title: Glycemic control among U.S. Hispanics/Latinos with diabetes from the HCHS/SOL Sociocultural Ancillary Study: do structural and functional social support play a role?
abstract: Social support is one potential source of health-related resiliency in Hispanics with diabetes. This study examined relationships of structural (i.e., social integration) and functional (i.e., perceived) social support with glycemic control (glycosylated hemoglobin; HbA1c) in the Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study. This study included 766 men and women representing multiple Hispanic ethnic backgrounds, aged 18-74 years, with diagnosed diabetes who completed fasting blood draw, medication review, and measures of sociodemographic factors, medical history, structural support (Cohen Social Network Index), and functional support (Interpersonal Support Evaluation List-12). After adjusting for sociodemographic covariates and medication, a one standard deviation increase in functional support was related to an 0.18% higher HbA1c (p = 0.04). A similar trend was observed for structural support; however, this effect was non-significant in adjusted models. Greater functional support was associated with poorer glycemic control in Hispanics.
authors.affiliation: Scripps Whittier Diabetes Institute, Scripps Health, San Diego, CA, USA.
authors.forename: Addie L
authors.initials: AL
authors.lastname: Fortmann
authors.forename: Scott C
authors.initials: SC
authors.lastname: Roesch
authors.forename: Frank J
authors.initials: FJ
authors.lastname: Penedo
authors.forename: Carmen R
authors.initials: CR
authors.lastname: Isasi
authors.forename: Mercedes R
authors.initials: MR
authors.lastname: Carnethon
authors.forename: Leonor
authors.initials: L
authors.lastname: Corsino
authors.forename: Neil
authors.initials: N
authors.lastname: Schneiderman
authors.forename: Martha L
authors.initials: ML
authors.lastname: Daviglus
authors.forename: Yanping
authors.initials: Y
authors.lastname: Teng
authors.forename: Aida
authors.initials: A
authors.lastname: Giachello
authors.forename: Franklyn
authors.initials: F
authors.lastname: Gonzalez
authors.forename: Linda C
authors.initials: LC
authors.lastname: Gallo
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001786:Blood Glucose / Q000378:metabolism*; D003710:Demography; D003920:Diabetes Mellitus / Q000097:blood*; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D006630:Hispanic or Latino; D006801:Humans; D008297:Male; D008875:Middle Aged; D012944:Social Support; D055815:Young Adult
chemical_list: D001786:Blood Glucose; D006442:Glycated Hemoglobin; C517652:hemoglobin A1c protein, human
references.citation: Am J Community Psychol. 1988 Feb;16(1):137-47
references.pmid: 3369379
references.citation: Diabetes Care. 2000 Jul;23(7):934-42
references.pmid: 10895843
references.citation: Diabetes Educ. 2010 May-Jun;36(3):435-45
references.pmid: 20332281
references.citation: Health Educ Behav. 2003 Apr;30(2):170-95
references.pmid: 12693522
references.citation: Diabetes Care. 2008 Feb;31(2):240-6
references.pmid: 17977939
references.citation: Prim Care Diabetes. 2013 Apr;7(1):1-10
references.pmid: 23280258
references.citation: Soc Sci Med. 2007 Sep;65(5):958-75
references.pmid: 17524538
references.citation: J Pers Soc Psychol. 2000 Aug;79(2):174-89
references.pmid: 10948972
references.citation: Am Psychol. 2004 Nov;59(8):676-684
references.pmid: 15554821
references.citation: Ann Intern Med. 1992 Dec 15;117(12):1003-9
references.pmid: 1443968
references.citation: Rev Invest Clin. 2009 Sep-Oct;61(5):383-91
references.pmid: 20184098
references.citation: J Consult Clin Psychol. 2002 Jun;70(3):548-68
references.pmid: 12090369
references.citation: Endocrine. 2012 Dec;42(3):471-82
references.pmid: 22815042
references.citation: JAMA. 1997 Jun 25;277(24):1940-4
references.pmid: 9200634
references.citation: Ethn Dis. 2014 Winter;24(1):77-83
references.pmid: 24620452
references.citation: Diabetes Educ. 2007 Jun;33 Suppl 6:159S-165S
references.pmid: 17620396
references.citation: Diabetes Care. 2012 Jan;35 Suppl 1:S11-63
references.pmid: 22187469
references.citation: Psychol Assess. 2014 Jun;26(2):384-94
references.pmid: 24320763
references.citation: Diabetes Care. 2012 Jun;35(6):1239-45
references.pmid: 22538012
references.citation: Ann Epidemiol. 2010 Aug;20(8):642-9
references.pmid: 20609344
references.citation: Am J Public Health. 2009 Dec;99(12):2167-75
references.pmid: 19833986
references.citation: Health Psychol. 2011 May;30(3):326-335
references.pmid: 21553976
references.citation: Health Psychol. 2011 May;30(3):251-8
references.pmid: 21553968
references.citation: Diabetes Care. 2013 Jan;36 Suppl 1:S67-74
references.pmid: 23264425
references.citation: Diabetes Care. 2013 Apr;36(4):1033-46
references.pmid: 23468086
references.citation: Chronic Illn. 2010 Mar;6(1):22-33
references.pmid: 20308348
references.citation: Diabetes Educ. 2007 Jun;33 Suppl 6:172S-178S
references.pmid: 17620398
references.citation: J Aging Health. 2006 Jun;18(3):359-84
references.pmid: 16648391
references.citation: Am J Cardiol. 2001 Sep 1;88(5):526-9
references.pmid: 11524062
references.citation: J Pers. 2009 Dec;77(6):1707-46
references.pmid: 19796063
references.citation: Diabetologia. 2007 May;50(5):934-40
references.pmid: 17119914
references.citation: J Behav Med. 2015 Feb;38(1):160-70
references.pmid: 25107504
references.citation: J Gen Intern Med. 2013 Mar;28(3):428-35
references.pmid: 23054922
references.citation: BMJ. 2000 Aug 12;321(7258):405-12
references.pmid: 10938048
references.citation: Lancet. 2004 Sep 11-17;364(9438):953-62
references.pmid: 15364186
references.citation: Am J Med. 2011 Oct;124(10 Suppl):S10-5
references.pmid: 21939793
references.citation: Ann Epidemiol. 2010 Aug;20(8):629-41
references.pmid: 20609343