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07-11-2017 | Brief Report

Microaggressions, diabetes distress, and self-care behaviors in a sample of American Indian adults with type 2 diabetes

Auteurs: Kelley J. Sittner, Brenna L. Greenfield, Melissa L. Walls

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 1/2018

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Abstract

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.
Literatuur
go back to reference 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. 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.
go back to reference Dawson, A. Z., Walker, R. J., Campbell, J. A., & Egede, L. E. (2015). Effect of perceived racial discrimination on self-care behaviors, glycemic control, and quality of life in adults with type 2 diabetes. Endocrine, 49(2), 422–428.CrossRefPubMed Dawson, A. Z., Walker, R. J., Campbell, J. A., & Egede, L. E. (2015). Effect of perceived racial discrimination on self-care behaviors, glycemic control, and quality of life in adults with type 2 diabetes. Endocrine, 49(2), 422–428.CrossRefPubMed
go back to reference Fisher, L., Mullan, J. T., Arean, P., Glasgow, R. E., Hessler, D., & Masharani, U. (2010). Diabetes distress but not clinical depression or depressive symptoms is associated with glycemic control in both cross-sectional and longitudinal analyses. Diabetes Care, 33(1), 23–28.CrossRefPubMed Fisher, L., Mullan, J. T., Arean, P., Glasgow, R. E., Hessler, D., & Masharani, U. (2010). Diabetes distress but not clinical depression or depressive symptoms is associated with glycemic control in both cross-sectional and longitudinal analyses. Diabetes Care, 33(1), 23–28.CrossRefPubMed
go back to reference Gonzalez, J. S., Fisher, L., & Polonsky, W. H. (2011). Depression in diabetes: Have we been missing something important? Diabetes Care, 34(1), 236–239.CrossRefPubMedPubMedCentral Gonzalez, J. S., Fisher, L., & Polonsky, W. H. (2011). Depression in diabetes: Have we been missing something important? Diabetes Care, 34(1), 236–239.CrossRefPubMedPubMedCentral
go back to reference 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 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
go back to reference Muthén, L. K., & Muthén, B. O. (2007). Mplus User’s guide (5th ed.). Los Angeles: Muthen & Muthen. Muthén, L. K., & Muthén, B. O. (2007). Mplus User’s guide (5th ed.). Los Angeles: Muthen & Muthen.
go back to reference Pearlin, L. I., Menaghan, E. G., Lieberman, M. A., & Mullan, J. T. (1981). The stress process. Journal of Health and Social Behavior, 337–356. Pearlin, L. I., Menaghan, E. G., Lieberman, M. A., & Mullan, J. T. (1981). The stress process. Journal of Health and Social Behavior, 337–356.
go back to reference Toobert, D. J., Hampson, S. E., & Glasgow, R. E. (2000). The summary of diabetes self-care activities measure: Results from 7 studies and a revised scale. Diabetes Care, 23(7), 943–950.CrossRefPubMed Toobert, D. J., Hampson, S. E., & Glasgow, R. E. (2000). The summary of diabetes self-care activities measure: Results from 7 studies and a revised scale. Diabetes Care, 23(7), 943–950.CrossRefPubMed
go back to reference Turner, R. J., Wheaton, B., & Lloyd, D. A. (1995). The epidemiology of social stress. American Sociological Review, 104–125. Turner, R. J., Wheaton, B., & Lloyd, D. A. (1995). The epidemiology of social stress. American Sociological Review, 104–125.
go back to reference Williams, D. R., Haile, R., Mohammed, S. A., Herman, A., Sonnega, J., Jackson, J. S., et al. (2012). Perceived discrimination and psychological well-being in the USA and South Africa. Ethnicity and Health, 17(1–2), 111–133.CrossRefPubMedPubMedCentral Williams, D. R., Haile, R., Mohammed, S. A., Herman, A., Sonnega, J., Jackson, J. S., et al. (2012). Perceived discrimination and psychological well-being in the USA and South Africa. Ethnicity and Health, 17(1–2), 111–133.CrossRefPubMedPubMedCentral
Metagegevens
Titel
Microaggressions, diabetes distress, and self-care behaviors in a sample of American Indian adults with type 2 diabetes
Auteurs
Kelley J. Sittner
Brenna L. Greenfield
Melissa L. Walls
Publicatiedatum
07-11-2017
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 1/2018
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-017-9898-z