Barriers and facilitators of complications risk perception among rural patients with type 2 diabetes mellitus: a qualitative content analysis
Abstract Background Diabetes and its complications have emerged as a significant health threat to rural residents. Accurately perceiving the risk of complications may play a crucial role in modifying health behaviors and preventing complications’ occurrence. We aimed to explore the barriers to and f...
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| Format: | Article |
| Language: | English |
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BMC
2025-03-01
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| Series: | BMC Public Health |
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| Online Access: | https://doi.org/10.1186/s12889-025-22299-x |
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| author | Zi-chen Zhang Xiao-wei Wang Shao-bo Li Yu-qin Liu Yu-min Li Hong-Hong Jia |
| author_facet | Zi-chen Zhang Xiao-wei Wang Shao-bo Li Yu-qin Liu Yu-min Li Hong-Hong Jia |
| author_sort | Zi-chen Zhang |
| collection | DOAJ |
| description | Abstract Background Diabetes and its complications have emerged as a significant health threat to rural residents. Accurately perceiving the risk of complications may play a crucial role in modifying health behaviors and preventing complications’ occurrence. We aimed to explore the barriers to and facilitators of risk perception of complications in rural patients with type 2 diabetes mellitus, and to provide new perspectives and ideas for the development of relevant interventions in the future. Methods This study adopted the qualitative content analysis method. Semi-structured interviews were conducted with 14 rural diabetic patients selected by purposive sampling from July to September 2023, and the interview data were systematically analyzed. Results Data analysis identified 9 sub-themes falling into the 2 macro-themes: (a) facilitators of complications risk perception (Increased disease knowledge, Low sense of disease control, Risk experiences, Negative mindset); (b) barriers to complications risk perception (Lack of awareness of diabetes or its complications, Information barriers, Optimistic bias, Overconfidence, Disease generalization). Conclusions This study explored the barriers and facilitators of complication risk perception among rural patients with type 2 diabetes mellitus, offering new insights into risk perception research, and aiding primary medical staff to develop targeted intervention measures to ensure that rural diabetes patients can accurately and objectively perceive risk. |
| format | Article |
| id | doaj-art-46f9f7e7deba4157a5c1bc09dfb66e7d |
| institution | DOAJ |
| issn | 1471-2458 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj-art-46f9f7e7deba4157a5c1bc09dfb66e7d2025-08-20T02:48:57ZengBMCBMC Public Health1471-24582025-03-012511910.1186/s12889-025-22299-xBarriers and facilitators of complications risk perception among rural patients with type 2 diabetes mellitus: a qualitative content analysisZi-chen Zhang0Xiao-wei Wang1Shao-bo Li2Yu-qin Liu3Yu-min Li4Hong-Hong Jia5Department of Nursing, Harbin Medical University (Daqing)Department of Cardiology, Daqing People’s HospitalDepartment of Nursing, Harbin Medical University (Daqing)Department of Nursing, Harbin Medical University (Daqing)Department of Nursing, Harbin Medical University (Daqing)Department of Nursing, Harbin Medical University (Daqing)Abstract Background Diabetes and its complications have emerged as a significant health threat to rural residents. Accurately perceiving the risk of complications may play a crucial role in modifying health behaviors and preventing complications’ occurrence. We aimed to explore the barriers to and facilitators of risk perception of complications in rural patients with type 2 diabetes mellitus, and to provide new perspectives and ideas for the development of relevant interventions in the future. Methods This study adopted the qualitative content analysis method. Semi-structured interviews were conducted with 14 rural diabetic patients selected by purposive sampling from July to September 2023, and the interview data were systematically analyzed. Results Data analysis identified 9 sub-themes falling into the 2 macro-themes: (a) facilitators of complications risk perception (Increased disease knowledge, Low sense of disease control, Risk experiences, Negative mindset); (b) barriers to complications risk perception (Lack of awareness of diabetes or its complications, Information barriers, Optimistic bias, Overconfidence, Disease generalization). Conclusions This study explored the barriers and facilitators of complication risk perception among rural patients with type 2 diabetes mellitus, offering new insights into risk perception research, and aiding primary medical staff to develop targeted intervention measures to ensure that rural diabetes patients can accurately and objectively perceive risk.https://doi.org/10.1186/s12889-025-22299-xRisk perceptionDiabetes complicationsType 2 diabetes mellitusRuralQualitative study |
| spellingShingle | Zi-chen Zhang Xiao-wei Wang Shao-bo Li Yu-qin Liu Yu-min Li Hong-Hong Jia Barriers and facilitators of complications risk perception among rural patients with type 2 diabetes mellitus: a qualitative content analysis BMC Public Health Risk perception Diabetes complications Type 2 diabetes mellitus Rural Qualitative study |
| title | Barriers and facilitators of complications risk perception among rural patients with type 2 diabetes mellitus: a qualitative content analysis |
| title_full | Barriers and facilitators of complications risk perception among rural patients with type 2 diabetes mellitus: a qualitative content analysis |
| title_fullStr | Barriers and facilitators of complications risk perception among rural patients with type 2 diabetes mellitus: a qualitative content analysis |
| title_full_unstemmed | Barriers and facilitators of complications risk perception among rural patients with type 2 diabetes mellitus: a qualitative content analysis |
| title_short | Barriers and facilitators of complications risk perception among rural patients with type 2 diabetes mellitus: a qualitative content analysis |
| title_sort | barriers and facilitators of complications risk perception among rural patients with type 2 diabetes mellitus a qualitative content analysis |
| topic | Risk perception Diabetes complications Type 2 diabetes mellitus Rural Qualitative study |
| url | https://doi.org/10.1186/s12889-025-22299-x |
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