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Adolescents with obesity are high risk of developing type 2 diabetes if they have inappropriate diabetes prevention behaviors. Guided by the Health Belief Model, this study aimed to examine factors influencing diabetic preventive behaviors among adolescents at risk for type II diabetes in Samutprakan province. Eighty Five obese adolescents were recruited by a cluster random sampling. Research instruments included 1) The Demographic Questionnaire. 2) The Diabetes Preventive Behaviors Questionnaire. 3) The Perceived Susceptibility of Diabetes Questionnaire. 4) The Perceived Social Support Questionnaire, and 5) the Diabetes Knowledge Questionnaire. Data were analyzed using descriptive statistics and multiple regression analysis.
Results of the study revealed that adolescents at risk for type II diabetes had mean score of diabetes preventive behaviors score in high level (M = 101.40, SD = 7.37). Perceived susceptibility of diabetes and being female were significant predictors and could 24.8 % of diabetes preventive behaviors among this population (R2 = .248, F = 6.582, p < .001) Therefore, health care personal should enhance the risk perception for diabetes among this population, as well as, provide health promoting program of perceived benefits of diabetic preventive in order to promote to diabetes preventive behaviors.
Results of the study indicate that promoting diabetes preventive behaviors in this population is crucial, especially among female adolescents at risk for diabetes. Nursing intervention should focus on increasing their perceived susceptibility of diabetes by improving knowledge of diabetes mellitus.