Support in Shaping Pre-Diabetes Preventive Behavior Among Urban Productive-Age: A Path Analysis Study

Authors

  • Sobar Darmadja Department of Public Health, Universitas Indonesia Maju, South Jakarta, Jakarta, Indonesia
  • Risky Kusuma Hartono Department of Public Health, Universitas Indonesia Maju, South Jakarta, Jakarta, Indonesia

DOI:

https://doi.org/10.31965/infokes.Vol23.Iss1.1920

Keywords:

Preventive Behavior, Pre-Diabetes Prevention, Health Literacy, Social Support, Family Support

Abstract

The productive-age population in urban areas is susceptible to diabetes, often without awareness of their pre-diabetic condition. This study examines the various roles in pre-diabetes preventive behavior among the productive-age group in urban communities. A quantitative cross-sectional design was employed, involving 363 respondents aged 20-69 years, selected through simple random sampling. The variables investigated include mindset, motivation, health literacy, social support, family support, and exposure to health information, all of which play significant leveraging roles in pre-diabetes preventive behavior. Path-based multivariate regression analysis was used to explore the direct and indirect influences among these variables. Health literacy was found to play a significant role in shaping mindset, which subsequently contributes to pre-diabetes preventive behavior, as demonstrated by family support (β = 0.010; p = 0.013). Social support (β = 0.051; p = 0.006) and motivation (β = 0.059; p = 0.005) also proved to have a meaningful impact. This study concluded that prevention of the high risk of pre-diabetes in the productive-age group, interventions should focus on improving health literacy, strengthening social and family support, and fostering motivation. The findings highlight the critical need for targeted health education and community-based support systems to address the growing risk of diabetes among urban populations, particularly those in the productive age group who may be unaware of their pre-diabetic status.                

Downloads

Download data is not yet available.

References

Alamer, A. S. (2024). Behavior Change Theories and Models Within Health Belief Model Research: A Five-Decade Holistic Bibliometric Analysis. Cureus, 16(6), 1–12. https://doi.org/10.7759/cureus.63143

Brizga, J., & Vijaikis, A. (2024). Energy Citizenship: Revealing the Intrinsic Motivational Factors Suggested by Self-Determination Theory. Sustainability (Switzerland), 16(21), 1–13. https://doi.org/10.3390/su16219365

Byrne, D. (2022). Understanding and mitigating low health literacy. Nursing Standard (Royal College of Nursing (Great Britain): 1987), 37(10), 27-34. https://doi.org/10.7748/ns.2022.e11875

Dong, W., Tse, T. Y. E., Mak, L. I., Wong, C. K. H., Wan, Y. F. E., Tang, H. M. E., ... & Lam, L. K. C. (2022). Non‐laboratory‐based risk assessment model for case detection of diabetes mellitus and pre‐diabetes in primary care. Journal of Diabetes Investigation, 13(8), 1374-1386. https://doi.org/10.1111/jdi.13790

Dweck, C.S. and Yeager, D.S. (2019). Mindsets: A View From Two Eras, Perspectives on Psychological Science, 14(3), pp. 481–496. https://doi.org/10.1177/1745691618804166

Formagini, T., Brooks, J. V., Roberts, A., Bullard, K. M., Zhang, Y., Saelee, R., & O'Brien, M. J. (2023). Prediabetes prevalence and awareness by race, ethnicity, and educational attainment among US adults. Frontiers in Public Health, 11, 1277657. https://doi.org/10.3389/fpubh.2023.1277657

Francois, M. E., & Oetsch, K. M. (2022). Prediabetes: Challenges, novel solutions, and future directions. EMJ. https://doi.org/10.33590/emj/21-00148

Hagger, M.S. and Hamilton, K. (2022). Changing Health Behaviors Through Mindsets: A Meta-Analysis of Experimental Studies, Health Psychology Review, 16(1), pp. 54–78. https://doi.org/10.1080/17437199.2021.2008277

Harcke, K., Graue, M., Skinner, T. C., Olsson, C. B., & Saleh-Stattin, N. (2023). Making prediabetes visible in primary health care: a qualitative study of health care professionals’ perspectives. BMC Primary Care, 24(1), 266. https://doi.org/10.1186/s12875-023-02230-2

He, M. K., Liu, X. J., & Mao, Z. F. (2019). Review of factors affecting health-related behaviors. Zhonghua liu Xing Bing xue za zhi= Zhonghua Liuxingbingxue Zazhi, 40(3), 366-370. https://doi.org/10.3760/cma.j.issn.0254-6450.2019.03.021

Holt-Lunstad, J. (2018). Why social relationships are important for physical health: A systems approach to understanding and modifying risk and protection. Annual review of psychology, 69(1), 437-458. https://doi.org/10.1146/annurev-psych-122216-011902

Jokar, M., Zandi, M., Ebadi, A., Momenan, A. A., Martini, M., & Behzadifar, M. (2024). Adults' perceived health promotion needs in the prediabetes stage: a meta-synthesis study. Journal of preventive medicine and hygiene, 64(4), E411–E428. https://doi.org/10.15167/2421-4248/jpmh2023.64.4.3152

Kalra, S., Singal, A., & Kapoor, N. (2022). Prediabetes: A Pragmatic approach to counselling and coaching. JPMA. The Journal of the Pakistan Medical Association, 72(4), 771-772. https://doi.org/10.47391/jpma.22-29

Kerrison, G., Gillis, R. B., Jiwani, S. I., Alzahrani, Q., Kok, S., Harding, S. E., ... & Adams, G. G. (2017). The effectiveness of lifestyle adaptation for the prevention of prediabetes in adults: a systematic review. Journal of diabetes research, 2017(1), 8493145. https://doi.org/10.1155/2017/8493145

