Determinants of Health-Promoting Behaviors among Type 2 Diabetic Patients: Voice of Iran

Abstract

Introduction: The aim of this study was to determine Health-Promoting Behaviors among type 2 diabetic mellitus patients. Patients and Methods: A cross-sectional study was conducted on 440 diabetic patients referred to selected teaching hospitals affiliated to Tehran University of Medical Sciences (TUMS) during six months in 2013. A two section 40-items self-report Questionnaire with demographic variables (12 items) and Health-Promoting Behaviors scale (28 items) included exercise (7 items), risk reducing (7 items), life enjoyment (3 items), stress management (5 items), responsibility (3 items) and healthy eating (3 items) domains. Data was analyzed using SPSS software version 11.5. Level of significance was set at p < 0.05 level. Results: Mean scores of total health promoting behaviors in participants were (55.88 ± 18.09) and in domains of exercise, risk reducing, life enjoyment, stress management, responsibility and healthy eating were (8.2 ± 6.5), (12.2 ± 6.1), (7.8 ± 2.6), (12.3 ± 3.8), (3.3 ± 3.1) and (6.9 ± 2.8) respectively. Life enjoyment was emphasized as the most significant domain in health promoting behaviors scale (65 percent). Study results revealed that there was a significant association among total health promoting behavior and age (p = 0.01), occupation (p = 0.01), family income (p < 0.001), BMI (p = 0.01) and HbA1C(p < 0.001). Conclusion: Study findings revealed the necessity of tailoring specific intervention programs to promote exercise and responsibility domains posit.

