Publication Type:

Journal Article


Journal of Community Health, Volume 37, Number 3, p.653-662 (2012)



adult, aged, article, Cross-Sectional Studies, cross-sectional study, diabetes mellitus, female, Glycosylated, glycosylated hemoglobin, Hemoglobin A, hemoglobin A1c protein, hospital, Hospitals, human, Humans, India, male, middle aged, non insulin dependent diabetes mellitus, psychological aspect, Regression analysis, self concept, Self Efficacy, social support, Socioeconomic Factors, socioeconomics, treatment outcome, Type 2


A cross-sectional survey of 507 in- and outpatients, with diagnosed Type 2 diabetes mellitus (T2DM) was undertaken to study the relationships between personal, disease and treatment-related factors and diabetes control in a tertiary care hospital. On multivariate logistic regression analysis, self-efficacy (odds ratio (OR) = 2.94; 95% confidence interval (CI) = 1.92-4.54); P < 0.001) was the single most important determinant of current diabetes control (HbA1c ≤t 7%), along with absence of hyperglycemic symptoms in the past year (OR = 1.83; 95% CI = 1.15-2.93, P < 0.01), current treatment with oral medication (OR = 1.77; 95% CI = 1.17-2.66; P < 0.007), and adherence to dietary restrictions (OR = 2.7; 95% CI = 1.28-5.88; P < 0.009). Self-efficacy was itself influenced by educational status, employment, availability of family support, and positive mental attitudes. Our findings suggest that health care delivery inputs, patients' personal characteristics including education and attitude, and family support for care are complexly processed to determine patients' ability to manage their disease, which ultimately influences disease outcomes. © Springer Science+Business Media, LLC 2012.


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Cite this Research Publication

Ka Venkataraman, Kannan, A. Tb, Kalra, O. Pc, Gambhir, J. Kd, Sharma, A. Kb, Sundaram, K. Re, and Mohan, Vf, “Diabetes self-efficacy strongly influences actual control of diabetes in patients attending a tertiary hospital in India”, Journal of Community Health, vol. 37, pp. 653-662, 2012.