Gender Differences in Type 2 Diabetes Risk Perception, Attitude, and Protective Health Behaviors: A Study of Overweight and Obese College Students
Abstract
Background: Obesity prevalence among children and adolescents has dramatically increased in the past decade and has resulted in higher rates of type 2 diabetes mellitus (T2DM) among adolescents. Purpose: To examine whether there are gender differences in T2DM risk perception, attitude toward T2DM protective behaviors, physical activity, and meeting the recommended fruit and vegetable daily intake among adolescents at risk for T2DM. Methods: Overweight and obese students were included in this study (n = 319). Linear regression analyses were used for all models. Analyses were carried out using SPSS (Ver 20.0). Gender differences in the regression models were considered statistically significant at P < .05. Results: Females showed significantly higher positive attitudes toward eating healthy foods such as fruits and vegetables (B = 9.089, β = 0.337, P = .000). Females were more likely to consume more cups of fruit and vegetables than males (B = 1.650, β = 0.118, P = .036) and more likely to use calorie information when ordering/buying food compared to males (B = .765, β = 0.245, P = .000). However, males were more likely to engage in moderate physical activity (PA; B = − 22.076, β = − 0.110, P = .050) and vigorous PA (B = − 45.145, β = − 0.235, P = .000) compared to females). Conclusion: To effectively develop health promotion initiatives for students/adolescents, it is important to examine gender differences and factors that influence them. Translation to Health Education Practice: Findings from this study suggest the need for Health Education Specialists to consider gender variations when developing and evaluating T2DM prevention health programs for youth.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Studies such as [20,25,26,31] implemented these technologies to enhance patient self-monitoring, treatment adherence, and real-time behavioral tracking.
“Studies such as [20,25,26,31] implemented these technologies to enhance patient self-monitoring, treatment adherence, and real-time behavioral tracking.”
From Methodological Approaches in Studying Type-2 Diabetes-Related Health Behaviors—A Systematic Review (2025) · cites this paper as [31]
Among the nine technology-assisted studies, physical activity was the most commonly targeted behavior (67%, 6/9 studies), followed by medication adherence (44%, 4/9), dietary behaviors (33%, 3/9), and self-monitoring of blood glucose (22%, 2/9).
“Among the nine technology-assisted studies, physical activity was the most commonly targeted behavior (67%, 6/9 studies), followed by medication adherence (44%, 4/9), dietary behaviors (33%, 3/9), and self-monitoring of blood glucose (SMBG) (22%, 2/9) [10,20,23], [25,26,30,31,34,37].”
From Methodological Approaches in Studying Type-2 Diabetes-Related Health Behaviors—A Systematic Review (2025) · cites this paper as [31]
Real-time data collection enhances accuracy and enables dynamic feedback loops between patients and providers.
“Studies like [31] and [25] demonstrate how real-time data collection enhances accuracy and enables dynamic feedback loops between patients and providers.”
From Methodological Approaches in Studying Type-2 Diabetes-Related Health Behaviors—A Systematic Review (2025) · cites this paper as [31]
Technology-assisted methods showed promise in improving behavioral tracking and real-time feedback.
“while technology-assisted methods showed promise in improving behavioral tracking and real-time feedback [26,31]”
From Methodological Approaches in Studying Type-2 Diabetes-Related Health Behaviors—A Systematic Review (2025) · cites this paper as [31]
Studies such as [25,31] leveraged tools like mobile health apps, telemonitoring systems, and wearable fitness trackers to enhance real-time behavioral tracking and adherence.
“Studies such as [25,31] leveraged tools like mobile health (mHealth) apps, telemonitoring systems, and wearable fitness trackers to enhance real-time behavioral tracking and adherence.”
From Methodological Approaches in Studying Type-2 Diabetes-Related Health Behaviors—A Systematic Review (2025) · cites this paper as [31]
Cites
Making sense of cronbach’s alpha.
