Evidence map›Paper›PMID 39843900›Full record

ArticleScientific reports2025

Exploring influencing factors of healthy lifestyles in rural area among older adults with diabetes based on socioecological model.

Yudong Miao, Xinran Li, Zhanlei Shen, Dongfang Zhu, Junwen Bai, Jingbao Zhang, Ruizhe Ren, Dan Guo, Clifford Silver Tarimo, Jinxin Cui and 3 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Yudong MiaoSchool of Public Health, Zhengzhou University, Zhengzhou, 450001, China.
Xinran LiSchool of Public Health, Zhengzhou University, Zhengzhou, 450001, China.
Zhanlei ShenSchool of Public Health, Zhengzhou University, Zhengzhou, 450001, China.
Dongfang ZhuSchool of Public Health, Zhengzhou University, Zhengzhou, 450001, China.
Junwen BaiSchool of Public Health, Zhengzhou University, Zhengzhou, 450001, China.
Jingbao ZhangSchool of Public Health, Zhengzhou University, Zhengzhou, 450001, China.
Ruizhe RenSchool of Public Health, Zhengzhou University, Zhengzhou, 450001, China.
Dan GuoSchool of Public Health, Zhengzhou University, Zhengzhou, 450001, China.
Clifford Silver TarimoSchool of Public Health, Zhengzhou University, Zhengzhou, 450001, China.
Jinxin CuiSchool of Public Health, Zhengzhou University, Zhengzhou, 450001, China.
Mingyue ZhenSchool of Public Health, Zhengzhou University, Zhengzhou, 450001, China.
Jiajia ZhangSchool of Public Health, Zhengzhou University, Zhengzhou, 450001, China.
Yalin SongSchool of Public Health, Zhengzhou University, Zhengzhou, 450001, China. songyalin@zzu.edu.cn.

Funding

the series of cohort studies on healthy lifestyle in tertiary hypertension population 20230013B/ 20230014B/ 20230015B.
6 · The paper itself

Abstract

Previous research on lifestyle has primarily focused on individual lifestyle factors, often overlooking the broader influence of social determinants. This study aimed to examine factors associated with healthy lifestyle scores (HLS) among older adults with diabetes, emphasizing modifiable behaviors within the framework of the socioecological model (SEM). A cross-sectional survey was conducted from July 1 to August 31, 2023, in Jia County, Henan Province, utilizing a whole-cluster sampling method. Influencing factors were categorized into five levels based on the socioecological model (SEM). We used Generalized linear models to examine the associations between these factors and HLS, while adjusting for potential confounders. The study included 5,451 eligible participants. The proportion of participants with healthy sleep habits was notably low (14.71%). Higher HLS were positively associated with being female, better cognitive competence, greater social engagement, and unemployment. In contrast, lower HLS were significantly associated with the presence of complications, depression, higher income, and residing farther from major roads. This study identified the key modifiable factors influencing HLS among older adults with diabetes. Disrupted sleep patterns emerged as a significant concern warranting targeted intervention. Medical insurance directly affects the accessibility and economic burden of medical resources. The government should further optimize medical insurance policies to facilitate patients in adopting healthier lifestyles choices.

Indexed as

Diabetes MellitusHealthy LifestyleRural PopulationAgedAged, 80 and overChinaCross-Sectional StudiesFemaleHumansMaleMiddle AgedSleepSocioeconomic FactorsDiabetesHealthy lifestyle behaviorsInfluencing factorsOlder adultsSocioecological model

Identifiers

PMID39843900
PMCPMC11754461

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.