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Exploring Factors Associated with Self-Management Compliance among Rural Elders with Diabetes

Bibliographic Data

ID13776324
AuthorsRuoyan Lu (Public Health School of Fujian Medical University, Fuzhou, China), Yueping Li (0009-0005-7134-5502, Public Health School of Fujian Medical University, Fuzhou, China), Zhenquan Zheng (Public Health School of Fujian Medical University, Fuzhou, China), Zi Yan (0000-0001-9305-884X, Merrimack College, corresponding author)
Year2021
Volume58
Pages469580211012491-469580211012491
Publication date2021-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueINQUIRY The Journal of Health Care Organization Provision and Financing (JOURNAL)
Journal identifiersISSN: 0046-9580 • E-ISSN: 1945-7243
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/00469580211012491
PMID33899547
OpenAlexW3157252090
LanguageEN
References cited38

The purpose of the study was to examine the social-ecological factors associated with diabetic self-management compliance among elders with diabetes in China. A total of 2,586 rural elderly residents who were 60-years-old or above participated in the survey. Socio-demographic factors, social support, healthcare accessibility and health risk factors were measured, along with self-reported medication and blood glucose monitoring data. Among the 117 individuals with diabetes, the medication compliance rate was 79.49%. The elderly who had high economic status were more likely to meet medication treatment compliance. Only 58.97% of study participants monitored blood glucose once a month. Younger age (<70-year-old), higher economic status, more social support and better healthcare accessibility were associated with higher blood glucose monitoring compliance odds. Diabetic medication and blood glucose testing tools should be more comprehensively covered by the national insurance program. Healthcare accessibility should be increased through transportation support, building more local facilities, such as mobile labs, and promoting affordable home-visit care. Self-management education programs about diabetes for rural elders should be promoted

Compliance (psychology · Diabetes management · Diabetes mellitus · Environmental health · Family medicine · Health care · Logistic regression · Odds · Odds ratio · Rural area · Social support · Type 2 diabetes · Chronic Disease Management Strategies · Diabetes Management and Education · Internal Medicine · Medication Adherence and Compliance · Medicine · Gerontology

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Highly citedNo

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