Tavakol, M., & Dennick, R. (2011) · International Journal of Medical Education · doi:10.5116/ijme.4dfb.8dfd · Cited by 15,126 · see citing works
Prevalence of Childhood and Adult Obesity in the United States, 2011-2012
Ogden, C. L., Carroll, M. D., Kit, B. K., & Flegal, K. M. (2014) · JAMA · doi:10.1001/jama.2014.732 · Cited by 8,072 · see citing works
The Theory of Planned Behavior
Ajzen, I. (2012) · SAGE Publications Ltd eBooks · doi:10.4135/9781446249215.n22 · Cited by 5,514 · see citing works
Constructions of masculinity and their influence on men's well-being: a theory of gender and health
Courtenay, W. H. (2000) · Social Science & Medicine · doi:10.1016/s0277-9536(99)00390-1 · Cited by 4,091 · see citing works
Sample Size Determination in Health Studies: A Practical Manual.
Lachenbruch, P. A., Lwanga, S. K., & Lemeshow, S. (1991) · Journal of the American Statistical Association · doi:10.2307/2290547 · Cited by 2,097 · see citing works
Gorber, S. C., Tremblay, M., Moher, D., & Gorber, B. (2007) · Obesity Reviews · doi:10.1111/j.1467-789x.2007.00347.x · Cited by 1,945 · see citing works
A meta-analysis of sex differences in human brain structure
Ruigrok, A. N. V., Salimi-Khorshidi, G., Lai, M.-C., Baron-Cohen, S., Lombardo, M. V., Tait, R. J., & Suckling, J. (2014) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2013.12.004 · Cited by 1,192 · see citing works
American College Health Association
(1979) · Journal of American College Health · doi:10.1080/01644300.1979.10392892 · Cited by 1,154 · see citing works
Projection of Diabetes Burden Through 2050
Boyle, J. P., Honeycutt, A. A., Narayan, K. M. V., Hoerger, T. J., Geiss, L. S., Chen, H., & Thompson, T. J. (2001) · Diabetes Care · doi:10.2337/diacare.24.11.1936 · Cited by 1,004 · cited 1× · see citing works
“individuals with a positive diagnosis of T2DM will increase by 165% by the year 2050.(8) Adolescence, particularly college years, is a period during which key lifestyle modifications take place.”
BackgroundUnrealistic optimism about susceptibility to health problems
Weinstein, N. D. (1982) · Journal of Behavioral Medicine · doi:10.1007/bf00845372 · Cited by 911 · see citing works
Gender Differences in Risk Assessment: Why do Women Take Fewer Risks than Men?
Harris, C. R., & Jenkins, M. A. (2006) · Judgment and Decision Making · doi:10.1017/s1930297500000346 · Cited by 843 · see citing works
Kilpatrick, M. W., HEBERT, E. P., & Bartholomew, J. B. (2005) · Journal of American College Health · doi:10.3200/jach.54.2.87-94 · Cited by 837 · see citing works
Masculinity and perceived normative health behaviors as predictors of men's health behaviors
Mahalik, J. R., Burns, S. M., & Syzdek, M. (2007) · Social Science & Medicine · doi:10.1016/j.socscimed.2007.02.035 · Cited by 675 · see citing works
The Health Information National Trends Survey (HINTS): Development, Design, and Dissemination
Nelson, D., Kreps, G. L., Hesse, B. W., Croyle, R. T., Willis, G., Arora, N. K., Rimer, B. K., Viswanath, K., Weinstein, N. D., & Alden, S. (2004) · Journal of Health Communication · doi:10.1080/10810730490504233 · Cited by 675 · see citing works
Stommel, M., & Schoenborn, C. A. (2009) · BMC Public Health · doi:10.1186/1471-2458-9-421 · Cited by 599 · see citing works
Lowry, R., Galuska, D. A., Fulton, J. E., Wechsler, H., Kann, L. K., & Collins, J. L. (2000) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(99)00107-5 · Cited by 511 · see citing works
Projections of Type 1 and Type 2 Diabetes Burden in the U.S. Population Aged <20 Years Through 2050
Imperatore, G., Boyle, J. P., Thompson, T. J., Case, D., Dabelea, D., Hamman, R. F., Lawrence, J. M., Liese, A. D., Liu, L. L., Mayer‐Davis, E. J., et al. (2012) · Diabetes Care · doi:10.2337/dc12-0669 · Cited by 485 · see citing works
Mikkilä, V., Räsänen, L., Raitakari, O. T., Pietinen, P., & Viikari, J. S. A. (2004) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1601929 · Cited by 428 · see citing works
ASSESSING AGE AND GENDER DIFFERENCES IN PERCEIVED RISK AND FEAR OF CRIME*
LaGrange, R. L., & Ferraro, K. F. (1989) · Criminology · doi:10.1111/j.1745-9125.1989.tb01051.x · Cited by 404 · see citing works
Risk-perception: Differences between adolescents and adults.
