Multiple unhealthy behaviors share equivalent profiles of readiness for change in patients with type 2 Diabetes
Fecha
2021-03-31Autor
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
Metadatos
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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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