title: Hispanic acculturation, psychosocial functioning, and routine support for diabetes self-management.
abstract: The purpose of this study was to describe the relationship between Spanish language-based acculturation, psychosocial coping with diabetes, and perceptions of social support obtainment for the daily management of diabetes.
  
  
  
  Adults (N = 209) were surveyed by telephone about Hispanic ethnicity, depressed mood (PHQ-8), anxiety and worry over diabetes, social burden due to diabetes, diabetes control, and physical function (Diabetes-39), and Spanish language-based acculturation (n = 101, Hispanic only).
  
  
  
  Significant associations revealed a relationship between less language-based acculturation with other contextual factors (gender, family demands, disease severity), and depressed mood and social burden of disease. Acculturation alone explained little about psychosocial coping. Individuals with poor psychosocial coping were more likely to have routine daily help with diabetes self- management, with acculturation explaining little about who obtains help.
  
  
  
  Hispanic values such as placing a priority on providing help to friends and family likely have more to do with psychosocial coping with diabetes than does language preference or proficiency. Individuals with poor psychosocial functioning may benefit from external social support when family support is not present to help with the routine management of diabetes.
authors.affiliation: The University of Medicine and Dentistry of New Jersey, Division of Endocrinology, Department of Medicine, New Jersey Medical School, Newark, New Jersey (Dr Scollan-Koliopoulos)
authors.forename: Melissa
authors.initials: M
authors.lastname: Scollan-Koliopoulos
authors.affiliation: The Albert Einstein College of Medicine, Bronx, New York (Dr Schechter, Dr Caban, Dr Walker)
authors.forename: Clyde B
authors.initials: CB
authors.lastname: Schechter
authors.affiliation: The Albert Einstein College of Medicine, Bronx, New York (Dr Schechter, Dr Caban, Dr Walker)
authors.forename: Arlene
authors.initials: A
authors.lastname: Caban
authors.affiliation: The Albert Einstein College of Medicine, Bronx, New York (Dr Schechter, Dr Caban, Dr Walker)
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Walker
mesh_terms: D000069:Acculturation; D000223:Adaptation, Psychological; D000293:Adolescent; D000339:Affect; D003920:Diabetes Mellitus / Q000208:ethnology* / Q000523:psychology / Q000628:therapy; D005260:Female; D006304:Health Status; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D007802:Language; D008297:Male; D012648:Self Care; D012944:Social Support; D055815:Young Adult