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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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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.

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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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