title: Diabetes and psychological profile of younger rural African American women with type 2 diabetes.
abstract: OBJECTIVE
  To describe diabetes self-care behaviors, diabetes-related distress, depressive symptoms, and diabetes-related needs among rural African American women with type 2 diabetes ages 21-50.
  
  
  METHODS
  A cross-sectional survey, including questionnaires and a single, open-ended question, was used to assess constructs of interest.
  
  
  RESULTS
  Taking medication was the most frequently reported (5.5 days/week) self-care activity and exercise the least (3.0 days/week). Nearly half (44%) reported worrying about diabetes complications. Approximately one-third (31%) felt guilty about inconsistent self-care or fearful about living with diabetes. Seventy percent had a depression score suggestive of significant depressive symptomatology. Most diabetes-related concerns were about diet (34%) (i.e., what to eat), exercise (30%), taking medications (10%), and finances (8%).
  
  
  CONCLUSIONS
  Future research should explore specific diabetes self-care barriers/enablers and interventions should provide women with diabetes education, barrier management, and psychological support. Innovative delivery strategies are needed to provide this support in resource-limited rural communities.
authors.affiliation: Meharry Medical College, 1005 DB Todd Blvd., Nashville, TN 37208, USA. smiller@mmc.edu
authors.forename: Stephania T
authors.initials: ST
authors.lastname: Miller
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology* / Q000706:statistics & numerical data; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D003863:Depression / Q000523:psychology*; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology* / Q000523:psychology*; D015444:Exercise; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D055118:Medication Adherence; D008875:Middle Aged; D008922:Mississippi; D012424:Rural Population; D012648:Self Care / Q000523:psychology*; D012944:Social Support; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D055815:Young Adult
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