糖尿病前期人群慢性病资源利用的潜在剖面分析及其对健康促进行为的影响研究OA

Background Effective utilization of chronic illness resources can help individuals with prediabetes adhere to healthy behavior changes and improve their health status.However,the current state of chronic illness resource utilization in this population remains unclear and requires further investigation.Objective To explore the latent categories of chronic illness resource utilization among individuals with prediabetes and their relationship with health-promoting behaviors.Methods A consecutive sampling method was used to select individuals with prediabetes who underwent physical examinations at two community health service centers in Nanjing from March to July 2024.Data were collected using a general information questionnaire,the Chronic Illness Resource Survey(CIRS),and the Health-Promoting Lifestyle Profile Ⅱ(HPLP-Ⅱ).Latent profile analysis(LPA)was performed to classify chronic illness resource utilization,and hierarchical regression analysis was used to examine the relationship between resource utilization categories and health-promoting behaviors.Results A total of 270 questionnaires were collected,with 263 valid questionnaires,yielding a 97.4%valid response rate.The mean score for chronic disease resource utilization in the prediabetes population was(49.1±8.7),and the mean score for health-promoting behaviors was(131.1±17.0).Chronic illness resource utilization was categorized into three latent groups:low-resource utilization(basic dependence type)(136 individuals,51.7%),moderate-resource utilization(limited support type)(105 individuals,39.9%),and high-resource utilization(multiple support type)(22 individuals,8.3%).Hierarchical regression analysis showed that,after controlling for confounding factors,the category of chronic illness resource utilization was a significant predictor of health-promoting behaviors in individuals with prediabetes(P<0.001),explaining 13.8%of the variance.Conclusion There are three latent categories of chronic illness resource utilization in individuals with prediabetes,and these categories significantly influence health-promoting behaviors.In the future,healthcare providers can implement targeted interventions based on the categories of chronic illness resource utilization to improve health-promoting behaviors and enhance health outcomes.