Evidence map›Paper›PMID 41120154›Full record

ArticleBMJ open2025

Workplace culture of health and self-management behaviours among employees with type 2 diabetes: a cross-sectional moderated mediation study in urban China.

Jin Li, Dan Luo, Nan Zhang, Huaqing Guo, Yan Shi, Zhiguang Duan

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Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Jin LiSchool of Humanities and Social Sciences, Shanxi Medical University, Taiyuan, Shanxi, China.ORCID http://orcid.org/0009-0003-5092-5466
Dan LuoSchool of Humanities and Social Sciences, Shanxi Medical University, Taiyuan, Shanxi, China.ORCID http://orcid.org/0009-0000-3848-6323
Nan ZhangSchool of Management, Shanxi Medical University, Taiyuan, Shanxi, China.
Huaqing GuoSchool of Humanities and Social Sciences, Shanxi Medical University, Taiyuan, Shanxi, China.
Yan ShiSchool of Humanities and Social Sciences, Shanxi Medical University, Taiyuan, Shanxi, China.ORCID http://orcid.org/0009-0007-5369-0948
Zhiguang DuanSchool of Humanities and Social Sciences, Shanxi Medical University, Taiyuan, Shanxi, China dzg52827@sxmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo examine (1) the mediating roles of self-efficacy and future-oriented time perspective (FTP) in the association between workplace culture of health (COH) and diabetes self-management and (2) the moderating effect of diabetes distress on the relationship between self-efficacy and FTP among employees with type 2 diabetes mellitus (T2DM).

designA cross-sectional survey.

settingThis study was conducted among employees with T2DM recruited from the Endocrinology Outpatient Departments at three tertiary hospitals in Taiyuan City, Shanxi Province, China, between March and October 2024.

participantsThe participants were 462 employees with T2DM who had been employed at their current organisations for at least 3 months following their T2DM diagnosis.

methodsData on demographics, diabetes-related and work-related factors, workplace COH, self-efficacy, time perspective, diabetes distress and self-management performance were collected via a survey. The moderated mediation effects were examined using Hayes's PROCESS macro.

resultsWorkplace COH was associated with diabetes self-management both directly (β=0.251, 95% CI 0.080 to 0.422, p<0.01) and indirectly (indirect effect=0.303, 95% CI 0.190 to 0.419). Two significant indirect pathways were identified: (1) workplace COH → self-efficacy → diabetes self-management (indirect effect=0.207, 95% CI 0.110 to 0.308); (2) workplace COH → self-efficacy → FTP → diabetes self-management (indirect effect=0.093, 95% CI 0.051 to 0.144). However, the indirect pathway: workplace COH → FTP → diabetes self-management was not significant (indirect effect=0.004, 95% CI -0.055 to 0.063). Additionally, a significant interaction (β=-0.356, 95% CI -0.566 to -0.146, p<0.01) indicated that diabetes distress moderated the relationship between self-efficacy and FTP.

conclusionThis study demonstrated that workplace COH was associated with diabetes self-management both directly and indirectly, specifically through self-efficacy alone and serially through self-efficacy and FTP; it also confirmed that diabetes distress weakens the effect of self-efficacy on FTP, thereby providing a basis for developing interventions to improve self-management among employees with T2DM.

Indexed as

Diabetes Mellitus, Type 2Organizational CultureSelf-ManagementWorkplaceAdultChinaCross-Sectional StudiesFemaleHumansMaleMiddle AgedSelf EfficacySurveys and QuestionnairesUrban PopulationDiabetes Mellitus, Type 2Occupational Health ServicesSelf-Management

Identifiers

PMID41120154
PMCPMC12542522

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LicenceCC BY-NC
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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.