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Multiple Unhealthy Behaviors Share Equivalent Profiles of Readiness for Change in Patients with Type 2 Diabetes.
Salinas Martínez, Ana María; Gómez Campusano, Ruth Isabel; Cordero Franco, Hid Felizardo; Chávez Barrón, Karen Abigail; Gutiérrez Sauceda, Cecilia Janeth; Guzmán de la Garza, Francisco Javier; Núñez Rocha, Georgina Mayela.
  • Salinas Martínez AM; School of Public Health and Nutrition, Autonomous University of Nuevo Leon, Monterrey 64460, Mexico.
  • Gómez Campusano RI; Epidemiologic and Health Services Research Unit, Mexican Institute of Social Security, Monterrey 64360, Mexico.
  • Cordero Franco HF; School of Public Health and Nutrition, Autonomous University of Nuevo Leon, Monterrey 64460, Mexico.
  • Chávez Barrón KA; School of Dentistry, Faculty of Health Sciences, Universidad Nacional Pedro Henríquez Ureña, Santo Domingo 1423, Dominican Republic.
  • Gutiérrez Sauceda CJ; Epidemiologic and Health Services Research Unit, Mexican Institute of Social Security, Monterrey 64360, Mexico.
  • Guzmán de la Garza FJ; Epidemiologic and Health Services Research Unit, Mexican Institute of Social Security, Monterrey 64360, Mexico.
  • Núñez Rocha GM; Epidemiologic and Health Services Research Unit, Mexican Institute of Social Security, Monterrey 64360, Mexico.
Int J Environ Res Public Health ; 18(7)2021 03 31.
Article in English | MEDLINE | ID: covidwho-1378276
ABSTRACT
Few studies have considered more than one behavior, despite the tendency towards multiple behaviors, and there are none that have focused on a Latino population. We determined the concurrence of four unhealthy behaviors related to glycemic control and identified common cognitive factors at advanced stages of readiness for change in patients with type 2 diabetes treated in primary care. A cross-sectional study was carried out during August-December 2018 in northeastern Mexico. We consecutively included patients between 20 and 70 years who were without medical contraindication, physical impediment against exercise, pregnancy and edentulism, among other selection criteria (n = 407). Stages of behavior were measured according to the Transtheoretical Model. Pros, cons, self-efficacy, susceptibility, and severity data were collected by interview. Statistical analysis consisted of descriptive statistics and multiple logistic regression. A total of 36.7% exhibited more than one unhealthy behavior in precontemplation or contemplation (no interest or some interest in changing consumption of refined sugars and saturated fats, exercise, or oral hygiene behavior). Cons (p < 0.05) and self-efficacy (p < 0.001) were common to all four unhealthy behaviors, independent of potential confounders. Studies like ours facilitate the recognition of individuals with multiple unhealthy behaviors who share equivalent profiles of readiness for change before implementing public health programs.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Diabetes Mellitus, Type 2 Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Humans Country/Region as subject: Mexico Language: English Year: 2021 Document Type: Article Affiliation country: Ijerph18073631

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Diabetes Mellitus, Type 2 Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Humans Country/Region as subject: Mexico Language: English Year: 2021 Document Type: Article Affiliation country: Ijerph18073631