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Association Between Diabetes Mellitus Education and Self-Management Pre- and Post-COVID-19

Authors
 Yejin Kim  ;  Bomgyeol Kim  ;  Vasuki Rajaguru  ;  Sang Gyu Lee  ;  Tae Hyun Kim 
Citation
 AMERICAN JOURNAL OF HEALTH PROMOTION, Vol.39(5) : 777-785, 2025-06 
Journal Title
AMERICAN JOURNAL OF HEALTH PROMOTION
ISSN
 0890-1171 
Issue Date
2025-06
MeSH
Adult ; Aged ; COVID-19* / epidemiology ; Cross-Sectional Studies ; Diabetes Mellitus* / therapy ; Female ; Humans ; Male ; Middle Aged ; Patient Education as Topic* / statistics & numerical data ; Republic of Korea / epidemiology ; SARS-CoV-2 ; Self Care ; Self-Management* / education ; Self-Management* / statistics & numerical data
Keywords
COVID-19 ; diabetes ; education/communications ; health policy ; medical self-care
Abstract
PurposeThis study explored the association between diabetes education and self-management during different COVID-19 periods.DesignCross-sectional study.SettingKorea Community Health Survey (2019, 2021, and 2022) and the data from Korea Centers for Disease Control and Prevention Agency.Participants78, 860 individuals with diabetes who participated in the 2019, 2021, and 2022 KCHS.MeasureDiabetes education was categorized according to whether individuals received education on how to manage the disease. Diabetes self-management was assessed using self-checking and screening of HbA1c levels.AnalysisMultiple logistic regression analysis and a subgroup analysis examined the regional impact of COVID-19 on this association.ResultsParticipants who received education before and after COVID-19 were more likely to self-manage their diabetes than those without education (pre-COVID-19 aOR = 2.11, post-COVID-19, 2022 aOR = 2.04, and post-COVID-19, 2021 aOR = 1.94). Those in regions with lower COVID-19 incidence had slightly higher self-management rates (pre-COVID-19 aOR = 2.37; post-COVID-19 2022 aOR = 2.33; post-COVID-19 2021 aOR = 2.02) compared to participants in high-incidence regions (pre-COVID-19 aOR = 1.96; post COVID-19 2021 aOR = 1.89 and post COVID-19 2022 aOR = 1.89).ConclusionsDiabetes education has a positive impact on self-management, which is especially important during public health crises such as the COVID-19 pandemic.
Full Text
https://journals.sagepub.com/doi/10.1177/08901171251316377
DOI
10.1177/08901171251316377
Appears in Collections:
5. Graduate School of Transdisciplinary Health Sciences (융합보건의료대학원) > Graduate School of Transdisciplinary Health Sciences (융합보건의료대학원) > 1. Journal Papers
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Preventive Medicine (예방의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Tae Hyun(김태현) ORCID logo https://orcid.org/0000-0003-1053-8958
Rajaguru, Vasuki(바수키) ORCID logo https://orcid.org/0000-0003-2519-2814
Lee, Sang Gyu(이상규) ORCID logo https://orcid.org/0000-0003-4847-2421
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/206092
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