title: Adherence and glycemic control among Hispanic youth with type 1 diabetes: role of family involvement and acculturation.
abstract: OBJECTIVE
  To assess whether family involvement and acculturation were related to adherence and glycemic control among Hispanic youth with type 1 diabetes (T1D).
  
  
  METHODS
  Hispanic youth with T1D (n = 111; M age = 13.33; 53% female) and parents completed questionnaires that assessed diabetes-related family involvement (distribution of responsibility for diabetes, family support for diabetes), acculturation (linguistic acculturation, generational status), and adherence. HbA1c levels indexed glycemic control.
  
  
  RESULTS
  Better adherence was associated with less adolescent independent responsibility, more family support for diabetes, and more recent immigration (fewer generations of the family living in US). Family support mediated the relationship between responsibility and adherence. Better glycemic control was associated with higher levels of parental education and adherence.
  
  
  CONCLUSIONS
  Family support for diabetes is important for adherence among Hispanic youth with T1D. Research should examine aspects of recent immigration that contribute to better adherence and the impact of supportive interventions on diabetes care.
authors.affiliation: University of Miami, Coral Gables, FL 33146, USA. ohsin@psy.miami.edu
authors.forename: Olivia
authors.initials: O
authors.lastname: Hsin
authors.forename: Annette M
authors.initials: AM
authors.lastname: La Greca
authors.forename: Jessica
authors.initials: J
authors.lastname: Valenzuela
authors.forename: Cortney Taylor
authors.initials: CT
authors.lastname: Moine
authors.forename: Alan
authors.initials: A
authors.lastname: Delamater
mesh_terms: D000069:Acculturation; D000293:Adolescent; D000328:Adult; D001786:Blood Glucose / Q000032:analysis; D015190:Blood Glucose Self-Monitoring; D003922:Diabetes Mellitus, Type 1 / Q000208:ethnology* / Q000523:psychology* / Q000628:therapy; D004641:Emigration and Immigration; D005190:Family / Q000208:ethnology / Q000523:psychology*; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D006630:Hispanic or Latino / Q000523:psychology / Q000706:statistics & numerical data; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D008297:Male; D010287:Parent-Child Relations / Q000208:ethnology; D010290:Parents / Q000523:psychology; D010349:Patient Compliance / Q000208:ethnology / Q000523:psychology* / Q000706:statistics & numerical data; D012307:Risk Factors; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires
chemical_list: D001786:Blood Glucose; D006442:Glycated Hemoglobin; D007004:Hypoglycemic Agents