Individual perceptions of community efficacy for non-communicable disease management in twelve communities in China: cross-sectional and longitudinal analyses
This objective of this study was to use empirical data to assess cross-sectional variation singular and changes over time in community efficacy for non-communicable diseases (NCDs) management (COEN) and to examine individual factors associated with changes in COEN. This was a longitudinal observatio...
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| Veröffentlicht in: | Public health (London) 2024-01, Vol.226, p.207-214 |
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| creator | Zhu, G. Xiong, S. Malhotra, R. Chen, X. Gong, E. Wang, Z. Østbye, T. Yan, L.L. |
| description | This objective of this study was to use empirical data to assess cross-sectional variation singular and changes over time in community efficacy for non-communicable diseases (NCDs) management (COEN) and to examine individual factors associated with changes in COEN.
This was a longitudinal observational study.
Participants with hypertension and diabetes were randomly selected from 12 communities from three cities in eastern China, and a baseline survey and a 1-year follow-up were conducted. The COEN scale has five dimensions: community physical environment (CPE), behavioral risk factors (BRF), mental health and social relationships (MHSR), community health management (CHM), and community organisations and activities (COA). Mixed-effects models were used to investigate the change in COEN over time and the association between individual factors and changes in COEN.
COEN scores showed significant variation singular among the 12 communities (P |
| doi_str_mv | 10.1016/j.puhe.2023.11.008 |
| format | Article |
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This was a longitudinal observational study.
Participants with hypertension and diabetes were randomly selected from 12 communities from three cities in eastern China, and a baseline survey and a 1-year follow-up were conducted. The COEN scale has five dimensions: community physical environment (CPE), behavioral risk factors (BRF), mental health and social relationships (MHSR), community health management (CHM), and community organisations and activities (COA). Mixed-effects models were used to investigate the change in COEN over time and the association between individual factors and changes in COEN.
COEN scores showed significant variation singular among the 12 communities (P < 0.001) at the baseline. In the mixed-effects model, CPE (β coefficient: 1.62, P < 0.001), BRF (0.90, P < 0.001), MHSR (0.86, P < 0.001), CHM (0.46, P < 0.001), and total scores (β = 3.57, P < 0.001) increased significantly over time. The changes in COEN were associated with individual characteristics (e.g., older, men, more educated).
Cross-sectional variations and changes over time in COEN demonstrated the utility of a sensitive instrument. Factors such as age, gender, marriage, education level, and employment may affect the financial and social resources assignment for NCD management. Our findings suggest that further high-quality studies are needed to better evaluate the effect of community empowerment on the prevention and control of NCDs.]]></description><identifier>ISSN: 0033-3506</identifier><identifier>EISSN: 1476-5616</identifier><identifier>DOI: 10.1016/j.puhe.2023.11.008</identifier><identifier>PMID: 38086102</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>China ; Community efficacy ; Community empowerment ; Diabetes Mellitus ; Disease management ; Humans ; Hypertension - therapy ; Male ; Non-communicable disease control ; Noncommunicable Diseases - prevention & control ; Risk Factors</subject><ispartof>Public health (London), 2024-01, Vol.226, p.207-214</ispartof><rights>2023 The Royal Society for Public Health</rights><rights>Copyright © 2023 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-a7b61836fb4172317d3bd2befb48c4e8c9bd91ed6841891974351eab9487e2383</citedby><cites>FETCH-LOGICAL-c356t-a7b61836fb4172317d3bd2befb48c4e8c9bd91ed6841891974351eab9487e2383</cites><orcidid>0000-0002-9978-4276 ; 0000-0002-1612-4759 ; 0000-0002-5580-8686</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.puhe.2023.11.008$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38086102$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhu, G.</creatorcontrib><creatorcontrib>Xiong, S.</creatorcontrib><creatorcontrib>Malhotra, R.</creatorcontrib><creatorcontrib>Chen, X.</creatorcontrib><creatorcontrib>Gong, E.</creatorcontrib><creatorcontrib>Wang, Z.</creatorcontrib><creatorcontrib>Østbye, T.</creatorcontrib><creatorcontrib>Yan, L.L.</creatorcontrib><title>Individual perceptions of community efficacy for non-communicable disease management in twelve communities in China: cross-sectional and longitudinal analyses</title><title>Public health (London)</title><addtitle>Public Health</addtitle><description><![CDATA[This objective of this study was to use empirical data to assess cross-sectional variation singular and changes over time in community efficacy for non-communicable diseases (NCDs) management (COEN) and to examine individual factors associated with changes in COEN.