Cohn, L. D., Macfarlane, S., Yañez, C., Imai, W. K., & al, E. (1995) · Health Psychology · doi:10.1037//0278-6133.14.3.217 · Cited by 377 · see citing works
(2009) · Journal of American College Health · doi:10.3200/jach.57.5.477-488 · Cited by 360 · see citing works
Courtenay, W. H. (2000) · The Journal of Men s Studies · doi:10.3149/jms.0901.81 · Cited by 344 · see citing works
Bothmer, M. I. K. V., & Fridlund, B. (2005) · Nursing and Health Sciences · doi:10.1111/j.1442-2018.2005.00227.x · Cited by 335 · see citing works
Bloomgarden, Z. T. (2004) · Diabetes Care · doi:10.2337/diacare.27.4.998 · Cited by 324 · see citing works
Risk-perception: Differences between adolescents and adults.
Cohn, L. D., Macfarlane, S., Yañez, C., et al. (1995) · Health Psychology · doi:10.1037/0278-6133.14.3.217 · Cited by 295 · see citing works
Influence of Age, Sex, and Race on College Students’ Exercise Motivation of Physical Activity
Egli, T. J., Bland, H. W., Melton, B. F., & Czech, D. R. (2011) · Journal of American College Health · doi:10.1080/07448481.2010.513074 · Cited by 290 · see citing works
A Primer on Unrealistic Optimism
Shepperd, J. A., Waters, E. A., Weinstein, N. D., & Klein, W. M. P. (2015) · Current Directions in Psychological Science · doi:10.1177/0963721414568341 · Cited by 263 · see citing works
College Weight Gain and Behavior Transitions: Male and Female Differences
Cluskey, M., & Grobe, D. (2009) · Journal of the American Dietetic Association · doi:10.1016/j.jada.2008.10.045 · Cited by 246 · see citing works
Type 2 Diabetes Mellitus in Children and Youth: A New Epidemic
KAUFMAN, F. R. (2002) · Journal of Pediatric Endocrinology and Metabolism · doi:10.1515/jpem.2002.15.s2.737 · Cited by 226 · see citing works
Gender and health promotion: A multisectoral policy approach
Östlin, P., Eckermann, E. J., Mishra, U. S., Nkowane, A. M., & Wallstam, E. (2006) · Health Promotion International · doi:10.1093/heapro/dal048 · Cited by 218 · see citing works
Associations between physical activity and perceived stress/hassles in college students
Nguyen‐Michel, S. T., Unger, J. B., Hamilton, J., & Spruijt‐Metz, D. (2006) · Stress and Health · doi:10.1002/smi.1094 · Cited by 208 · see citing works
Reid, L. W., & Konrad, M. (2004) · Sociological Spectrum · doi:10.1080/02732170490431331 · Cited by 207 · see citing works
Validity of Self-report Screening for Overweight and Obesity
Elgar, F. J., & Stewart, J. M. (2008) · Canadian Journal of Public Health · doi:10.1007/bf03405254 · Cited by 204 · see citing works
Theory of Planned Behavior explains gender difference in fruit and vegetable consumption
Emanuel, A. S., McCully, S. N., Gallagher, K. M., & Updegraff, J. A. (2012) · Appetite · doi:10.1016/j.appet.2012.08.007 · Cited by 174 · see citing works
