Factors associated with preventive behaviors for microvascular complications and self-reported neuropathy symptoms among community-dwelling individuals with type 2 diabetes in Thailand.
8 affiliations
- 1Faculty of Public Health, Thammasat University, 99 Moo18, Khlong Nueng, Khlong Luang, Pathum Thani, Pathum Thani, 12121, Thailand.
- 2Pathum Thani Provincial Administrative Organization, Pathum Thani, Thailand.
- 3Sakon Nakhon Hospital, Ministry of Public Health, Sakon Nakhon, Thailand.
- 4Department of Applied Thai Traditional Medicine, University of Phayao, Phayao, Thailand.
- 5Lincoln University College, Selangor, DE, Malaysia.
- 6Department of Health Education and Behavioral Sciences, Faculty of Public Health, Mahidol University, Bangkok, Thailand.
- 7Faculty of Public Health, Thammasat University, 99 Moo18, Khlong Nueng, Khlong Luang, Pathum Thani, Pathum Thani, 12121, Thailand. [email protected].
- 8Department of Public Health and Caring Sciences, Uppsala University, Box 564, Uppsala, SE-751 22, Sweden. [email protected].
Abstract
Background
Type 2 diabetes mellitus (T2DM) is a significant public health issue globally, with a high burden of microvascular complications, including diabetic retinopathy, nephropathy, and neuropathy. Preventive behaviors play a critical role in reducing the risk and progression of these complications; however, the factors influencing such behaviors remain insufficiently understood. This study aimed to examine factors associated with adherence to preventive screening behaviors for microvascular complications and the reporting of neuropathy symptoms among community-dwelling individuals with T2DM in Sakon Nakhon Province, Thailand.Methods
This cross-sectional study was conducted among 447 individuals with T2DM. Data was collected on sociodemographic characteristics, health-related factors, and psychosocial variables, including diabetes knowledge, self-efficacy, and diabetes distress. Preventive behaviors and self-reported neuropathy symptoms were assessed using structured questionnaires. Simple and multiple linear regression analyses were used to determine factors associated with preventive behaviors and neuropathy symptoms. Statistical significance was defined as a p-value of less than 0.05.Results
The average age of participants was 61.07 ± 9.03 years, and a large proportion were female (77.2%). In multiple linear regression analysis, age (p < 0.05) and gender (p < 0.05) showed a significant association with eye-related preventive behaviors. Duration of diabetes (p < 0.05), knowledge of diabetes (p < 0.05), and self-efficacy (p < 0.05) were significant predictors of kidney-related preventive behaviors. Additionally, comorbidity (p < 0.05), diabetes knowledge (p < 0.001) and diabetes distress (p < 0.001) showed a significant association with self-reported neuropathy symptoms.Conclusion
Community-dwelling individuals with T2DM may have limited knowledge of diabetes, particularly those requiring more complex management. Improving knowledge, self-efficacy, and psychological well-being is important to support preventive behaviors and reduce the risk of microvascular complications.
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BibTeX
@article{win2026factors,
title = {{Factors associated with preventive behaviors for microvascular complications and self-reported neuropathy symptoms among community-dwelling individuals with type 2 diabetes in Thailand.}},
author = {Nanda Win and Natthida Phoosuwan and Junjira Phasom and Pakorn Pusuwan and Sandeep Poddar and Pankaew Tantirattanakulchai and Nitikorn Phoosuwan},
journal = {BMC public health},
year = {2026},
month = jul,
doi = {10.1186/s12889-026-28787-y},
url = {https://europepmc.org/article/MED/42907793},
note = {CC BY},
}
RIS
TY - JOUR
TI - Factors associated with preventive behaviors for microvascular complications and self-reported neuropathy symptoms among community-dwelling individuals with type 2 diabetes in Thailand.
AU - Nanda Win
AU - Natthida Phoosuwan
AU - Junjira Phasom
AU - Pakorn Pusuwan
AU - Sandeep Poddar
AU - Pankaew Tantirattanakulchai
AU - Nitikorn Phoosuwan
PY - 2026
DA - 2026/07/01
JO - BMC public health
DO - 10.1186/s12889-026-28787-y
UR - https://europepmc.org/article/MED/42907793
AB - Background Type 2 diabetes mellitus (T2DM) is a significant public health issue globally, with a high burden of microvascular complications, including diabetic retinopathy, nephropathy, and neuropathy. Preventive behaviors play a critical role in reducing the risk and progression of these complications; however, the factors influencing such behaviors remain insufficiently understood. This study aimed to examine factors associated with adherence to preventive screening behaviors for microvascular complications and the reporting of neuropathy symptoms among community-dwelling individuals with T2DM in Sakon Nakhon Province, Thailand.Methods This cross-sectional study was conducted among 447 individuals with T2DM. Data was collected on sociodemographic characteristics, health-related factors, and psychosocial variables, including diabetes knowledge, self-efficacy, and diabetes distress. Preventive behaviors and self-reported neuropathy symptoms were assessed using structured questionnaires. Simple and multiple linear regression analyses were used to determine factors associated with preventive behaviors and neuropathy symptoms. Statistical significance was defined as a p-value of less than 0.05.Results The average age of participants was 61.07 ± 9.03 years, and a large proportion were female (77.2%). In multiple linear regression analysis, age (p < 0.05) and gender (p < 0.05) showed a significant association with eye-related preventive behaviors. Duration of diabetes (p < 0.05), knowledge of diabetes (p < 0.05), and self-efficacy (p < 0.05) were significant predictors of kidney-related preventive behaviors. Additionally, comorbidity (p < 0.05), diabetes knowledge (p < 0.001) and diabetes distress (p < 0.001) showed a significant association with self-reported neuropathy symptoms.Conclusion Community-dwelling individuals with T2DM may have limited knowledge of diabetes, particularly those requiring more complex management. Improving knowledge, self-efficacy, and psychological well-being is important to support preventive behaviors and reduce the risk of microvascular complications.
SN - 1471-2458
ER -