{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T12:37:38Z","timestamp":1782995858324,"version":"3.54.5"},"reference-count":33,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2018,5,24]]},"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Although both the prevalence and treatment rate of diabetes have increased, the degree of adherence to healthy behaviours by patients with diabetes has not yet been comprehensively evaluated. This study examines the differences in health management and mental health status according to diabetes status and awareness of that diagnosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a cross-sectional study of 14\u2009655 people using data from the Korean National Health and Nutrition Examination Study 2010\u20132012, which used sampling weights. Multiple logistic regression analyses were used to compare health-risk behaviours, preventive healthcare utilisation and mental health status according to diabetes diagnosis and awareness of the disease.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Compared with people without diabetes, people with diabetes had comparably worse smoking status (adjusted OR (aOR) 1.09, 95% CI 0.92 to 1.30), insufficient physical activity (aOR 1.09, 95% CI 0.95 to 1.24) and were less likely to receive cancer screenings and regular health check-ups (aOR 0.75, 95%\u2009CI 0.66 to 0.85). Furthermore, compared with people unaware of their diabetes, people aware of their diabetes had lower odds of physical inactivity (aOR 0.66, 95%\u2009CI 0.45 to 0.99) and greater odds of receiving colon cancer screening (aOR 1.55, 95%\u2009CI 1.17 to 2.05) and influenza vaccination (aOR 1.56, 95%\u2009CI 1.15 to 2.11).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>People with diabetes were no better in terms of health behaviours and preventive healthcare utilisation than those who were without diabetes. Further efforts and political attention to ensure the delivery of quality care for people with diabetes are needed.<\/jats:p><\/jats:sec>","DOI":"10.1136\/bmjopen-2017-017937","type":"journal-article","created":{"date-parts":[[2018,7,11]],"date-time":"2018-07-11T12:34:51Z","timestamp":1531312491000},"page":"e017937","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Gaps in health behaviours and use of preventive services between patients with diabetes and the general population: a population-based cross-sectional study"],"prefix":"10.1136","volume":"8","author":[{"given":"Hyun-Young","family":"Shin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sohee","family":"Park","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sang Min","family":"Park","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,7,11]]},"reference":[{"key":"2024051614593554000_8.7.e017937.1","unstructured":"World Health\u00a0Organization. Noncommunicable diseases. http:\/\/www.who.int\/mediacentre\/factsheets\/fs355\/en\/ (accessed 13 Jan 2017)."},{"key":"2024051614593554000_8.7.e017937.2","unstructured":"Korean Diabetes Association. Korean diabetes fact sheet. National health insurance service. 2015 http:\/\/www.diabetes.or.kr\/temp\/KDA_fact_sheet%202015.pdf (accessed 13 Jan 2017)."},{"key":"2024051614593554000_8.7.e017937.3","doi-asserted-by":"crossref","first-page":"165","DOI":"10.3961\/jpmph.2013.46.4.165","article-title":"Noncommunicable diseases: current status of major modifiable risk factors in Korea","volume":"46","author":"Kim","year":"2013","journal-title":"J Prev Med Public Health"},{"key":"2024051614593554000_8.7.e017937.4","doi-asserted-by":"publisher","DOI":"10.2337\/dc10-0261"},{"key":"2024051614593554000_8.7.e017937.5","doi-asserted-by":"publisher","DOI":"10.2337\/dc15-S007"},{"key":"2024051614593554000_8.7.e017937.6","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.106.179294"},{"key":"2024051614593554000_8.7.e017937.7","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-142-4-200502150-00005"},{"key":"2024051614593554000_8.7.e017937.8","first-page":"589","article-title":"Association between alcohol consumption and diabetes preventive practices","volume":"37","author":"Chew","year":"2005","journal-title":"Fam Med"},{"key":"2024051614593554000_8.7.e017937.9","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.24.11.1888"},{"key":"2024051614593554000_8.7.e017937.10","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.28.7.1801"},{"key":"2024051614593554000_8.7.e017937.11","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000066906.11109.1F"},{"key":"2024051614593554000_8.7.e017937.12","unstructured":"Korean Diabetes Association. Treatment guideline for diabetes. http:\/\/www.diabetes.or.kr\/bbs\/index.html?code=e_resource&mode=tlist."},{"key":"2024051614593554000_8.7.e017937.13","unstructured":"Ministry of health and welfare. http:\/\/www.mohw.go.kr\/eng\/index.jsp (accessed 13 Jan 2017)."},{"key":"2024051614593554000_8.7.e017937.14","unstructured":"Complication of diabetes. International diabetes federation. http:\/\/www.idf.org\/complications-diabetes (accessed 13 Jan 2017)."