This research aimed to study the causal relationships model of the factors influencing glycemic control among pre-diabetes population in Phrom Phiram district, Phitsanulok province. Determining the sample size under the assumptions of the structural equation analysis. The sample consisted of 530 participants, who were recruited by a multistage sampling. Data were collected by questionnaire with reliability value between 0.83- 0.95. Data were analyzed using descriptive statistics and Structural Equation Model (SEM) by LISREL 8.52 software. The study results revealed that 530 participants were Thai (80.8%), Lao Krang ethnic group (14.3%), and Thai of Chinese origin (4.9%) respectively. The majority of participants were female (58.5 %), The mean age was 49.59 years and S.D. of 7.15. 42.5% had primary school level of educational. The mean income was 10,000 bath and S.D. of 7,243.84. 76.6% had duration of pre-diabetes 1-6 years, 77.2% had a family history of diabetes and the mean fasting blood sugar level was 112.57 mg./dl. and S.D. of 8.80. Based on the analysis, a structural equation model that fit to the data was obtained with Chi-Square/df =1.17, P-value=0.0576, GFI=0.99, AGFI=0.97,
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