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Tol, A. , Mohebbi, B. , Sadeghi, R. , Maheri, A. and Eshraghian, M. (2014) Determinants of Health-Promoting Behaviors among Type 2 Diabetic Patients: Voice of Iran. Open Journal of Endocrine and Metabolic Diseases, 4, 219-224. doi: 10.4236/ojemd.2014.49021.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Center for Disease Control and Prevention (2005) National Diabetes Fact Sheet. Last Accessed on 2005 November 1. http://www.cdc.gov
[2] Spinaci, S., Currat, L., Shetty, P., Crowell, V. and Kehler, J. (2006) Tough Choices: Investing in Health for Development: Experiences from National Follow-Up to Commission on Macroeconomics and Health. WHO Report.
[3] Whiting, D.R., Guariguata, L., Weil, C. and Shaw, J. (2011) IDF Diabetes Atlas: Global Estimates Diabetes for 2011 and 2030. Diabetes Research and Clinical Practice, 94, 311-321.
http://dx.doi.org/10.1016/j.diabres.2011.10.029
[4] Mohebi, S., Azadbakht, L., Feizi, A., Sharifirad, G. and Kargar, M. (2013) Structural Role of Perceived Benefits and Barriers to Self-Care in Patients with Diabetes. Journal of Education and Health Promotion, 2, 37. http://dx.doi.org/10.4103/2277-9531.115831
[5] Tol, A., Mohebbi, B. and Sadeghi, R. (2014) Evaluation of Dietary Habits and Related Factors among Type 2 Diabetic Patients: An Innovative Study in Iran. Journal of Education and Health Promotion, 21, 4.
[6] Esteghamati, A., Gouya, M.M., Abbasi, M., Delavary, A., Alikhani, S., Alaedini, F., et al. (2008) Prevalence of Diabetes Mellitus and Impaired Fasting Glucose in the Adult Population of Iran: The National Survey of Risk Factors for Non-Communicable Disease of Iran. Diabetes Care, 31, 96-98. http://dx.doi.org/10.2337/dc07-0959
[7] Azizi, F., Hatemi, H. and Janghorbani, M. (2000) Epidemiology and Communicable Disease Control in Iran. Tehran Eshtiagh Publication, Iran, 34-39.
[8] Baghbanian, A. and Tol, A. (2012) The Introduction of Self-Management in Type 2 Diabetes Care: A Narrative Review. Journal of Education and Health Promotion, 1, 35. http://dx.doi.org/10.4103/2277-9531.102048
[9] Knowler, W.C., Barrett-Connor, E., Fowler, S.E., Hamman, R.F., Lanchin, J.M., Walker, E.A., et al. (2002) Reduction in the Incidence of Type 2 Diabetes with Lifestyle Intervention or Metformin. The New England Journal of Medicine, 346, 393-403. http://dx.doi.org/10.1056/NEJMoa012512
[10] Chen, C.P., Peng, Y.S.H., Weng, H.H., Yen, H.H. and Chen, M.Y. (2013) Health-Promoting Behaviour Is Positively Associated with Diabetic Control among Type 2 Diabetes Patients. Open Journal of Nursing, 3, 274-280. http://dx.doi.org/10.4236/ojn.2013.32037
[11] Vermeire, E., Wens, J., Van Royen, P., Biot, Y., Hearnshaw, H. and Lindenmeyer, A. (2005) Interventions for Improving Adherence to Treatment Recommendations in People with Type 2 Diabetes Mellitus. The Cochrane Database of Systematic Reviews, No. 1, CD003638.
[12] Vermeire, E., Hearnshaw, H., Van Royen, P. and Denekens, J. (2001) Patient Adherence to Treatment: Three Decades of Research. A Comprehensive Review. Journal of Clinical Pharmacy and Therapeutics, 26, 331-342. http://dx.doi.org/10.1046/j.1365-2710.2001.00363.x
[13] Tol, A., Majlessi, F., Rahimi Foroshani, A., Mohebbi, B., Shojaeezadeh, D. and Salehi Node, A. (2012) Cognitive Adaptation among Type II Diabetic Patients Referring to Tehran University of Medical Sciences Hospitals in Adherence to Treatment. Health System Research, 8, 1068-1077.
[14] Sloan, F.A., Bethel, M.A., Lee, P.P., Brown, D.S. and Feinglos, M.N. (2004) Adherence to Guidelines and Its Effects on Hospitalizations with Complications of Type 2 Diabetes. The Review of Diabetic Studies, 1, 29-38. http://dx.doi.org/10.1900/RDS.2004.1.29
[15] American Diabetes Association (2014) Standards of Medical Care in Diabetesd—2014. Diabetes Care, 37, S14-S80.
[16] Norouzi, A., Ghofranipour, F., Heydarnia, A. and Tahmasebi, R. (2010) Determinants of Physical Activity Based on Health Promotion Model (HPM) in Diabetic Women of Karaj Diabetic Institute. Iranian South Medical Journal, 13, 41-51.
[17] Wu, A.M., Tang, C.S. and Kwok, T.C. (2004) Physical and Psychosocial Factors Associated with Health-Promoting Behaviors among Elderly Chinese with Type-2 Diabetes. Journal of Health Psychology, 9, 731-740. http://dx.doi.org/10.1177/1359105304045371
[18] McDonald, P.E., Wykle, M.L., Misra, R., Suwonnaroop, N. and Burant, C.J. (2002) Predictors of Social Support, Acceptance, Health-Promoting Behaviors, and Glycemic Control in African-Americans with Type 2 Diabetes. Journal of National Black Nurses’ Association, 13, 23-30.
[19] Nothwehr, F. and Stump, T. (2000) Health-Promoting Behaviors among Adults with Type 2 Diabetes: Findings from the Health and Retirement Study. Preventive Medicine, 30, 407-414.
http://dx.doi.org/10.1006/pmed.2000.0658
[20] Yi, J.P., Yi, J.C., Vitaliano, P.P. and Weinger, K. (2008) How Does Anger Coping Style Affect Glycemic Control in Diabetes Patients? International Journal of Behavioral Medicine, 15, 167-172.
http://dx.doi.org/10.1080/10705500802219481
[21] Tol, A., Mohebbi, B., Hossaini, M. and Majless, F. (2014) Developing a Valid and Reliable Coping Self-Efficacy Scale (CSES) among Patients with Type 2 Diabetes: Iranian Version. Open Journal of Endocrine and Metabolic Diseases, 4, 45-51. http://dx.doi.org/10.4236/ojemd.2014.43005
[22] Midhet, F.M., Al-Mohaimeed, A.A. and Sharaf, F.K. (2010) Lifestyle Related Risk Factors of Type 2 Diabetes Mellitus in Saudi Arabia. Saudi Medical Journal, 31, 768-774.
[23] Mangou, A., Grammatikopoulou, M.G., Mirkopoulou, D., Sailer, N., Kotzamanidis, C. and Tsigga, M. (2012) Associations between Diet Quality, Health Status and Diabetic Complications in Patients with Type 2 Diabetes and Comorbid Obesity. Endocrinología y Nutrición, 59, 109-116.
http://dx.doi.org/10.1016/j.endonu.2011.10.003
[24] Marcy, T.R., Britton, M.L. and Harrison, D. (2011) Identification of Barriers to Appropriate Dietary Behavior in Low-Income Patients with Type 2 Diabetes Mellitus. Diabetes Therapy, 2, 9-19. http://dx.doi.org/10.1007/s13300-010-0012-6
[25] Wang, H.F., Tang, W.R. and Liu, H.E. (2008) Related Factors of Diabetes Mellitus Disease Features and Quality of Life: The Report of a Regional Teaching Hospital in Central Taiwan. Endocrinology & Diabetology, 21, 1-15.
[26] Irwin, M.L., Mayer-Davis, E.J., Addy, C.L., Pate, R.R., Durstine, J.L., Stolarczyk, L.M. and Ainsworth, B.E. (2000) Moderate-Intensity Physical Activity and Fasting Insulin Levels in Women: The Cross-Cultural Activity Participation Study. Diabetes Care, 23, 449-454.
http://dx.doi.org/10.2337/diacare.23.4.449
[27] Jones, H., Edwards, L. and Vallis, T.M. (2003) Changes in Diabetes Self-Care Behaviors Make a Difference in Glycemic Control: The Diabetes Stages of Change Study. Diabetes Care, 26, 732-737. http://dx.doi.org/10.2337/diacare.26.3.732

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