Support for disease management, depression, self-care, and clinical indicators among Hispanics with type 2 diabetes in San Diego County, United States of America.
This study used a social-ecological framework to examine predictors of depression, diabetes self-management, and clinical indicators of health risk among Hispanics with type 2 diabetes residing in the United States (U.S.)-Mexico border region in San Diego County, California, United States of America. Important links were observed between greater social-environmental support for disease management and less depression, better diabetes self-management, and lower body mass index and serum triglyceride concentrations. Less depressive symptomatology was also related to lower hemoglobin A1c levels. Findings suggest that programs aiming to improve diabetes self-management and health outcomes in Hispanics with type 2 diabetes should consider multilevel, social, and environmental influences on health, behavior, and emotional well-being.
San Diego State University/University of California, San Diego, Joint Doctoral Program in Clinical Psychology, San Diego, California, USA. abrewer@projects.sdsu.edu
Addie L
AL
Fortmann
Linda C
LC
Gallo
Chris
C
Walker
Athena
A
Philis-Tsimikas
D000328:Adult; D000368:Aged; D001794:Blood Pressure; D015992:Body Mass Index; D002140:California / Q000453:epidemiology; D003153:Community Health Services / Q000706:statistics & numerical data; D003863:Depression / Q000453:epidemiology; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000453:epidemiology / Q000208:ethnology / Q000523:psychology* / Q000628:therapy; D019468:Disease Management; D004644:Emotions; D005190:Family; D005260:Female; D033062:Friends; D006442:Glycated Hemoglobin / Q000032:analysis; D006305:Health Status Indicators; D006801:Humans; D008055:Lipids / Q000097:blood; D008297:Male; D008484:Medicaid / Q000706:statistics & numerical data; D017058:Mexican Americans / Q000523:psychology* / Q000706:statistics & numerical data; D008800:Mexico / Q000453:epidemiology / Q000208:ethnology; D008875:Middle Aged; D010353:Patient Education as Topic; D012648:Self Care / Q000706:statistics & numerical data; D012657:Self-Help Groups; D012944:Social Support; D014481:United States; D055815:Young Adult
D006442:Glycated Hemoglobin; D008055:Lipids