},{"key":"2024051614593554000_8.7.e017937.15","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.67.792.928"},{"key":"2024051614593554000_8.7.e017937.16","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1096-9136(199611)13:11<996::AID-DIA269>3.0.CO;2-B"},{"key":"2024051614593554000_8.7.e017937.17","first-page":"68","article-title":"Alcohol consumption and cigarette smoking in men with diabetes mellitus","volume":"17","author":"Chung","year":"2005","journal-title":"J Korean Acad Adult Nurs"},{"key":"2024051614593554000_8.7.e017937.18","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1007\/s12020-016-0869-x","article-title":"Association of depression with pre-diabetes, undiagnosed diabetes, and previously diagnosed diabetes: a meta-analysis","volume":"53","author":"Chen","year":"2016","journal-title":"Endocrine"},{"key":"2024051614593554000_8.7.e017937.19","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1016\/j.jpsychores.2014.08.008","article-title":"Suicidal ideation and suicide attempts among diabetes mellitus: the Korea National Health and Nutrition Examination Survey (KNHANES IV, V) from 2007 to 2012","volume":"77","author":"Chung","year":"2014","journal-title":"J Psychosom Res"},{"key":"2024051614593554000_8.7.e017937.20","doi-asserted-by":"crossref","first-page":"468","DOI":"10.4103\/2230-8210.137487","article-title":"Diabetes mellitus and suicide","volume":"18","author":"Sarkar","year":"2014","journal-title":"Indian J Endocrinol Metab"},{"key":"2024051614593554000_8.7.e017937.21","doi-asserted-by":"crossref","first-page":"e496","DOI":"10.17269\/CJPH.106.5170","article-title":"Investigation of anxiety and depression symptom co-morbidity in a community sample with type 2 diabetes: associations with indicators of self-care","volume":"106","author":"Smith","year":"2016","journal-title":"Can J Public Health"},{"key":"2024051614593554000_8.7.e017937.22","unstructured":"International Physical Activity Questionnaire. Guidelines for data processing and analysis of the International Physical Activity Questionnaire (IPAQ): short and long forms. https:\/\/www.google.co.kr\/url?sa=t&rct=j&q=&esrc=s&source=web&cd=2&ved=0ahUKEwiny9W2lbzMAhVl5aYKHVC- CjoQFggnMAE&url=https%3A%2F%2Fwww.researchgate.net%2Ffile.PostFileLoader.html%3Fid%3D56f92d66615e27d49a658031%26assetKey%3DAS%253A344600888791041%25401459170662924&usg=AFQjCNFu86dTe_OuPWO-puYIPhGnZbyAhw&sig2=m82M-YoYliqzXP4AJpB2_A&bvm=bv.121070826,d.dGY (accessed 13 Jan 2017)."},{"key":"2024051614593554000_8.7.e017937.23","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1995.03520290054029"},{"key":"2024051614593554000_8.7.e017937.24","doi-asserted-by":"publisher","DOI":"10.1007\/s10552-010-9640-4"},{"key":"2024051614593554000_8.7.e017937.25","first-page":"725","article-title":"Overview of the national cancer screening programme and the cancer screening status in Korea","volume":"12","author":"Kim","year":"2011","journal-title":"Asian Pac J Cancer Prev"},{"key":"2024051614593554000_8.7.e017937.26","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.26.11.3160"},{"key":"2024051614593554000_8.7.e017937.27","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.2006.01878.x"},{"key":"2024051614593554000_8.7.e017937.28","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1186\/1755-7682-7-15","article-title":"Evaluation of physical activity among adults with diabetes mellitus from Sri Lanka","volume":"7","author":"Ranasinghe","year":"2014","journal-title":"Int Arch Med"},{"key":"2024051614593554000_8.7.e017937.29","doi-asserted-by":"crossref","first-page":"1051","DOI":"10.1111\/dme.12748","article-title":"Changes in physical activity among adults with diabetes: a longitudinal cohort study of inactive patients with type 2 diabetes who become physically active","volume":"32","author":"Palakodeti","year":"2015","journal-title":"Diabet Med"},{"key":"2024051614593554000_8.7.e017937.30","doi-asserted-by":"publisher","DOI":"10.1001\/jama.293.2.194"},{"key":"2024051614593554000_8.7.e017937.31","doi-asserted-by":"crossref","first-page":"1250","DOI":"10.1016\/j.metabol.2014.07.006","article-title":"Association between fasting serum glucose levels and incidence of colorectal cancer in Korean men: the Korean cancer prevention study-II","volume":"63","author":"Shin","year":"2014","journal-title":"Metabolism"},{"key":"2024051614593554000_8.7.e017937.32","doi-asserted-by":"crossref","first-page":"352","DOI":"10.4103\/psychiatry.IndianJPsychiatry_282_16","article-title":"Association of chronic disease prevalence and quality of life with suicide-related ideation and suicide attempt among Korean adults","volume":"59","author":"Joshi","year":"2017","journal-title":"Indian J Psychiatry"},{"key":"2024051614593554000_8.7.e017937.33","doi-asserted-by":"crossref","first-page":"1625","DOI":"10.1016\/j.ijnurstu.2015.05.012","article-title":"Psychosocial interventions for people with diabetes and co-morbid depression. A systematic review","volume":"52","author":"Kok","year":"2015","journal-title":"Int J Nurs Stud"}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2017-017937","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,16]],"date-time":"2024-05-16T21:59:50Z","timestamp":1715896790000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2017-017937"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,7]]},"references-count":33,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2018,7,11]]},"published-print":{"date-parts":[[2018,7]]}},"alternative-id":["10.1136\/bmjopen-2017-017937"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2017-017937","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,7]]}}}