Perceived barriers to healthy lifestyle activities in midlife and older Australian women with type 2 diabetes

McGuire, Amanda Mary, Anderson, Debra J., & Fulbrook, Paul (2014) Perceived barriers to healthy lifestyle activities in midlife and older Australian women with type 2 diabetes. Collegian, 21(4), pp. 301-310.

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Type 2 diabetes is a leading cause of morbidity and mortality in midlife and older Australian women with known modifiable risk factors for type 2 diabetes including smoking, nutrition, physical activity and obesity. In Australia little research has been done to investigate the perceived barriers to healthy lifestyle activities in midlife and older women with type 2 diabetes.


The primary aim of this study was to explore the level and type of perceived barriers to health promotion activities. The secondary aim was to explore the relationship of perceived barriers to smoking behaviour, fruit and vegetable intake, physical activity, and body mass index.


The study was a cross sectional survey of women, aged over 45 with type 2 diabetes, recruited from four metropolitan community health clinics (n = 41). Data were collected from self-report questionnaires and analysed using quantitative methods.


Women in the study had average total barriers scores similar to those reported in the literature for women with a range of physical disabilities and illnesses. The leading barriers for this group of women were: lack of interest, concern about safety, too tired, lack of money and feeling what they do does not help. There was no association between total barriers scores and body mass index, physical activity, fruit and vegetable intake or socio-demographic variables.


This study contributes to understanding the perceptions of midlife and older women with type 2 diabetes about the level and type of barriers to healthy lifestyle activities that they experience. The participants reported a high level perceived barriers with a range of personal, social and environmental issues identified and described. This study suggests that health promotion education and interventions for risk factor reduction in women with type 2 diabetes may be enhanced by explicitly addressing perceived barriers to healthy lifestyle activities.

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1 citations in Web of Science®

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ID Code: 62843
Item Type: Journal Article
Refereed: Yes
Additional Information: Paper presented in "Sigma Theta Tau International Honor Society of Nursing 23rd International Nursing Research Congress"
Additional URLs:
Keywords: Barriers, Diabetes, Health promotion, Lifestyle, Risk factors, Women
DOI: 10.1016/j.colegn.2013.07.001
ISSN: 1322-7696
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Nursing not elsewhere classified (111099)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
Copyright Owner: Copyright 2013 Royal College of Nursing Australia
Copyright Statement: This is the author’s version of a work that was accepted for publication in Collegian. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Collegian, [VOL 21, ISSUE 4, (2015)] DOI: 10.1016/j.colegn.2013.07.001
Deposited On: 24 Sep 2013 22:41
Last Modified: 13 Feb 2015 01:51

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