PMID- 36875195 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230307 IS - 1394-195X (Print) IS - 2180-4303 (Electronic) IS - 1394-195X (Linking) VI - 30 IP - 1 DP - 2023 Feb TI - Gender and Ethnic Differences in Diabetes Self Care in Malaysia: An Individual Participant Meta-Analysis of Summary of Diabetes Self Care Activities Studies. PG - 162-171 LID - 10.21315/mjms2023.30.1.14 [doi] AB - BACKGROUND: Many published studies in Malaysia have examined and assessed self care among type 2 diabetes mellitus (T2DM) patients using the Summary of Diabetes Self Care Activities (SDSCA) scale. The current paper is a meta-analysis of related studies that also examines how gender and ethnicity influence and shape T2DM self care practices in Malaysia. METHODS: We undertook a bibliographic search for studies conducted and published in Malaysia on T2DM adults using the SDSCA scale. This is a two-stage individual participant meta-analysis of SDSCA which synthesised the overall and subscale score based on gender and ethnic groups as well as the correlation between SDSCA and HbA1c. RESULTS: We examined 11 studies that utilised SDSCA to analyse 3,720 T2DM patients. The overall SDSCA score was 33.46 (47.8% of the 7-day week). The subscale score for general diet, specific diet, exercise, blood glucose self-monitoring and foot care were 4.80, 4.09, 2.87, 1.80 and 3.21, respectively. A small but statistically significant better self care in some gender or ethnic groups was noted. The SDSCA diet subscale and HbA1c showed statistically significant correlation. CONCLUSION: The finding suggested Malaysian T2DM patients were deficient in exercise and blood glucose self-monitoring. In fact, overall self care among Malaysian adult T2DM patients appears to be suboptimal across gender and the three main ethnic groups. Greater efforts are therefore needed to educate Malaysian adult T2DM patients to improve their self care practices. CI - (c) Penerbit Universiti Sains Malaysia, 2023. FAU - Teng, Cheong Lieng AU - Teng CL AD - Department of Family Medicine, International Medical University, Negeri Sembilan, Malaysia. FAU - Lee, Verna Kar Mun AU - Lee VKM AD - Department of Family Medicine, International Medical University, Negeri Sembilan, Malaysia. FAU - Malanashita, Ganeson AU - Malanashita G AD - Department of Family Medicine, International Medical University, Negeri Sembilan, Malaysia. FAU - Sulaiman, Lokman Hakim AU - Sulaiman LH AD - Department of Community Medicine, International Medical University, Kuala Lumpur, Malaysia. FAU - Bujang, Mohamad Adam AU - Bujang MA AD - Clinical Research Centre, Sarawak General Hospital, Sarawak, Malaysia. LA - eng PT - Journal Article DEP - 20230228 PL - Malaysia TA - Malays J Med Sci JT - The Malaysian journal of medical sciences : MJMS JID - 101126308 PMC - PMC9984106 OTO - NOTNLM OT - Malaysia OT - adult OT - meta-analysis OT - self care OT - type 2 diabetes mellitus COIS- Conflict of Interest None. EDAT- 2023/03/07 06:00 MHDA- 2023/03/07 06:01 PMCR- 2023/02/01 CRDT- 2023/03/06 04:06 PHST- 2022/03/03 00:00 [received] PHST- 2022/06/03 00:00 [accepted] PHST- 2023/03/06 04:06 [entrez] PHST- 2023/03/07 06:00 [pubmed] PHST- 2023/03/07 06:01 [medline] PHST- 2023/02/01 00:00 [pmc-release] AID - mjms3001_art14_oa [pii] AID - 10.21315/mjms2023.30.1.14 [doi] PST - ppublish SO - Malays J Med Sci. 2023 Feb;30(1):162-171. doi: 10.21315/mjms2023.30.1.14. Epub 2023 Feb 28.