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Gepubliceerd in:

17-05-2019

Sex, race, and the role of relationships in diabetes health: intersectionality matters

Auteurs: Jeanean B. Naqvi, Vicki S. Helgeson, Tiffany L. Gary-Webb, Mary T. Korytkowski, Howard J. Seltman

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 1/2020

Abstract

Previous research has seldom used an intersectionality framework to consider how sex and race affect diabetes health, nor has it examined the role of sex and race in the well-established link between romantic relationship quality and health. This study targeted 200 adults with type 2 diabetes (46% Black; 45% female) and examined whether sex, race, and the interaction between sex and race predicted behavioral and psychological health, or moderated the link between relationship quality and health outcomes. Black women reported poorer diabetes self-care and lower self-efficacy compared to other groups. Relationship quality was associated with better self-care, increased self-efficacy, and lower depressive symptoms. The association between relationship quality and medication adherence was stronger for Black women, and the association between relationship quality and self-efficacy was stronger for both Black women and White men. Results suggest that Black women with diabetes experience more health disadvantages than other groups, but some of these disadvantages might be attenuated by supportive romantic relationships.

vorige artikel Assessing the association of depression and anxiety with symptom reporting among individuals with type 2 diabetes

volgende artikel Proof of concept trial for a new theory-based intervention to promote child and adult behavior change

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Household income was not measured during the initial assessment, but was measured during the 6-month follow-up interview. The average of patient and partner responses was taken. Missing data were imputed.

When we conducted the analyses excluding interracial couples, findings largely remained the same: the marginal effect of sex on diabetes distress became significant, F(1,182) = 5.14, p = .03.

When we conducted the analyses excluding couples with a less recent diagnosis, the significant interaction between sex and race on diabetes self-care became marginal, F(1,181) = 3.71, p = .06.

American Diabetes Association. (2018). 6. Glycemic targets: Standards of medical care in diabetes—2018. Diabetes Care,41(Supplement 1), S55–S64.

Banks, R. R. (2011). Is marriage for White people? How the African American marriage decline affects everyone. New York, NY: Dutton.

Barnes, D. M., & Bates, L. M. (2017). Do racial patterns in psychological distress shed light on the Black–White depression paradox? A systematic review. Social Psychiatry and Psychiatric Epidemiology,52, 913–928.PubMed

Bauer, G. R. (2014). Incorporating intersectionality theory into population health research methodology: Challenges and the potential to advance health equity. Social Science and Medicine,110, 10–17.PubMed

Boyle, J. P., Thompson, T. J., Gregg, E. W., Barker, L. E., & Williamson, D. F. (2010). Projection of the year 2050 burden of diabetes in the US adult population: Dynamic modeling of incidence, mortality, and prediabetes prevalence. Population Health Metrics,8, 29.PubMedPubMedCentral

Brody, D. J., Pratt, L. A., & Hughes, J. P. (2018). Prevalence of depression among adults aged 20 and over: United States, 2013–2016. NCHS Data Brief,303, 1–8.

Brown, D. L. (2008). African American resiliency: Examining racial socialization and social support as protective factors. Journal of Black Psychology,34, 32–48.

Centers for Disease Control and Prevention. (2017). National diabetes statistics report, 2017. Atlanta, GA: Centers for Disease Control and Prevention, US Department of Health and Human Services.

Cherrington, A., Wallston, K. A., & Rothman, R. L. (2010). Exploring the relationship between diabetes self-efficacy, depressive symptoms, and glycemic control among men and women with type 2 diabetes. Journal of Behavioral Medicine,33, 81–89.PubMedPubMedCentral

Chiu, C. J., & Wray, L. A. (2010). Gender differences in functional limitations in adults living with type 2 diabetes: Biobehavioral and psychosocial mediators. Annals of Behavioral Medicine,41, 71–82.

Cole, E. R. (2009). Intersectionality and research in psychology. American Psychologist,64, 170–180.PubMed

Crenshaw, K. (1989). Demarginalizing the intersection of race and sex: A Black feminist critique of antidiscrimination doctrine, feminist theory and antiracist politics. University of Chicago Legal Forum,140, 139–167.

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, 1096–1101.PubMedPubMedCentral

Geiss, L. S., Wang, J., Cheng, Y. J., Thompson, T. J., Barker, L., Li, Y., et al. (2014). Prevalence and incidence trends for diagnosed diabetes among adults aged 20 to 79 years, United States, 1980–2012. JAMA,312, 1218–1226.PubMed

Geronimus, A. T. (2001). Understanding and eliminating racial inequalities in women’s health in the United States: The role of the weathering conceptual framework. Journal of the American Medical Women’s Association,56, 133–136.PubMed

Goldzweig, G., Andritsch, E., Hubert, A., Walach, N., Perry, S., Brenner, B., et al. (2009). How relevant is marital status and gender variables in coping with colorectal cancer? A sample of middle-aged and older cancer survivors. Psycho-Oncology,18, 866–874.PubMed

Hausmann, L. R., Ren, D., & Sevick, M. A. (2010). Racial differences in diabetes-related psychosocial factors and glycemic control in patients with type 2 diabetes. Patient Preference and Adherence,4, 291–299.PubMedPubMedCentral

Hunter, C. M. (2016). Understanding diabetes and the role of psychology in its prevention and treatment. American Psychologist,71, 515–525.PubMed

Kim, G., Shim, R., Ford, K. L., & Baker, T. A. (2015). The relation between diabetes self-efficacy and psychological distress among older adults: Do racial and ethnic differences exist? Journal of Aging and Health,27, 320–333.PubMed

Leeman, J., Skelly, A. H., Burns, D., Carlson, J., & Soward, A. (2008). Tailoring a diabetes self-care intervention for use with older, rural African American women. The Diabetes Educator,34, 310–317.PubMed

Li, C., Ford, E. S., Strine, T. W., & Mokdad, A. H. (2008). Prevalence of depression among US adults with diabetes: Findings from the 2006 Behavioral Risk Factor Surveillance System. Diabetes Care,31, 105–107.PubMed

Lincoln, K. D., & Chae, D. H. (2010). Stress, marital satisfaction, and psychological distress among African Americans. Journal of Family Issues,31, 1081–1105.

