Self-Motivation and Educational Level Are Associated With Blood Glucose Levels in Older Adults: A Cross-Sectional Study
DOI :
https://doi.org/10.62255/mjhp.v4iSuppl%201.341Abstract
Background: Aging populations face increasing risks of impaired glucose metabolism. Self-motivation and educational attainment may influence health behaviors that support glycemic control, yet their community-level associations remain underexplored in Indonesian older adults.
Objective: To analyze the relationships between healthy life motivation and educational level with blood glucose levels among older adults in Sumbersari Urban Village, Malang City.
Methods: A quantitative cross-sectional study following STROBE guidelines was conducted among 50 older adults selected through purposive sampling. Data on motivation, education, and capillary blood glucose were collected. Bivariate analyses used Mann-Whitney U test and Spearman rank correlation with significance at p<0.05.
Results: Most participants had low motivation (72.0%) and senior high school education (48.0%). Median blood glucose was 132.00 mg/dL (range 77-399). Blood glucose differed significantly between motivation groups (median 146.0 vs 123.5 mg/dL; p=0.032). Educational level showed a strong negative correlation with glucose levels (?=-0.775; p<0.001)
Conclusion: Self-motivation and educational level are significantly associated with blood glucose levels among older adults. Strengthening motivation and providing targeted health education should be integrated into community-based promotive and preventive programs for healthy aging.
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Abdallah, S., Ayoub, A., Makhlouf, M., & Ashour, A. (2024). Diabetes knowledge, health literacy and diabetes self-care among older adults living with diabetes in Alexandria, Egypt. BMC Public Health, 24. https://doi.org/10.1186/s12889-024-20238-w
Akeren, ?., & Akeren, Z. (2026). Self-regulation in blood glucose management among middle-aged and older adults with type 2 diabetes in a rural and semi-rural setting: A qualitative study. Educational Gerontology. https://doi.org/10.1080/03601277.2026.2729726
Almutairi, N., Hosseinzadeh, H., & Gopaldasani, V. (2020). The effectiveness of patient activation intervention on type 2 diabetes mellitus glycemic control and self-management behaviors: A systematic review of RCTs. Primary Care Diabetes. https://doi.org/10.1016/j.pcd.2019.08.009
Butayeva, J., Ratan, Z., Downie, S., & Hosseinzadeh, H. (2023). The impact of health literacy interventions on glycemic control and self?management outcomes among type 2 diabetes mellitus: A systematic review. Journal of Diabetes, 15, 724–735. https://doi.org/10.1111/1753-0407.13436
Camargo-Plazas, P., Robertson, M., Alvarado, B., Paré, G., Costa, I., & Duhn, L. (2023). Diabetes self-management education (DSME) for older persons in Western countries: A scoping review. PLOS ONE, 18. https://doi.org/10.1371/journal.pone.0288797
Cui, J., Wang, D.-D., Hu, Y.-X., Yao, Y., Wang, X., Huang, X., Li, M.-C., & Jiang, W.-H. (2025). eHealth literacy mediates self-advocacy and self-management in older adults with diabetes. BMC Geriatrics, 26. https://doi.org/10.1186/s12877-025-06859-9
Esferjani, S. V., Naghizadeh, E., Albokordi, M., Zakerkish, M., & Araban, M. (2022). Effectiveness of a mobile-based educational intervention on self-care activities and glycemic control among the elderly with type 2 diabetes in southwest of Iran in 2020. Archives of Public Health, 80. https://doi.org/10.1186/s13690-022-00957-5
