title: Factors Influencing Self-Management in Chinese Adults with Type 2 Diabetes: A Systematic Review and Meta-Analysis.
abstract: 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.
authors.affiliation: Anesthesia Department of Zhongshan People's Hospital, Zhongshan 528403, China. rober81@163.com.
authors.forename: Xiaoping
authors.initials: X
authors.lastname: Luo
authors.affiliation: Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA 30322, USA. tingting.liu@emory.edu.
authors.forename: Tingting
authors.initials: T
authors.lastname: Liu
authors.affiliation: Department of Epidemiology, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA. xyuan3@tulane.edu.
authors.forename: Xiaojing
authors.initials: X
authors.lastname: Yuan
authors.affiliation: School of Nursing, Johns Hopkins University, Baltimore, MD 21205, USA. sge3@jhu.edu.
authors.forename: Song
authors.initials: S
authors.lastname: Ge
authors.affiliation: School of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu 611137, China. cindyang@foxmail.com.
authors.forename: Jing
authors.initials: J
authors.lastname: Yang
authors.affiliation: Department of Epidemiology, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA. cli8@tulane.edu.
authors.forename: Changwei
authors.initials: C
authors.lastname: Li
authors.affiliation: School of Food Science, Guangdong Pharmaceutical University, Zhongshan 528458, China. wsun3@tulane.edu.
authors.forename: Wenjie
authors.initials: W
authors.lastname: Sun
mesh_terms: D000328:Adult; D044466:Asian People; D002681:China; D002908:Chronic Disease; D003142:Communication; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D006282:Health Personnel; D006801:Humans; D012648:Self Care / Q000379:methods*; D020377:Self Efficacy
keywords: Chinese adults; diabetes self-management; systematic review; type 2 diabetes