This was a longitudinal observational study.
Participants with hypertension and diabetes were randomly selected from 12 communities from three cities in eastern China, and a baseline survey and a 1-year follow-up were conducted. The COEN scale has five dimensions: community physical environment (CPE), behavioral risk factors (BRF), mental health and social relationships (MHSR), community health management (CHM), and community organisations and activities (COA). Mixed-effects models were used to investigate the change in COEN over time and the association between individual factors and changes in COEN.
COEN scores showed significant variation singular among the 12 communities (P < 0.001) at the baseline. In the mixed-effects model, CPE (β coefficient: 1.62, P < 0.001), BRF (0.90, P < 0.001), MHSR (0.86, P < 0.001), CHM (0.46, P < 0.001), and total scores (β = 3.57, P < 0.001) increased significantly over time. The changes in COEN were associated with individual characteristics (e.g., older, men, more educated).
Cross-sectional variations and changes over time in COEN demonstrated the utility of a sensitive instrument. Factors such as age, gender, marriage, education level, and employment may affect the financial and social resources assignment for NCD management. Our findings suggest that further high-quality studies are needed to better evaluate the effect of community empowerment on the prevention and control of NCDs.]]></description><subject>China</subject><subject>Community efficacy</subject><subject>Community empowerment</subject><subject>Diabetes Mellitus</subject><subject>Disease management</subject><subject>Humans</subject><subject>Hypertension - therapy</subject><subject>Male</subject><subject>Non-communicable disease control</subject><subject>Noncommunicable Diseases - prevention & control</subject><subject>Risk Factors</subject><issn>0033-3506</issn><issn>1476-5616</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kcGO1DAMhiMEYmcXXoADypFLS5y0aYq4oBGwK63EBc5Rmri7GbVJSdpB8zI8Ky0z7JGTZfv3b9kfIW-AlcBAvj-U0_KIJWdclAAlY-oZ2UHVyKKWIJ-THWNCFKJm8opc53xgjPFG1C_JlVBMSWB8R37fBeeP3i1moBMmi9PsY8g09tTGcVyCn08U-95bY0-0j4mGGIpLy5puQOp8RpORjiaYBxwxzNQHOv_C4YhPJh7zVt0_-mA-UJtizkVGuy1bN5vg6BDDg58X588FM5wy5lfkRW-GjK8v8Yb8-PL5-_62uP_29W7_6b6wopZzYZpOghKy7ypouIDGic7xDtdc2QqVbTvXAjqpKlAttE0lakDTtZVqkAslbsi7s--U4s8F86xHny0OgwkYl6x5y3hbN0KyVcrP0r9HJOz1lPxo0kkD0xsXfdAbF71x0QB65bIOvb34L92I7mnkH4hV8PEswPXKo8eks_UYLDqf1jdpF_3__P8AQHai8A</recordid><startdate>202401</startdate><enddate>202401</enddate><creator>Zhu, G.</creator><creator>Xiong, S.</creator><creator>Malhotra, R.</creator><creator>Chen, X.</creator><creator>Gong, E.</creator><creator>Wang, Z.</creator><creator>Østbye, T.</creator><creator>Yan, L.L.</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9978-4276</orcidid><orcidid>https://orcid.org/0000-0002-1612-4759</orcidid><orcidid>https://orcid.org/0000-0002-5580-8686</orcidid></search><sort><creationdate>202401</creationdate><title>Individual perceptions of community efficacy for non-communicable disease management in twelve communities in China: cross-sectional and longitudinal analyses</title><author>Zhu, G. ; Xiong, S. ; Malhotra, R. ; Chen, X. ; Gong, E. ; Wang, Z. ; Østbye, T. ; Yan, L.L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-a7b61836fb4172317d3bd2befb48c4e8c9bd91ed6841891974351eab9487e2383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>China</topic><topic>Community efficacy</topic><topic>Community empowerment</topic><topic>Diabetes Mellitus</topic><topic>Disease management</topic><topic>Humans</topic><topic>Hypertension - therapy</topic><topic>Male</topic><topic>Non-communicable disease control</topic><topic>Noncommunicable Diseases - prevention & control</topic><topic>Risk Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhu, G.