{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T12:09:35Z","timestamp":1790251775094,"version":"4.1.0"},"reference-count":40,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:00:00Z","timestamp":1790208000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Endocrinol."],"abstract":"<jats:sec>\n                    <jats:title>Backgroud<\/jats:title>\n                    <jats:p>Social isolation (structural social network deficit) is closely linked to poor health outcomes in patients with diabetes. Existing studies often focus on broad isolation or single-dimensional factors, lacking targeted exploration in the Chinese population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To explore the associations between social network characteristics and self-management behavior in patients with diabetes, and assess the mediating role of self-efficacy in this association.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A multi-center cross-sectional study was used to recruit 2, 358 patients with diabetes. The assessments included social network characteristics, self-efficacy, and self-management behavior. Pearson\u2019s correlation analysis was employed to examine the relationships between these variables. Regression models were utilized to assess the mediating effect of self-efficacy, with the bootstrap method applied to confirm the significance of the mediation pathways.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among the 2, 358 participants, the average diabetes management score was 36.51. Regression models indicated that both family network size (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      =\u00a00.251, 95% CI: 0.048\u20130.455,\n                      <jats:italic>p<\/jats:italic>\n                      =\u00a00.016) and friend network size (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      =\u00a00.325, 95% CI: 0.147\u20130.504,\n                      <jats:italic>p<\/jats:italic>\n                      &amp;lt;\u00a00.001) were significantly associated with better self-management behavior in patients with diabetes. Family support (\u03b2 = 0.558, 95% CI: 0.406\u20130.710,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&amp;lt;\u00a00.001) and friend support (\u03b2 = 0.624, 95% CI: 0.484\u20130.764,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&amp;lt;\u00a00.001) also showed strong positive effects on self-management behavior in patients with diabetes. Pearson\u2019s correlation analysis revealed significant positive associations between social network characteristics, self-efficacy, and self-management behaviors in patients with diabetes (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&amp;lt;\u00a00.001). The mediating role of self-efficacy was confirmed, with significant indirect effects observed for both family and friend support.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study highlights the significant influence of social network characteristics, particularly social support, on self-management behavior in diabetic patients. Family and friend support positively impact self-management behaviors, and self-efficacy mediates these relationships.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fendo.2026.1934060","type":"journal-article","created":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T11:50:31Z","timestamp":1790250631000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Social network characteristics, self-management behavior, and the mediating role of self-efficacy among diabetes patients: a multicenter cross-sectional study"],"prefix":"10.3389","volume":"17","author":[{"given":"Xixuan","family":"Cai","sequence":"first","affiliation":[{"name":"Department of General Practice, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University","place":["Hangzhou, Zhejiang, 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