Coping and psychosocial adaptation to Type 2 diabetes in older Blacks born in the Southern US and the Caribbean.
Older Black men and women (n = 212) with Type 2 diabetes completed questionnaires. Spearman's rho correlation indicated that confrontive coping strategies supported effective psychosocial adaptation for persons originally from Haiti and Jamaica, while emotive coping strategies were related to ineffective psychosocial adaptation for persons originally from Barbados and to increased psychological distress for all participants. Women used more palliative coping; no gender differences were observed for psychosocial adaptation. Health care orientation, extended family relationships, and psychological distress domains distinguished Blacks born in Haiti from Blacks born in Barbados and Jamaica, the Southern US and Jamaica, and the Southern US, Barbados, and Jamaica. Findings from this study may aid in the development of interventions focused on improving diabetes self-management for older Blacks.
Degazon
Cynthia E
CE
Hunter College of the City University of New York, Hunter-Bellevue School of Nursing, New York, NY, USA.
Parker
Veronica G
VG
D000223:Adaptation, Psychological; D001741:Black or African American / Q000193:education / Q000208:ethnology*; D000704:Analysis of Variance; D001294:Attitude to Health / Q000208:ethnology*; D001460:Barbados / Q000208:ethnology; D044383:Black People / Q000193:education / Q000208:ethnology*; D003431:Cross-Cultural Comparison; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology* / Q000517:prevention & control; D004644:Emotions; D005190:Family / Q000208:ethnology; D005260:Female; D006205:Haiti / Q000208:ethnology; D006801:Humans; D007563:Jamaica / Q000208:ethnology; D008297:Male; D009511:New England; D015404:Nursing Methodology Research; D012111:Residence Characteristics; D012944:Social Support; D015144:Southeastern United States / Q000208:ethnology; D011795:Surveys and Questionnaires; D014300:Trinidad and Tobago / Q000208:ethnology; D014505:Urban Population