The respondents from compact medical alliances had lower diabetes-related distress (11.08±8.64) than from general medical alliances (12.38±6.61). Self-efficacy mediated the association between the type of medical alliance and diabetes-related distress (p<0.05). Higher income, lower health expenditure, lower education level, less sleep time, low physical exercise and low diabetes cognition were significant risk factors of diabetes-related distress (p<0.05).
Conclusions: Compact medical alliances reduced diabetic patients' diabetes-related distress significantly more than general medical alliances. Self-efficacy was a mediator between medical alliances and diabetes-related distress. Accelerating the transformation of the compact medical alliances can decrease diabetes-related distress and provide an integrated program of education, diabetes cognition and optimal sleep and exercise regimens to reduce diabetes-related distress.
期刊介绍：
International Health is an official journal of the Royal Society of Tropical Medicine and Hygiene. It publishes original, peer-reviewed articles and reviews on all aspects of global health including the social and economic aspects of communicable and non-communicable diseases, health systems research, policy and implementation, and the evaluation of disease control programmes and healthcare delivery solutions.
It aims to stimulate scientific and policy debate and provide a forum for analysis and opinion sharing for individuals and organisations engaged in all areas of global health.
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