<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-5552</journal-id>
<journal-title><![CDATA[Revista Salud Uninorte]]></journal-title>
<abbrev-journal-title><![CDATA[Salud, Barranquilla]]></abbrev-journal-title>
<issn>0120-5552</issn>
<publisher>
<publisher-name><![CDATA[Fundación Universidad del Norte, División de Ciencias de la]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-55522023000200617</article-id>
<article-id pub-id-type="doi">10.14482/sun.39.02.618.210</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Las barreras de autocuidado y el empoderamiento de la diabetes tipo 2 en adultos mexicanos: un modelo estructural]]></article-title>
<article-title xml:lang="en"><![CDATA[Self-care barriers and the empowerment of type 2 diabetes in mexican adults: a structural model]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[MEDINA-FERNÁNDEZ]]></surname>
<given-names><![CDATA[JOSUÉ]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[TORRES-SOTO]]></surname>
<given-names><![CDATA[NISSA YAING]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[MARTÍNEZ-RAMÍREZ]]></surname>
<given-names><![CDATA[BEATRIZ]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[FUENTES-FERNÁNDEZ]]></surname>
<given-names><![CDATA[ESMERALDA]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[CANDILA-CELIS]]></surname>
<given-names><![CDATA[JULIA]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[YAM-SOSA]]></surname>
<given-names><![CDATA[ANTONIO]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Autónoma del Estado de Quintana Roo  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Autónoma del Estado de Quintana Roo  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Autónoma del Estado de Quintana Roo  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad Autónoma del Estado de Quintana Roo  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad Autónoma del Estado de Yucatán  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Universidad Autónoma del Estado de Yucatán Facultad de Enfermería ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2023</year>
</pub-date>
<volume>39</volume>
<numero>2</numero>
<fpage>617</fpage>
<lpage>631</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-55522023000200617&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-55522023000200617&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-55522023000200617&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivo: Explicar el efecto de las barreras de autocuidado sobre el empoderamiento de la enfermedad en adultos con diabetes.  Método: Diseño correlacional-explicativo, recolectado mediante muestreo a conveniencia en 657 adultos con diabetes. Se empleó una cédula de datos personales, la escala de Barreras de Autocuidado (&#945; =0.78) y la escala de Empoderamiento en Diabetes (&#945;=0.89). Se aplicó el consentimiento informado y requerimientos legales para la investigación. Se utilizó estadística descriptiva, al igual que estadística inferencial como la prueba de Spearman y un modelo de ecuaciones estructurales.  Resultados: Los participantes tuvieron una M=50.10 años, siendo la mayoría mujer (58.9 %) y adulto maduro (37.6 %). El 56.5 % no tiene empoderamiento en diabetes y tuvo una M=82.12 en las barreras de autocuidado. El empoderamiento se relaciona con la edad (r=-0.199), los años de vivir con diabetes (r=-0.097) y con las barreras de autocuidado (r=0.302). Aunado, ambas se explican (- 0.34). Los indicadores de bondad fueron %2= 35.309 (8 g.l.), p&lt;.0001, X2 relativa= 4.41, y al igual los indicadores prácticos fueron de BBNFI=.99, BBNNFI=.98, CFI=.99 y el RMSEA= .07, explicando el 12 % de la varianza de empoderamiento de la diabetes.  Conclusión: Se confirma mediante el modelo de ecuaciones estructurales que las barreras de autocuidado influyen positiva y significativamente en un 12 % sobre el empoderamiento de la diabetes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Objective: To explain the effect of self-care barriers on disease empowerment in adults with diabetes.  Method: Correlational-explanatory design, collected by convenient sampling in 657 adults with diabetes. We used a personal data card, the Self-Care Barriers Scale (&#945; =0.78), and the Diabetes Empowerment Scale (&#945; =0.89). Informed consent and legal requirements for the investigation were applied. Descriptive statistics were used, as well as inferential statistics such as the Spearman test and a model of structural equations.  Results: Participants had an M=50.10 years, the majority being female (58.9%) and mature adult (37.6%). 56.5% have no empowerment in diabetes and had an M=82.12 in self-care barriers. Empowerment is related to age (r=-0,199), years of living with diabetes (r=-0,097), and barriers to self-care (r=0,302). Together, both are explained (- 0.34). The indicators of goodness were X2= 35,309 (8 g.l.), p&lt;.0001, X2 relative= 4.41, and the practical indicators were BBNFI=.99, BBNFI=.98, CFI=.99, and RMSEA=.07, explaining 12% of the variance of diabetes empowerment.  Conclusion: It is confirmed by the model of structural equations that self-care barriers positively and significantly influence 12% on the empowerment of diabetes.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[barreras de autocuidado]]></kwd>
<kwd lng="es"><![CDATA[empoderamiento para la salud]]></kwd>
<kwd lng="es"><![CDATA[diabetes mellitus tipo 2]]></kwd>
<kwd lng="es"><![CDATA[adulto]]></kwd>
<kwd lng="en"><![CDATA[self-care barriers]]></kwd>
<kwd lng="en"><![CDATA[empowerment for health]]></kwd>
<kwd lng="en"><![CDATA[diabetes mellitus]]></kwd>
<kwd lng="en"><![CDATA[diabetes mellitus]]></kwd>
<kwd lng="en"><![CDATA[diabetes mellitus type 2]]></kwd>
<kwd lng="en"><![CDATA[adult]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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