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Gepubliceerd in: Journal of Youth and Adolescence 12/2017

31-01-2017 | Empirical Research

Explaining the Association between Early Adversity and Young Adults’ Diabetes Outcomes: Physiological, Psychological, and Behavioral Mechanisms

Auteurs: Kandauda A. S. Wickrama, Dayoung Bae, Catherine Walker O’Neal

Gepubliceerd in: Journal of Youth and Adolescence | Uitgave 12/2017

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Abstract

Previous studies have documented that early adversity increases young adults’ risk for diabetes resulting in morbidity and comorbidity with adverse health conditions. However, less is known about how inter-related physiological (e.g., body mass index [BMI]), psychological (e.g., depressive symptoms), and behavioral mechanisms (e.g., unhealthy eating and sedentary behavior) link early adversity to young adults’ diabetes outcomes, although these mechanisms appear to stem from early stressful experiences. The current study tested the patterning of these longitudinal pathways leading to young adults’ diabetes using a nationally representative sample of 13,286 adolescents (54% female) over a period of 13 years. The findings indicated that early adversity contributed to elevated BMI, depressive symptoms, and stress-related health behaviors. The impact of these linking mechanisms on hierarchical diabetes outcomes (i.e., prediabetes and diabetes) remained significant after taking their associations with each other into account, showing that these mechanisms operate concurrently. The findings emphasize the importance of early detection for risk factors of young adults’ diabetes in order to minimize their detrimental health effects.
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Metagegevens
Titel
Explaining the Association between Early Adversity and Young Adults’ Diabetes Outcomes: Physiological, Psychological, and Behavioral Mechanisms
Auteurs
Kandauda A. S. Wickrama
Dayoung Bae
Catherine Walker O’Neal
Publicatiedatum
31-01-2017
Uitgeverij
Springer US
Gepubliceerd in
Journal of Youth and Adolescence / Uitgave 12/2017
Print ISSN: 0047-2891
Elektronisch ISSN: 1573-6601
DOI
https://doi.org/10.1007/s10964-017-0639-y

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