RT Journal Article
SR Electronic
T1 Factors influencing self-care behaviours of patients with type 2 diabetes in China based on the health belief model: a cross-sectional study
JF BMJ Open
JO BMJ Open
FD British Medical Journal Publishing Group
SP e044369
DO 10.1136/bmjopen-2020-044369
VO 12
IS 8
A1 Yue Hu
A1 Huijun Liu
A1 Jie Wu
A1 Guixia Fang
YR 2022
UL http://bmjopen.bmj.com/content/12/8/e044369.abstract
AB Objectives The study aimed to explore the status and predictors of self-care behaviours in patients with type 2 diabetes in China based on the health belief model.Design The cross-sectional study included 1140 patients aged ≥36 years with type 2 diabetes who had established health records in community health service institutions. A questionnaire was designed based on the health belief model, which mainly included perceived susceptibility, severity, benefits, barriers, effectiveness, sociodemographic characteristics and self-care behaviours.Setting Using a multistage sampling method, 36 villages and communities were randomly selected in China.Participants A total of 1260 patients with type 2 diabetes were contacted, but 118 refused to participate in the study. Of the 1142 participants, two were subsequently excluded, and the final number of participants included in the study was 1140 (90.5% response rate).Results The average score of health beliefs was 0.71 (SD=0.08). The logistic regression analysis showed that sex, region, perceived severity, perceived barriers and perceived benefits were related to self-care behaviours.Conclusions Perceived severity, benefits and barriers were key factors affecting self-care behaviours in patients with type 2 diabetes; health education for patients should be strengthened to improve the self-care level of patients with diabetes.Data are available on reasonable request. Data are available on reasonable request, please contact corresponding author.