Determinants of Self-Care in Diabetic Patients Based on Health Belief Model

DehghaniTafti, Abbasali; Mahmoodabad, Seyed Saeed Mazloomy; Morowatisharifabad, Mohammad Ali; Ardakani, Mohammad Afkhami; Rezaeipandari, Hassan; Lotfi, Mohammad Hassan

doi:10.5539/gjhs.v7n5p33

Cited by 51 publications

(51 citation statements)

References 25 publications

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“…No significant predictors were found in the model of the elders without chronic diseases. A possible explanation is that the self-treatment for acute diseases is common across the population groups with low selfperceived health risks, including the people without chronic diseases [48,49]. In addition, it should be noted that the small sample size (N = 85) in this subgroup may lead to the inadequate power of test, which might result in the false negatives of some variables [50].…”

Section: Comparison Between Subgroups Of Elders With and Without Chromentioning

confidence: 99%

“…As for the self-care habit in TCM, on the one hand, people with the habits of self-care may have high perceived susceptibility and are likely to seek professional help instead of the risky self-treatment approaches. Some studies indicated that the self-care practice of some patients with chronic diseases is associated with the high perceived susceptibility of disorders [48,49]. On the other hand, elders with the habits of self-care in TCM have higher affinities to TCM [34], and these elders tend to seek medical help in TCM sectors, in which they may be confronted with less barrier during the process of seeing and communicating with doctors compared to the western medicine sectors [51,52], especially for empty-nest elders without support from younger family caregivers [12].…”

Section: Subgroups Of Empty-nest and Non-empty-nest Eldersmentioning

confidence: 99%

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Prevalence and associated factors of self-treatment behaviour among different elder subgroups in rural China: a cross-sectional study

Zhong

Pan

et al. 2020

Int J Equity Health

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Background: Self-treatment is a common and widespread behaviour, of which the risks are multiplied in old age. However, the determinants of self-treatment among elders in rural China remain unclear. This study aims to explore the prevalence and associated factors of self-treatment among elders in rural China, trying to discover the vulnerable groups as well as the service gaps among the rural elders. Methods: Based on a multi-stage stratified random sampling method, a cross-sectional household survey was conducted among 30 villages in Sinan County, an impoverished county in western China. Data were collected through a household-individual combined questionnaires. The analysis was restricted to elders who reported illness within the last 2 weeks, and the final sample size was 330 (individuals). Bivariate and multiple logistic regression analysis were performed in the whole sample group and four subgroups to obtain the prevalence ratios regarding the associated factors. Results: In the present study, 35.2% of the elders with illness within the last 2 weeks reported self-treatment. The variables associated with self-treatment in the whole sample group were health status (OR 6.75, 95%CI 1.93-23.60), recent alcohol consumption (OR 0.42, 95%CI 0.21-0.83) and the utilisation of family practice services (OR 0.59, 95%CI 0.36-0.96); the same predictors were found in the subgroup of elders with chronic diseases. No significant predictors were found in the subgroup of elders without chronic diseases. Empty-nest elders with higher affinity to traditional Chinese medicine (OR 0.39, 95%CI 0.18-0.86) or drinking alcohol recently (OR 0.28, 95%CI 0.09-0.82) were less likely to self-treat, while the non-empty-nest elders who were no less than 75 years old (OR 3.10, 95%CI 1.33, 7.22) or at better health status (OR 9.20, 95%CI 1.73-48.75) were more likely to self-treat. Conclusion: Self-treatment was prevalent among the elders in rural China. Better health status, no recent alcohol consumption and no utilisation of family practice are associated with self-treatment among rural elders. Older elders in the non-empty nest group were more likely to self-treat, while the empty-nest elders with self-care habits in traditional Chinese medicine were less likely to self-treat. Deeper understanding of the self-treatment behaviour among rural elders may provide insights for identifying the potential service gaps and developing improvement strategies in the health care delivery system for the elderly in China.

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Section: Comparison Between Subgroups Of Elders With and Without Chromentioning

confidence: 99%

Section: Subgroups Of Empty-nest and Non-empty-nest Eldersmentioning

confidence: 99%

Prevalence and associated factors of self-treatment behaviour among different elder subgroups in rural China: a cross-sectional study

Zhong

Pan

et al. 2020

Int J Equity Health

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“…Additionally, in current study, while almost all participants benefited from following healthy eating behaviors, the perceived benefit was not a significant predictor of healthy eating. The researches (31)(32)(33) also confirmed the perceived benefit was not important predictor of self-care among diabetic patients. Consequently, the perceived benefits have often high score, but the score of behavior is relatively poor.…”

Section: Discussionmentioning

confidence: 90%

The factors associated with healthy eating behaviors among people with cardiovascular metabolic risk factors: a mixed method study