de Miguel-Yanes, J. M., Shrader, P. J., Pencina, M. J., Fox, C. S., Manning, A. K., Grant, R. W., Dupuis, J., Florez, J. C., D’Agostino, R. B., Cupples, L. A., et al. (2010) · Diabetes Care · doi:10.2337/dc10-1265 · Cited by 172 · see citing works
Morse, K. L., & Driskell, J. A. (2009) · Nutrition Research · doi:10.1016/j.nutres.2009.02.004 · Cited by 141 · see citing works
Kautzky‐Willer, A., Kosi, L., Lin, J., & Mihaljevic, R. (2015) · Diabetes Obesity and Metabolism · doi:10.1111/dom.12449 · Cited by 113 · see citing works
Heart Disease Risk Perception in College Men and Women
Green, J. S., Grant, M., Hill, K. L., Brizzolara, J., & Belmont, B. (2003) · Journal of American College Health · doi:10.1080/07448480309596352 · Cited by 110 · see citing works
Sax, L. J., Gilmartin, S. K., Lee, J. J., & Hagedorn, L. S. (2008) · Community College Journal of Research and Practice · doi:10.1080/10668920802000423 · Cited by 109 · see citing works
Behavioral Science Research in the Prevention of Diabetes
Fisher, E. B., Walker, E. A., Bostrom, A., Fischhoff, B., Haire-Joshu, D. L., & Johnson, S. B. (2002) · Diabetes Care · doi:10.2337/diacare.25.3.599 · Cited by 108 · see citing works
Womenʼs Perceptions of Coronary Heart Disease
Hart, P. L. (2005) · The Journal of Cardiovascular Nursing · doi:10.1097/00005082-200505000-00008 · Cited by 102 · see citing works
Attitudes toward healthy eating: a mediator of the educational level–diet relationship
Lê, J., Dallongeville, J., Wagner, A., Arveiler, D., Haas, B., Cottel, D., Simon, C., & Dauchet, L. (2013) · European Journal of Clinical Nutrition · doi:10.1038/ejcn.2013.110 · Cited by 92 · see citing works
Kulavic, K., Hultquist, C. N., & McLester, J. R. (2012) · Journal of American College Health · doi:10.1080/07448481.2012.753890 · Cited by 89 · see citing works
Kimura, K., Yamada, T., Matsumoto, M., Kido, Y., Hosooka, T., Asahara, S., Matsuda, T., Ota, T., Watanabe, H., Sai, Y., et al. (2011) · Diabetes · doi:10.2337/db10-1684 · Cited by 88 · see citing works
Physical Activity and Dietary Habits of College Students
Downes, L. S. (2015) · The Journal for Nurse Practitioners · doi:10.1016/j.nurpra.2014.11.015 · Cited by 80 · see citing works
Factors Related to Physically Active Leisure among College Students
Sylvia-Bobiak, S. N., & Caldwell, L. L. (2006) · Leisure Sciences · doi:10.1080/01490400500332728 · Cited by 75 · see citing works
Heart Disease Awareness Among College Students
Collins, K. M., Dantico, M. K., Shearer, N. B. C., et al. (2004) · Journal of Community Health · doi:10.1023/b:johe.0000038655.19448.b2 · Cited by 74 · see citing works
Göritz, A. S. (2010) · American Psychological Association eBooks · doi:10.1037/12076-014 · Cited by 49 · see citing works
Why build a health promotion evidence base about gender?
