ArticleFrontiers in endocrinology2026
Social network characteristics, self-management behavior, and the mediating role of self-efficacy among diabetes patients: a multicenter cross-sectional study.
Article in Frontiers in endocrinology, 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
Backgroud: Social isolation (structural social network deficit) is closely linked to poor health outcomes in patients with diabetes. Existing studies often focus on broad isolation or single-dimensional factors, lacking targeted exploration in the Chinese population. Objectives: To explore the associations between social network characteristics and self-management behavior in patients with diabetes, and assess the mediating role of self-efficacy in this association. Methods: A multi-center cross-sectional study was used to recruit 2, 358 patients with diabetes. The assessments included social network characteristics, self-efficacy, and self-management behavior. Pearson's correlation analysis was employed to examine the relationships between these variables. Regression models were utilized to assess the mediating effect of self-efficacy, with the bootstrap method applied to confirm the significance of the mediation pathways. Results: Among the 2, 358 participants, the average diabetes management score was 36.51. Regression models indicated that both family network size ( Conclusions: This study highlights the significant influence of social network characteristics, particularly social support, on self-management behavior in diabetic patients. Family and friend support positively impact self-management behaviors, and self-efficacy mediates these relationships.
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