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American Indian/Alaska Native people experience the highest age-adjusted prevalence of type 2 diabetes of any racial group in the United States, as well as high rates of related health problems. Chronic stressors such as perceived discrimination are important contributors to these persistent health disparities. The current study used structural equation modeling to examine the relationships between racial microaggressions, diabetes distress, and self-care behaviors (diet and exercise) in a sample of 192 American Indians with type 2 diabetes from the northern United States. We found that microaggressions was positively associated with diabetes distress and that microaggressions had an indirect link to self-care via diabetes distress. Diabetes distress is an important mechanism linking microaggressions to self-care behaviors, which are critical to successful disease management and the reduction of complications. The amelioration of diabetes distress could improve self-care even in the presence of pervasive, chronic social stressors such as microaggressions.
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Blackwell, D. L., Lucas, J. S., & Clarke, T. C. (2014). Summary health statistics for U.S. adults: National health interview survey, 2012. Vital Health Statistics, 10(260), 1–161.
Chae, D. H., & Walters, K. L. (2009). Racial discrimination and racial identity attitudes in relation to self-rated health and physical pain and impairment among two-spirit American Indians/Alaska Natives. American Journal of Public Health, 99, S144–S151. https://doi.org/10.2105/AJPH.2007.126003 CrossRefPubMedPubMedCentral
Fisher, L., Mullan, J. T., Skaff, M. M., Glasgow, R. E., Arean, P., & Hessler, D. (2009). Predicting diabetes distress in patients with type 2 diabetes: A longitudinal study. Diabetic Medicine, 26(6), 622–627. https://doi.org/10.1111/j.1464-5491.2009.02730.x CrossRefPubMedPubMedCentral
Fisher, L., Skaff, M. M., Mullan, J. T., Arean, P., Glasgow, R., & Masharani, U. (2008). A longitudinal study of affective and anxiety disorders, depressive affect and diabetes distress in adults with type 2 diabetes. Diabetic Medicine, 25(9), 1096–1101. https://doi.org/10.1111/j.1464-5491.2008.02533.x CrossRefPubMedPubMedCentral
Gonzales, K. L., Lambert, W. E., Fu, R., Jacob, M., & Harding, A. K. (2014). Perceived racial discrimination in health care, completion of standard diabetes services, and diabetes control among a sample of American Indian women. The Diabetes Educator, 40(6), 747–755. https://doi.org/10.1177/0145721714551422 CrossRefPubMed
Indian Health Service. (2016). Indian Health Disparities. Rockville, MD: Indian Health Service. Retrieved from https://www.ihs.gov/newsroom/factsheets/disparities/
Iwasaki, Y., Bartlett, J., & O’Neil, J. (2005). Coping with stress among Aboriginal women and men with diabetes in Winnipeg, Canada. Social Science and Medicine, 60(5), 977–988. https://doi.org/10.1016/j.socscimed.2004.06.032 CrossRefPubMed
Lewis, T. T., Cogburn, C. D., & Williams, D. R. (2015). Self-reported experiences of discrimination and health: Scientific advances, ongoing controversies, and emerging issues. Annual Review of Clinical Psychology, 11, 407–440. https://doi.org/10.1146/annurev-clinpsy-032814-112728 CrossRefPubMedPubMedCentral
McQuaid, R. J., Bombay, A., McInnis, O. A., Matheson, K., & Anisman, H. (2015). Childhood adversity, perceived discrimination, and coping strategies in relation to depressive symptoms among First Nations adults in Canada: The moderating role of unsupportive social interactions from ingroup and outgroup members. Cultural Diversity and Ethnic Minority Psychology, 21(3), 326–336. https://doi.org/10.1037/a0037541 CrossRefPubMed
Muthén, L. K., & Muthén, B. O. (2007). Mplus User’s guide (5th ed.). Los Angeles: Muthen & Muthen.
National Center for Health Statistics. (2016). Health, United States, 2015: With Special Feature on Racial and Ethnic Health Disparities. Hyattsville, MD: U.S. Department of Health and Human Services. Retrieved from http://www.cdc.gov/nchs/data/hus/hus15.pdf#specialfeature
Pearlin, L. I., Menaghan, E. G., Lieberman, M. A., & Mullan, J. T. (1981). The stress process. Journal of Health and Social Behavior, 337–356.
Schmitt, A., Reimer, A., Kulzer, B., Haak, T., Gahr, A., & Hermanns, N. (2015). Negative association between depression and diabetes control only when accompanied by diabetes-specific distress. Journal of Behavioral Medicine, 38(3), 556–564. https://doi.org/10.1007/s10865-014-9604-3 CrossRefPubMed
Sue, D. W., Capodilupo, C. M., Torino, G. C., Bucceri, J. M., Holder, A., Nadal, K. L., et al. (2007). Racial microaggressions in everyday life: implications for clinical practice. American Psychologist, 62(4), 271. https://doi.org/10.1037/0003-066X.62.4.271 CrossRefPubMed
Turner, R. J., Wheaton, B., & Lloyd, D. A. (1995). The epidemiology of social stress. American Sociological Review, 104–125.
Walls, M. L., Gonzalez, J., Gladney, T., & Onello, E. (2015). Unconscious biases: Racial microaggressions in American Indian health care. The Journal of the American Board of Family Medicine, 28(2), 231–239. https://doi.org/10.3122/jabfm.2015.02.140194 CrossRefPubMed
Zagarins, S. E., Allen, N. A., Garb, J. L., & Welch, G. (2012). Improvement in glycemic control following a diabetes education intervention is associated with change in diabetes distress but not change in depressive symptoms. Journal of Behavioral Medicine, 35(3), 299–304. https://doi.org/10.1007/s10865-011-9359-z CrossRefPubMed
- Microaggressions, diabetes distress, and self-care behaviors in a sample of American Indian adults with type 2 diabetes
Kelley J. Sittner
Brenna L. Greenfield
Melissa L. Walls
- Springer US