Keleher, H. (2004) · Health Promotion International · doi:10.1093/heapro/dah313 · Cited by 46 · see citing works
Self-Reported Versus Measured Height and Weight in Hispanic and Non-Hispanic Menopausal Women
Griebeler, M. L., Levis, S., Beringer, L. M., Chacra, W., & Gómez-Marı́n, O. (2011) · Journal of Women s Health · doi:10.1089/jwh.2009.1850 · Cited by 35 · see citing works
Burke, S. M., Carron, A. V., & Eys, M. (2005) · PubMed · Cited by 32 · see citing works
Dickerson, J. B., Smith, M. L., Sosa, E. T., McKyer, E. L. J., & Ory, M. G. (2011) · Journal of Health Psychology · doi:10.1177/1359105311412840 · Cited by 30 · see citing works
Unrealistic optimism about diet-related risks: implications for interventions
Raats, M. M., & SPARKS, P. B. (1995) · Proceedings of The Nutrition Society · doi:10.1079/pns19950073 · Cited by 28 · see citing works
The validity of self-report weight and height as a surrogate method for direct measurement
Powell-Young, Y. M. (2010) · Applied Nursing Research · doi:10.1016/j.apnr.2010.06.001 · Cited by 27 · see citing works
Rich, S. S., & Thomas, C. R. (2008) · Journal of American College Health · doi:10.3200/jach.56.6.623-628 · Cited by 27 · see citing works
College Students' Perceived Disease Risk Versus Actual Prevalence Rates
Smith, M. L., Dickerson, J. B., Sosa, E. T., McKyer, E. L. J., & Ory, M. G. (2012) · American Journal of Health Behavior · doi:10.5993/ajhb.36.1.10 · Cited by 26 · see citing works
Reyes-Velázquez, W., & Sealey‐Potts, C. (2015) · Diabetes Spectrum · doi:10.2337/diaspect.28.1.5 · Cited by 24 · see citing works
Implications of The Dimensionality of Unrealistic Optimism For The Study of Perceived Health Risks
Nezlek, J. B., & Zebrowski, B. D. (2001) · Journal of Social and Clinical Psychology · doi:10.1521/jscp.20.4.521.22399 · Cited by 23 · see citing works
Nishigaki, M., Kobayashi, K., Hitomi, T., et al. (2007) · Diabetes Care · doi:10.2337/dc07-0688 · Cited by 18 · see citing works
Amuta, A. O., Barry, A. E., & McKyer, E. L. J. (2015) · American Journal of Health Behavior · doi:10.5993/ajhb.39.6.6 · Cited by 17 · see citing works
Self-citationDenton, J. C., Schultz, R., Jamurtas, A. Z., & Angelopoulos, T. J. (2004) · Preventive Medicine · doi:10.1016/j.ypmed.2003.12.017 · Cited by 15 · see citing works
Lewis, G. H., Sheringham, J., Bernal, J. L., et al. (2014) · CRC Press eBooks · doi:10.1201/b17699 · Cited by 11 · see citing works
Influence of Family History of Cancer on Engagement in Protective Health Behaviors
Amuta, A. O., & Barry, A. E. (2015) · American Journal of Health Education · doi:10.1080/19325037.2015.1023478 · Cited by 9 · see citing works
Self-citationNavarro, V. (1993) · Cited by 8 · see citing works
Mastering Public Health: A Postgraduate Guide to Examinations and Revalidation, Second Edition
Lewis, G. H., Sheringham, J., Bernal, J. L., et al. (2014) · LSHTM Research Online (London School of Hygiene and Tropical Medicine) · Cited by 3 · see citing works
Amuta, A. O., & Barry, A. E. (2020) · American journal of health studies · doi:10.47779/ajhs.2015.180 · Cited by 2 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Methodological Approaches in Studying Type-2 Diabetes-Related Health Behaviors—A Systematic Review
Khandoker, F., & Grigsby, T. J. (2025) · Applied Sciences · doi:10.3390/app151910567 · Cited by 2 · see citing works
- Authors
- Amuta, A. O., Jacobs, W., Barry, A. E., Popoola, O. A., & Crosslin, K.
- Affiliations
- Texas Woman's University (US)
- Texas A&M University (US)
- University of North Texas Health Science Center (US)
- Corresponding author
- Amuta, Ann O.
- Venue
- American Journal of Health Education
- Publisher
- Informa UK Limited
- Published
- 2016-08-30
- Volume
- 47
- Issue
- 5
- Pages
- 315-323
- ISSN
- 1932-5037 (ISSN-L)
- 2168-3751
- OpenAlex
- W2515898763
- Cited by
- 22
- References
- 66
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 3 · 2023: 1 · 2022: 3 · 2021: 1 · 2020: 3 · 2019: 5 · 2017: 2
- FWCI
- 2.32
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Health Education (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Health Professions › General Health Professions › Health and Lifestyle Studies
- Keywords
- type 2 diabetes, gender differences, adolescents, overweight, obesity, diabetes risk perception, attitudes toward healthy eating, fruit and vegetable intake, physical activity, protective health behaviors, diabetes prevention, university students
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review