</creatorcontrib><creatorcontrib>Xiong, S.</creatorcontrib><creatorcontrib>Malhotra, R.</creatorcontrib><creatorcontrib>Chen, X.</creatorcontrib><creatorcontrib>Gong, E.</creatorcontrib><creatorcontrib>Wang, Z.</creatorcontrib><creatorcontrib>Østbye, T.</creatorcontrib><creatorcontrib>Yan, L.L.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Public health (London)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhu, G.</au><au>Xiong, S.</au><au>Malhotra, R.</au><au>Chen, X.</au><au>Gong, E.</au><au>Wang, Z.</au><au>Østbye, T.</au><au>Yan, L.L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Individual perceptions of community efficacy for non-communicable disease management in twelve communities in China: cross-sectional and longitudinal analyses</atitle><jtitle>Public health (London)</jtitle><addtitle>Public Health</addtitle><date>2024-01</date><risdate>2024</risdate><volume>226</volume><spage>207</spage><epage>214</epage><pages>207-214</pages><issn>0033-3506</issn><eissn>1476-5616</eissn><abstract><![CDATA[This objective of this study was to use empirical data to assess cross-sectional variation singular and changes over time in community efficacy for non-communicable diseases (NCDs) management (COEN) and to examine individual factors associated with changes in COEN.
This was a longitudinal observational study.
Participants with hypertension and diabetes were randomly selected from 12 communities from three cities in eastern China, and a baseline survey and a 1-year follow-up were conducted. The COEN scale has five dimensions: community physical environment (CPE), behavioral risk factors (BRF), mental health and social relationships (MHSR), community health management (CHM), and community organisations and activities (COA). Mixed-effects models were used to investigate the change in COEN over time and the association between individual factors and changes in COEN.
COEN scores showed significant variation singular among the 12 communities (P < 0.001) at the baseline. In the mixed-effects model, CPE (β coefficient: 1.62, P < 0.001), BRF (0.90, P < 0.001), MHSR (0.86, P < 0.001), CHM (0.46, P < 0.001), and total scores (β = 3.57, P < 0.001) increased significantly over time. The changes in COEN were associated with individual characteristics (e.g., older, men, more educated).
Cross-sectional variations and changes over time in COEN demonstrated the utility of a sensitive instrument. Factors such as age, gender, marriage, education level, and employment may affect the financial and social resources assignment for NCD management. Our findings suggest that further high-quality studies are needed to better evaluate the effect of community empowerment on the prevention and control of NCDs.]]></abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>38086102</pmid><doi>10.1016/j.puhe.2023.11.008</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-9978-4276</orcidid><orcidid>https://orcid.org/0000-0002-1612-4759</orcidid><orcidid>https://orcid.org/0000-0002-5580-8686</orcidid></addata></record> |
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| source | MEDLINE; Access via ScienceDirect (Elsevier) |
| subjects | China Community efficacy Community empowerment Diabetes Mellitus Disease management Humans Hypertension - therapy Male Non-communicable disease control Noncommunicable Diseases - prevention & control Risk Factors |
| title | Individual perceptions of community efficacy for non-communicable disease management in twelve communities in China: cross-sectional and longitudinal analyses |
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