title: Diabetes-specific emotional distress among African Americans and Hispanics with type 2 diabetes.
abstract: This study examines baseline levels and correlates of diabetes-related emotional distress among inner-city African Americans and Hispanics with type 2 diabetes. The Problem Areas in Diabetes (PAID) scale, which measures diabetes-related emotional distress, was administered to 180 African American and Hispanic adults participating in the REACH Detroit Partnership. We examined bivariate and multivariate associations between emotional distress and biological, psychosocial, and quality of health care variables for African Americans and Hispanics. Scores were significantly higher among Hispanics than African Americans. Demographic factors were stronger predictors of emotional distress for Hispanics than for African Americans. Daily hassles, physician support, and perceived seriousness and understanding of diabetes were significant for African Americans. Understanding the personal, family and community context of living with diabetes and conducting interventions that provide support and coping strategies for self-management have important implications for reducing health disparities among disadvantaged racial and ethnic groups.
authors.affiliation: University of Michigan School of Social Work, USA. spencerm@umich.edu
authors.forename: Michael S
authors.initials: MS
authors.lastname: Spencer
authors.forename: Edith C
authors.initials: EC
authors.lastname: Kieffer
authors.forename: Brandy R
authors.initials: BR
authors.lastname: Sinco
authors.forename: Gloria
authors.initials: G
authors.lastname: Palmisano
authors.forename: J Ricardo
authors.initials: JR
authors.lastname: Guzman
authors.forename: Sherman A
authors.initials: SA
authors.lastname: James
authors.forename: Gwendolyn
authors.initials: G
authors.lastname: Graddy-Dansby
authors.forename: Jacqueline
authors.initials: J
authors.lastname: Two Feathers
authors.forename: Michele
authors.initials: M
authors.lastname: Heisler
mesh_terms: D000328:Adult; D001741:Black or African American / Q000193:education / Q000523:psychology*; D040343:Behavioral Risk Factor Surveillance System; D003863:Depression / Q000208:ethnology* / Q000209:etiology; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology* / Q000503:physiopathology / Q000523:psychology*; D005260:Female; D040361:Healthy People Programs / Q000458:organization & administration*; D006630:Hispanic or Latino / Q000193:education / Q000523:psychology*; D006801:Humans; D008297:Male; D008824:Michigan; D008875:Middle Aged; D010146:Pain / Q000209:etiology / Q000523:psychology; D011787:Quality of Health Care; D012648:Self Care; D018434:Sickness Impact Profile; D012959:Socioeconomic Factors; D013315:Stress, Psychological / Q000208:ethnology / Q000209:etiology; D014504:Urban Health