Mayberry, L. S., Bergner, E. M., Chakkalakal, R. J., Elasy, T. A., & Osborn, C. Y. (2016). Self-care disparities among adults with type 2 diabetes in the USA. Current Diabetes Reports,16, 113.PubMedPubMedCentral

McGuire, B. E., Morrison, T. G., Hermanns, N., Skovlund, S., Eldrup, E., Gagliardino, J., et al. (2010). Short-form measures of diabetes-related emotional distress: The Problem Areas in Diabetes Scale (PAID)-5 and PAID-1. Diabetologia,53, 66–69.PubMed

Morisky, D. E., Green, L. W., & Levine, D. M. (1986). Concurrent and predictive validity of a self-reported measure of medication adherence. Medical Care,24, 67–74.PubMed

Norton, R. (1983). Measuring marital quality: A critical look at the dependent variable. Journal of Marriage and the Family,45, 141–151.

Nouwen, A., Winkley, K., Twisk, J., Lloyd, C. E., Peyrot, M., Ismail, K., et al. (2010). Type 2 diabetes mellitus as a risk factor for the onset of depression: A systematic review and meta-analysis. Diabetologica,53(12), 2480–2486.

Peyrot, M., Egede, L. E., Campos, C., Cannon, A. J., Funnell, M. M., Hsu, W. C., et al. (2014). Ethnic differences in psychological outcomes among people with diabetes: USA results from the second Diabetes Attitudes, Wishes, and Needs (DAWN2) study. Current Medical Research and Opinion,30, 2241–2254.PubMed

Polonsky, W. H., Fisher, L., Earles, J., Dudl, R. J., Lees, J., Mullan, J., et al. (2005). Assessing psychosocial distress in diabetes: Development of the Diabetes Distress Scale. Diabetes Care,28, 626–631.PubMed

Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement,1, 385–401.

Rintala, T. M., Jaatinen, P., Paavilainen, E., & Åstedt-Kurki, P. (2013). Interrelation between adult persons with diabetes and their family: A systematic review of the literature. Journal of Family Nursing,19, 3–28.PubMed

Robles, T. F., Slatcher, R. B., Trombello, J. M., & McGinn, M. M. (2014). Marital quality and health: A meta-analytic review. Psychological Bulletin,140, 140–187.PubMed

Rosland, A. M., Heisler, M., & Piette, J. D. (2012). The impact of family behaviors and communication patterns on chronic illness outcomes: A systematic review. Journal of Behavioral Medicine,35, 221–239.PubMed

Roy, T., & Lloyd, C. E. (2012). Epidemiology of depression and diabetes: A systematic review. Journal of Affective Disorders,142, S8–S21.PubMed

Schaefer, M. T., & Olson, D. H. (1981). Assessing intimacy: The PAIR inventory. Journal of Marital and Family Therapy,7, 47–60.

Sesko, A. K., & Biernat, M. (2010). Prototypes of race and gender: The invisibility of Black women. Journal of Experimental Social Psychology,46, 356–360.

Talbot, F., Nouwen, A., Gingras, J., Gosselin, M., & Audet, J. (1997). The assessment of diabetes-related cognitive and social factors: The multidimensional diabetes questionnaire. Journal of Behavioral Medicine,20, 291–312.PubMed

Toobert, D. J., & Glasgow, R. E. (1994). Assessing diabetes self-management: The summary of diabetes self-care activities questionnaire. In C. Bradley (Ed.), Handbook of psychology and diabetes (pp. 351–375). Eugene, OR: Oregon Research Institute.

Vancampfort, D., Mitchell, A. J., De Hert, M., Sienaert, P., Probst, M., Buys, R., et al. (2015). Type 2 diabetes in patients with major depressive disorder: A meta-analysis of prevalence estimates and predictors. Depression and Anxiety,32, 763–773.PubMed

Wiebe, D. J., Helgeson, V., & Berg, C. A. (2016). The social context of managing diabetes across the life span. American Psychologist,71, 526–538.PubMed

Williams, D. R., Mohammed, S. A., Leavell, J., & Collins, C. (2010). Race, socioeconomic status, and health: complexities, ongoing challenges, and research opportunities. Annals of the New York Academy of Sciences,1186, 69–101.PubMedPubMedCentral

Yu, M. K., Lyles, C. R., Bent-Shaw, L. A., & Young, B. A. (2013). Sex disparities in diabetes process of care measures and self-care in high-risk patients. Journal of Diabetes Research,2013, 575814.PubMedPubMedCentral

Titel: Sex, race, and the role of relationships in diabetes health: intersectionality matters
Auteurs: Jeanean B. Naqvi
Vicki S. Helgeson
Tiffany L. Gary-Webb
Mary T. Korytkowski
Howard J. Seltman
Publicatiedatum: 17-05-2019
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 1/2020
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-019-00057-w

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