Lee, Y. J., Shin, S. J., Wang, R. H., Lin, K. D., Lee, Y. L., & Wang, Y. H. (2016). Pathways of empowerment perceptions, health literacy, self-efficacy, and self-care behaviors to glycemic control in patients with type 2 diabetes mellitus. Patient education and counseling, 99(2), 287-294. https://doi.org/10.1016/j.pec.2015.08.021

Manjarres-Posada, N., Onofre-Rodríguez, D. J., & Benavides-Torres, R. A. (2020). Social cognitive theory and health care: Analysis and evaluation. Int'l J. Soc. Sci. Stud., 8(4), 132. https://doi.org/10.11114/ijsss.v8i4.4870

Martines, K. R., Prabawati, D., & Supardi, S. (2024). Self-Efficacy Weight Management and Family Support on Risk Factors of Prediabetes Patient. Journal of Nursing Science Update (JNSU), 11(2), 161–168. https://doi.org/10.21776/ub.jik.2023.011.02.07

McAnally, K., & Hagger, M. S. (2023). Health literacy, social cognition constructs, and health behaviors and outcomes: A meta-analysis. Health Psychology, 42(4), 213-234. Retrieved from: https://psycnet.apa.org/buy/2023-61291-001

Merwass, N. A., Alkhader, Y. K., Alharthi, S. A., Al Fardan, R. M., Alqahtani, A. M., Mahnashi, F. A., ... & Binobaid, A. (2024). The role of screening, risk factors, and early intervention in preventing diabetes in the obese population: A systematic review. Cureus, 16(7), 1-15. https://doi.org/10.7759/cureus.63952

Panahi, R., Aghaeian, N., Pishvaei, M., & Niknami, S. (2019). The need to pay attention to differences in health literacy and knowledge in health education interventions. Journal of Research and Health, 9(2), 95-96. https://doi.org/10.29252/jrh.9.2.95

Pew Research Center. (2019). Share of U.S. Adults Using Social Media, Including Facebook, Is Mostly Unchanged Since 2018. Pew Research Center. Retrieved from: https://www.pewresearch.org/short-reads/2019/04/10/share-of-u-s-adults-using-social-media-including-facebook-is-mostly-unchanged-since-2018/

Sihotang, E. M., & Purwanto, E. (2023). The Relationship between Family Support and Self-Care Behavior on Diabetes Mellitus Patients. Formosa Journal of Science and Technology, 2(5), 1243–1262. https://doi.org/10.55927/fjst.v2i5.4027

Silva-Smith, A. L., Hanson, C. L., Neubeck, L., Rowat, A., & McHale, S. (2024). Physical activity interventions framed by the health action process approach for adults with long-term conditions: a scoping review. International Journal of Behavioral Medicine, 31(6), 987-1017. https://doi.org/10.1007/s12529-024-10305-2

Srivastava, K., Rathod, H., Borgaonkar, C., Rathi, M., Akhil, R., & Sujanyal, S. (2024). Effectiveness of Multifaceted Lifestyle Interventions in Prediabetic Adults: A Field Study in an Urban Slum Population of Pune, India. Cureus, 16(9), e68635. https://doi.org/10.1186/s40814-019-0484-8

Subramaniam, S., Dhillon, J. S., & Wan Ahmad, W. F. (2021). Behavioral theory-based framework for prediabetes self-care system—design perspectives and validation results. International journal of environmental research and public health, 18(17), 9160. https://doi.org/10.3390/ijerph18179160

Teoh, K. W., Ng, C. M., Chong, C. W., Bell, J. S., Cheong, W. L., & Lee, S. W. H. (2023). Knowledge, attitude, and practice toward pre-diabetes among the public, patients with pre-diabetes and healthcare professionals: a systematic review. BMJ open diabetes research & care, 1, e003203. https://doi.org/10.1136/bmjdrc-2022-003203

Tol, A., Fooladvand, M., Yousefy, A., & Tedadi, Y. (2023). Harnessing the power of mindset interventions in health promotion. Journal of education and health promotion, 12(1), 461. https://doi.org/10.4103/jehp.jehp_1757_23

Tuti, D. A., Fitriyani, N. L. L., & Maulana, J. (2023). Literature Study: Risk Factors for the Incidence of Diabetes Mellitus in Productive Age in Indonesia. Journal of Multidisciplinary Science, 3(3), 288-296. https://doi.org/10.58330/prevenire.v2i6.413

Wahidin, M., Achadi, A., Besral, B., Kosen, S., Nadjib, M., Nurwahyuni, A., ... & Kusuma, D. (2024). Projection of diabetes morbidity and mortality till 2045 in Indonesia based on risk factors and NCD prevention and control programs. Scientific reports, 14(1), 5424. https://doi.org/10.1038/s41598-024-54563-2

Windah, A., Nurhaida, I., Aryanti, N. Y., & Corry, A. (2023). Calling for Multiculturalism-Based Communication Campaign in Early Prevention of Youth Diabetes: Examination of Contemporary Indonesia. International Journal Of Humanities Education and Social Sciences, 2(6), 2128-2140. https://doi.org/10.55227/ijhess.v2i6.536

Downloads

Published

2025-03-31

How to Cite

Darmadja, S., & Hartono, R. K. (2025). Support in Shaping Pre-Diabetes Preventive Behavior Among Urban Productive-Age: A Path Analysis Study. JURNAL INFO KESEHATAN, 23(1), 78–88. https://doi.org/10.31965/infokes.Vol23.Iss1.1920

Issue

Section

Original Articles

Similar Articles

1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.