{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T15:37:34Z","timestamp":1782315454158,"version":"3.54.5"},"reference-count":27,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,4,18]],"date-time":"2025-04-18T00:00:00Z","timestamp":1744934400000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background and Aims<\/jats:title><jats:p>To investigate the status of self\u2010management of health behaviors in children with Type 1 diabetes mellitus and to analyze their influencing factors. Self\u2010management skills are essential for disease management in children with Type 1 diabetes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This cross\u2010sectional study was conducted on 132 children with Type 1 diabetes mellitus hospitalized in the Department of Endocrinology and Genetic Metabolism of a tertiary children's hospital. Children were selected from September 2023 to March 2024 by convenience sampling method. A general information questionnaire and the Type 1 Diabetes Behavioral Rating Scale were used to conduct the questionnaire survey.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean of health behavior self\u2010management score was (0.60\u2009\u00b1\u20090.15), and the mean scores of the four dimensions were: daily care behaviors (0.74\u2009\u00b1\u20090.16), adjustment of diabetes care behaviors (0.29\u2009\u00b1\u20090.24), diabetes care behavior intervention (0.52\u2009\u00b1\u20090.25), and other diabetes care behaviors (0.61\u2009\u00b1\u20090.27) points; one\u2010way analysis of variance showed that the differences in self\u2010management scores of health behaviors of children with Type 1 diabetes mellitus were statistically significant when comparing children with different ages, years since diagnosis, whether they were only children, family structure, whether there was a family member with a diagnosis of diabetes mellitus, literacy level of the parents, and average monthly family income (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05); the differences between age, whether they were only children, family structure, whether there was a family member with a diagnosed with diabetes mellitus, and average monthly family income were influential factors in the self\u2010management of health behaviors of children with Type 1 diabetes mellitus (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The level of health behavior self\u2010management of children with Type 1 diabetes mellitus is in the middle\u2010low level, and individualized interventions can be carried out for children with different characteristics to promote the improvement of children's ability to manage their disease and improve their quality of life.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hsr2.70700","type":"journal-article","created":{"date-parts":[[2025,4,18]],"date-time":"2025-04-18T14:09:36Z","timestamp":1744985376000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Status and Influencing Factors of Health Behavior Self\u2010Management in Children With Type 1 Diabetes Mellitus: A Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6293-6563","authenticated-orcid":false,"given":"Jin\u2010Xia","family":"Yang","sequence":"first","affiliation":[{"name":"Basic Medical Science Tongji University School of Medicine Shanghai China"},{"name":"Department of Endocrine Genetic Metabolism Children's Hospital of Soochow University Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yue","family":"Liu","sequence":"additional","affiliation":[{"name":"Basic Medical Science Tongji University School of Medicine Shanghai China"},{"name":"Department of Orthopedics Gongli Hospital Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Su\u2010ying","family":"Cao","sequence":"additional","affiliation":[{"name":"Department of Endocrine Genetic Metabolism Children's Hospital of Soochow University Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guo\u2010ying","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Endocrine Genetic Metabolism Children's Hospital of Soochow University Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hui\u2010min","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Endocrine Genetic Metabolism Children's Hospital of Soochow University Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ya\u2010yun","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Endocrine Genetic Metabolism Children's Hospital of Soochow University Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zi\u2010sheng","family":"Ai","sequence":"additional","affiliation":[{"name":"Basic Medical Science Tongji University School of Medicine Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,18]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.2337\/dci18-0023"},{"issue":"11","key":"e_1_2_12_3_1","first-page":"1342","article-title":"Impact of Family\u2010Centered Care on Home Environment and Glycemic Control in Adolescents With Diabetes Mellitus","volume":"49","author":"Hua T.","year":"2014","journal-title":"Chinese Journal of Nursing"},{"issue":"02","key":"e_1_2_12_4_1","first-page":"259","article-title":"A Study on the Correlation Between Family Functioning and Self\u2010Management Behavior in School\u2010Age Children With T1DM","volume":"16","author":"Xiaohong L.","year":"2016","journal-title":"China Nursing Management"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.2337\/db13-1891"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.2009.02737.x"},{"key":"e_1_2_12_7_1","unstructured":"International Diabetes Federation.IDF Diabetes Atlas Eighth Edition Poster Update 2017. 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