title: Predictors of social support, acceptance, health-promoting behaviors, and glycemic control in African-Americans with type 2 diabetes.
abstract: Chronic illness is particularly important in older African-Americans because this population comprises the fastest growing segment of that ethnic group. This study explored relationships among personal factors (education and co-morbidity), mental health, and physical functioning on social support, social support on acceptance and health-promoting behaviors, acceptance on health-promoting behaviors, and health-promoting behaviors on HgbA1c. Face-to-face interviews were conducted using a convenience sample of 63 African-Americans from a community clinic. Participants were asked their highest level of education and to indicate their chronic conditions. Other instruments used were: Health Survey (SF-36), Personal Resource Questionnaire (PRQ-85), Revised (IAD-R) scale (Acceptance), and Health-Promoting Lifestyle Profile II. Glycemic control was measured using glycosylated hemoglobin. Physical functioning was the only significant predictor of social support (beta = .30, p = .03). In turn, social support predicted acceptance (beta = .32, p = .01) and health behaviors beta = .39, p = .002).
authors.affiliation: Frances Payne Bolton School of Nursing, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, Ohio, USA. pxm9@po.cwru.edu
authors.forename: Patricia E
authors.initials: PE
authors.lastname: McDonald
authors.forename: May L
authors.initials: ML
authors.lastname: Wykle
authors.forename: Ranjita
authors.initials: R
authors.lastname: Misra
authors.forename: Nantawon
authors.initials: N
authors.lastname: Suwonnaroop
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: Burant
mesh_terms: D001741:Black or African American / Q000523:psychology*; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology / Q000378:metabolism / Q000517:prevention & control*; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D015438:Health Behavior / Q000208:ethnology*; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D015404:Nursing Methodology Research; D009820:Ohio; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D010865:Pilot Projects; D011237:Predictive Value of Tests; D012944:Social Support; D011795:Surveys and Questionnaires
chemical_list: D006442:Glycated Hemoglobin