Microaggressions, diabetes distress, and self-care behaviors in a sample of American Indian adults with type 2 diabetes.
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...
| Publicado en: | Journal of Behavioral Medicine Vol. 41; no. 1; pp. 122 - 130 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Feb2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=127247448&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 127247448 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01607715 JBM jtl: Journal of Behavioral Medicine issn: 01607715 maglogo: N pubinfo: dt: Feb2018 vid: 41 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 127247448 127247448 144037679 127247448 10.1007/s10865-017-9898-z 127247448 ppf: 122 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Microaggressions, diabetes distress, and self-care behaviors in a sample of American Indian adults with type 2 diabetes. aug: au: Sittner, Kelley J. Greenfield, Brenna L. Walls, Melissa L. affil: Department of Sociology, Oklahoma State University, 431 Murray Hall, 74078, Stillwater, OK, USA sug: subj: Minority Stress Aggression Evaluation Diabetes Mellitus, Type 2 Psychosocial Factors Native Americans Psychosocial Factors Self Care Evaluation Symptom Distress Evaluation Human Health Status Disparities Structural Equation Modeling Diet Exercise Racism Male Female Middle Age Adolescence Young Adult Adult Aged Sample Size Middle Aged: 45-64 years Adolescent: 13-18 years Adult: 19-44 years Aged: 65+ years Male Female ab: 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. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Unknown language: English refInfo: holdings: @attributes: islocal: N |
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