ArticleFrontiers in public health2026
Knowledge, attitudes, and practices regarding constipation among patients with type 2 diabetes mellitus: a structural equation modeling analysis.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: The present study aims to evaluate the knowledge, attitudes, and practices (KAP) related to constipation among patients diagnosed with type 2 diabetes mellitus (T2DM). Methods: This cross-sectional study was conducted at Gansu Provincial Hospital between October 2024 and May 2025. It aimed to assess the KAP regarding constipation among patients with type 2 diabetes mellitus through a questionnaire. Furthermore, structural equation modeling (SEM) was employed to analyze the relationships among the different KAP components. Results: A total of 364 complete and valid questionnaires were included in the final analysis. The median age of the patients was 55 (47, 62) years, with 64.3% being male, and 41.2% having attained at least an associate's or bachelor's degree. The median (interquartile range) scores for knowledge, attitude, and practice were 6 (3.25, 9), 37 (35, 42), and 30 (27, 33), respectively (possible ranges: 0-15, 10-50, and 10-50). SEM results revealed that knowledge had a direct effect on both attitudes (β = 0.298, Conclusions: Patients diagnosed with T2DM generally exhibited insufficient knowledge of constipation. Although they typically held positive attitudes, there was a considerable lack in their self-management practices for constipation, highlighting a significant knowledge-practice gap. This study suggests that healthcare providers should prioritize implementing targeted, evidence-based educational interventions to enhance patients' knowledge and translate positive attitudes into effective self-care behaviors.
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