Iskandar, D., Setiawan, A., & Pratama, M. A. E. (2025). Interval Walking Training in Order to Control Blood Glucose Level among Older Adults. Jurnal Sentra Pengabdian. https://doi.org/10.33867/jsp.681
Izquierdo, V., Pazos-Couselo, M., González-Rodríguez, M., & Rodríguez-González, R. (2022). Educational programs in type 2 diabetes designed for community-dwelling older adults: A systematic review. Geriatric Nursing, 46, 157–165. https://doi.org/10.1016/j.gerinurse.2022.05.008
Jang, G., Chang, S., & Noh, J. (2024). Relationships Among Health Literacy, Self-Efficacy, Self-Management, and HbA1c Levels in Older Adults with Diabetes in South Korea: A Cross-Sectional Study. Journal of Multidisciplinary Healthcare, 17, 409–418. https://doi.org/10.2147/jmdh.s448056
Li, F., Guo, S., Gong, W., Xie, X., Liu, N., Zhang, Q., Zhao, W., Cao, M., & Cao, Y. (2023). Self-management of Diabetes for Empty Nest Older Adults: A Randomized Controlled Trial. Western Journal of Nursing Research, 45, 921–931. https://doi.org/10.1177/01939459231191599
Minhat, H., Din, H. M., & Adnan, R. R. (2023). Predictors of Diabetes Health Literacy and Numeracy Among Urbanized Older Adults in Malaysia. SEPTEMBER 2023. https://doi.org/10.47836/mjmhs.19.5.20
Obayi, A., Ilo, O., Ene, O., & Ugwu, U. (2026). Association between educational attainment and diabetes self-management, glycemic control, and health outcomes among older Nigerian adults with type 2 diabetes. Geriatric Nursing, 73, 104266. https://doi.org/10.1016/j.gerinurse.2026.104266
Ong-Artborirak, P., Seangpraw, K., Boonyathee, S., Auttama, N., & Winaiprasert, P. (2023a). Health literacy, self-efficacy, self-care behaviors, and glycemic control among older adults with type 2 diabetes mellitus: a cross-sectional study in Thai communities. BMC Geriatrics, 23. https://doi.org/10.1186/s12877-023-04010-0
Ong-Artborirak, P., Seangpraw, K., Boonyathee, S., Auttama, N., & Winaiprasert, P. (2023b). Health literacy, self-efficacy, self-care behaviors, and glycemic control among older adults with type 2 diabetes mellitus: a cross-sectional study in Thai communities. BMC Geriatrics, 23. https://doi.org/10.1186/s12877-023-04010-0
Rachmawati, U., Sahar, J., & Wati, D. (2019). The association of diabetes literacy with self-management among older people with type 2 diabetes mellitus: a cross-sectional study. BMC Nursing, 18. https://doi.org/10.1186/s12912-019-0354-y
Suksatan, W., Prabsangob, K., & Choompunuch, B. (2021). Association between Health Literacy, Self-care Behavior, and Blood Sugar Level among Older Patients with Type 2 Diabetes in Rural Thai Communities. Annals of Geriatric Medicine and Research, 25, 318–323. https://doi.org/10.4235/agmr.21.0117
Vitaliati, T., & Maurida, N. (2024). STRIVING FOR DIABETES SELF-CARE MANAGEMENT IN THE OLDER PEOPLE BASED ON SELF-DETERMINATION THEORY. Jurnal Pengabdian Masyarakat Dalam Kesehatan. https://doi.org/10.20473/jpmk.v6i2.55513
Wu, S., Liu, Y., Zhao, F., Lin, K., Wu, Q., Li, C., Wang, L., & Zhang, R.-T. (2025). Effects of Social Network-Based Health Education on Older Adults With Type 2 Diabetes Mellitus: A Randomized Controlled Trial. Research in Nursing & Health. https://doi.org/10.1002/nur.70006
Zhang, A., Wang, J., Wan, X.-J., Zhang, Z., Zhao, S., Bai, S., Miao, Y., Yang, S., & Jiang, X. (2024). Community-Based Intelligent Blood Glucose Management for Older Adults With Type 2 Diabetes Based on the Health Belief Model: Randomized Controlled Trial. JMIR MHealth and UHealth, 13. https://doi.org/10.2196/60227
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