Issues and Challenges in the Primary Prevention of Type 2 Diabetes Mellitus: A Systematic Review

被引:6
作者
Bahari, Nor Izyani [1 ]
Ahmad, Norfazilah [1 ]
Mahmud, Muhammad Hilmi [1 ]
Baharom, Mazni [1 ]
Amir, Siti Maisara [1 ]
Peng, Chua Su [1 ]
Hassan, Mohd Rohaizat [1 ]
Nawi, Azmawati Mohammed [1 ]
机构
[1] Univ Kebangsaan Malaysia, Fac Med, Dept Community Hlth, Kuala Lumpur 56000, Malaysia
来源
JOURNAL OF PREVENTION | 2023年 / 44卷 / 01期
关键词
Primary prevention; diabetes mellitus; challenges; health programs; health providers; individual factors; BARRIERS; INTERVENTION; MANAGEMENT; EDUCATION; PROGRAMS; WOMEN; RISK;
D O I
10.1007/s10935-022-00707-x
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background Primary prevention of type 2 diabetes mellitus (T2DM) is possible in at-risk populations, and prevention programmes have been shown to be effective in real-world scenarios. Despite this evidence, diabetes prevalence has tripled in recent decades and is expected to reach 700 million patients by 2045, making it one of the leading causes of death globally. This review is aimed at identifying the issues and challenges in the primary prevention of T2DM. Methods Scopus, Web of Science, PubMed and Ovid MEDLINE were systematically searched for published articles. Articles were screened based of inclusion and exclusion criteria. The inclusion criteria were: (1) published in 2010-2020, (2) full original article, (3) written in English, (4) qualitative, mixed-methods article, observational or interventional study. The exclusion criteria were: (1) animal study, (2) in vivo/in vitro study, (3) type 1 diabetes or gestational DM and (4) conference abstract, book chapter, report, and systematic review. Eligible articles were assessed using Mixed Methods Appraisal Tool (MMAT) by three assessors. Results A total of 11 articles were selected for qualitative synthesis from the initial 620 articles. The issues and challenges seen in T2DM primary prevention followed three themes: healthcare program (sub-themes: lack of resources, community partnership, participation, health literacy), health provider (sub-themes: lack of implementation, health care staff, collaboration, availability), individual (sub-themes: awareness, communication, misbehaviour, family conflict). Conclusion Factors relating to healthcare programmes, health providers, and individual issues are the main challenges in T2DM primary prevention. By establishing sustainable preventative initiatives that address these issues and challenges in the primary prevention of T2DM, a reduction in T2DM prevalence could be achievable.
引用
收藏
页码:105 / 125
页数:21
相关论文
共 51 条
  • [1] Al-Lawati Jawad A, 2017, Oman Med J, V32, P177, DOI 10.5001/omj.2017.34
  • [2] Primary prevention of Type 2 diabetes in South Asians challenges and the way forward
    Ambady, R.
    Snehalatha, C.
    Shetty, A. Samith
    Nanditha, A.
    [J]. DIABETIC MEDICINE, 2013, 30 (01) : 26 - 34
  • [3] Too fat to exercise? Obesity as a barrier to physical activity
    Ball, K
    Crawford, D
    Owen, N
    [J]. AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, 2000, 24 (03) : 331 - 333
  • [4] Efficacy and effectiveness of screen and treat policies in prevention of type 2 diabetes: systematic review and meta-analysis of screening tests and interventions
    Barry, Eleanor
    Roberts, Samantha
    Oke, Jason
    Vijayaraghavan, Shanti
    Normansell, Rebecca
    Greenhalgh, Trisha
    [J]. BMJ-BRITISH MEDICAL JOURNAL, 2017, 356
  • [5] Prevention of diabetes in primary healthcare based on the health policy program for early detection and prevention of diabetes and its complications in working individuals in the Lubusz province
    Bonikowska, Iwona
    Jasik-Pyzdrowska, Justyna
    Towpik, Iwona
    [J]. FAMILY MEDICINE AND PRIMARY CARE REVIEW, 2018, 20 (04) : 313 - 319
  • [6] Capacity of Diabetes Education Programs to Provide Both Diabetes Self-management Education and to Implement Diabetes Prevention Services
    Butcher, Marcene K.
    Vanderwood, Karl K.
    Hall, Taryn O.
    Gohdes, Dorothy
    Helgerson, Steven D.
    Harwell, Todd S.
    [J]. JOURNAL OF PUBLIC HEALTH MANAGEMENT AND PRACTICE, 2011, 17 (03) : 242 - 247
  • [7] Process Evaluation of Practice-based Diabetes Prevention Programs: What Are the Implementation Challenges?
    Carroll, Jennifer
    Winters, Paul
    Fiscella, Kevin
    Williams, Geoffrey
    Bauch, Jean
    Clark, Linda
    Sutton, James
    Bennett, Nancy
    [J]. DIABETES EDUCATOR, 2015, 41 (03) : 271 - 279
  • [8] Centers for Disease Control and Prevention, 2022, NAT DPP
  • [9] The Lancet Commission on diabetes: using data to transform diabetes care and patient lives
    Chan, Juliana C. N.
    Lim, Lee-Ling
    Wareham, Nicholas J.
    Shaw, Jonathan E.
    Orchard, Trevor J.
    Zhang, Ping
    Lau, Eric S. H.
    Eliasson, Bjorn
    Kong, Alice P. S.
    Ezzati, Majid
    Aguilar-Salinas, Carlos A.
    McGill, Margaret
    Levitt, Naomi S.
    Ning, Guang
    So, Wing-Yee
    Adams, Jean
    Bracco, Paula
    Forouhi, Nita G.
    Gregory, Gabriel A.
    Guo, Jingchuan
    Hua, Xinyang
    Klatman, Emma L.
    Magliano, Dianna J.
    Ng, Boon-Peng
    Ogilvie, David
    Panter, Jenna
    Pavkov, Meda
    Shao, Hui
    Unwin, Nigel
    White, Martin
    Wou, Constance
    Ma, Ronald C. W.
    Schmidt, Maria I.
    Ramachandran, Ambady
    Seino, Yutaka
    Bennett, Peter H.
    Oldenburg, Brian
    Gagliardino, Juan Jose
    Luk, Andrea O. Y.
    Clarke, Philip M.
    Ogle, Graham D.
    Davies, Melanie J.
    Holman, Rury R.
    Gregg, Edward W.
    [J]. LANCET, 2020, 396 (10267) : 2019 - 2082
  • [10] Fischer F., 2016, HEALTHC