Sabzmakan

Jafarabadi

Nikpajoh

et al. 2019

Preprint

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Background: Healthy eating plays a vital role in the management of metabolic risk factors, such as diabetes, hypertension, and dyslipidemia. The aim of this study was to investigate the factors associated with healthy eating among people with cardiovascular metabolic risk factors. Method: This study was a mixed method research (qualitative and quantitative). In the qualitative phase, 50 people who had at least a metabolic risk factor and referred to the Diabetes Centers of Karaj, Iran were interviewed based on PRECEDE framework to explain the causes of following/not following healthy eating. In the quantitative phase, first, we developed a questionnaire based on the findings of the qualitative phase, and its validity and reliability was assessed. Then 450 samples completed the questionnaire in order to identify factors related to healthy eating. The qualitative data analysis was done using directed content analysis. In addition, SPSS ver.17 and AMOS ver.18 software were used to analyze the quantitative data. Results: The results of quantitative part showed only 51.07% of participants followed healthy eating behaviors. Both the findings of the quantitative and qualitative indicated that predisposing factor was the most important determinant of healthy eating behaviors. There was a significant relationship with large effect size between predisposing factor and healthy eating behaviors (β=1, P=0.001). Among predisposing factors, self-efficacy (β=0.49, P=0.001) and perceived barriers (β=- 0.33, P=0.001) were the most significant predictors. However, the findings of quantitative and qualitative phases did not confirm each other for enabling and reinforcing factors. This means in the qualitative phase, enabling factor was perceived as a deep structural determinant of healthy eating, but in the quantitative phase, reinforcing factor (β=0.67, P=0.001) was reported as a significant social predictor. Conclusion: Although personal determinants were the most dominant determinants of healthy eating behaviors, not sufficient to explain eating behaviors. Therefore, social and structural factors have to be considered for promotion of healthy eating behaviors.

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“…Therefore, the association is reasonably stronger between the utilisation of family practice and the less likelihood to self-treat among elders with chronic diseases compared with the result of the model of the whole sample. As for the subgroups of the elders without chronic diseases, a possible explanation for the insignificant model is that the self-treatment for acute diseases is common across the population with low self-perceived health risks [44,45]. Another explanation may relate to the bias from the low rates of the awareness of the presence of the chronic diseases among the rural elders in China, especially in rural areas [46].…”

Section: Subgroups Of Elders With and Without Chronic Diseasesmentioning

confidence: 99%

“…Another possible explanation is that the people with the habits of self-care may have high perceived susceptibility and are likely to seek professional help instead of the risky self-treatment approaches. Some studies indicated that the self-care practice of some patients with chronic diseases is associated with the high perceived susceptibility of disorders [44,45] . The association between self-treatment and the recent alcohol consumption is significant in the subgroup of non-empty-nest elders, which is insignificant in the model of its counterpart.…”

Section: Subgroups Of Empty-nest and Non-empty-nest Eldersmentioning

confidence: 99%

Exploring factors associated with self-treatment among different elder subgroups in rural China: a cross-sectional study

Xu¹,

Zhong²,

Pan³

et al. 2019

Preprint

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Background Self-treatment is a common and widespread behaviour, of which the risks are multiplied in old age. However, the determinants of self-treatment among elders in the current rural China remain unclear. This study aims to explore the determinants of self-treatment among elders in rural China, focusing on context-specific and multi-dimensional factors. Methods Based on a multi-stage stratified random sampling method, a cross-sectional household survey was conducted among 30 villages in Sinan County, Guizhou Province in western China. Data were collected through a self-administered questionnaire on the healthcare needs of residents. The analysis was restricted to elders who reported illness within the last 2 weeks, and the final sample size was 338 (individuals). Pearson’s chi-squared test and binary logistic regression analysis were performed among the whole sample group and four subgroups. Results Approximately 25.94% of the 1303 elders reported illness within the last 2 weeks, of whom 34.4% indicated self-treatment. The variables independently associated with a greater probability of self-treatment in the whole sample group were better health status, no recent alcohol consumption and no utilisation of family practice services; the same predictors were found in the subgroup of elders with chronic diseases. No significant predictors were found in the subgroup of elders without chronic diseases. Empty-nest elders with higher affinity to traditional Chinese medicine (TCM) and drinking alcohol recently were less likely to self-treat. Non-empty-nest elders who were no less than 75 years old and at better health status were more likely to self-treat. Conclusion Better health status, no recent alcohol consumption and no utilisation of family practice are associated with self-treatment among rural elders. Advanced age and self-care habits in TCM also play roles in some subgroups. Deeper understanding of the self-treatment behaviour among rural elders may provide insights for developing improvement strategies of the family practice system in China.

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Determinants of Self-Care in Diabetic Patients Based on Health Belief Model

Cited by 51 publications

References 25 publications

Prevalence and associated factors of self-treatment behaviour among different elder subgroups in rural China: a cross-sectional study

Prevalence and associated factors of self-treatment behaviour among different elder subgroups in rural China: a cross-sectional study

The factors associated with healthy eating behaviors among people with cardiovascular metabolic risk factors: a mixed method study

Exploring factors associated with self-treatment among different elder subgroups in rural China: a cross-sectional study

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