Correlates of self-care in low-income African American and Latino patients with diabetes

Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association
Rosalba HernandezYoung-Ku Choi

Abstract

This study aimed to examine diabetes self-care (DSC) patterns in low-income African American and Latino patients with Type 2 diabetes, and identify patient-related, biomedical/disease-related, and psychosocial correlates of DSC. We performed cross-sectional analysis of survey data from African Americans and Latinos aged ≥18 years with Type 2 diabetes (n = 250) participating in a diabetes self-management intervention at 4 primary care clinics. The Summary of Diabetes Self-Care Activities captured the subcomponents of healthy eating, physical activity, blood sugar testing, foot care, and smoking. Correlates included patient-related attributes, biomedical/disease-related factors, and psychosocial constructs, with their multivariable influence assessed with a 3-step model building procedure using regression techniques. Baseline characteristics were as follows: mean age of 53 years (SD = 12.4); 69% female; 53% African American; 74% with incomes below $20,000; and 60% with less than a high school education. DSC performance levels were highest for foot care (4.5/7 days) and lowest for physical activity (2.5/7 days). Across racial/ethnic subgroups, diabetes-related distress was the strongest correlate for DSC when measured as a composi...Continue Reading

Citations

Feb 13, 2018·Journal of Immigrant and Minority Health·Alana M W LeBrónGloria Palmisano
Sep 28, 2016·Current Diabetes Reports·Lindsay Satterwhite MayberryChandra Y Osborn
Jul 22, 2018·Journal of Transcultural Nursing : Official Journal of the Transcultural Nursing Society·Wei PanDeborah Toobert
Nov 21, 2020·Current Diabetes Reports·Jennifer DiasTeresa Janevic
Oct 17, 2020·Diabetes, Metabolic Syndrome and Obesity : Targets and Therapy·Adugna OlumaEba Abdissa
Oct 24, 2020·The Nurse Practitioner·Hsiao-Hui Ju

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