title: Diabetes-related quality of life and the demands and burdens of diabetes care among emerging adults with type 1 diabetes in the year after high school graduation.
abstract: The roles of glycemic control, diabetes management, diabetes care responsibility, living independently of parents, and time since high school graduation in predicting diabetes-related quality of life (DQOL) were examined in 184 emerging adults with type 1 diabetes. Data were collected at graduation and 1 year later. Analyses controlling for selected covariates were completed using generalized linear mixed models. Better diabetes management was associated with more positive responses on all four dimensions of DQOL. Impact and worry of DQOL were greater in the presence of depressive symptoms, and life satisfaction was lower. DQOL life satisfaction was lower in those living independently of parents. Young women reported poorer diabetes-related health status than did young men. Time since graduation was not linked to DQOL. Further research is needed on ways to improve DQOL in conjunction with diabetes management and on ways that families can support DQOL when youth live independently.
authors.affiliation: Carol M Wilson Endowed Chair, College of Nursing, University of Nebraska Medical Center, 985330 Nebraska Medical Center, Omaha, NE, 68198-5330.
authors.forename: Kathleen M
authors.initials: KM
authors.lastname: Hanna
authors.forename: Michael T
authors.initials: MT
authors.lastname: Weaver
authors.forename: James E
authors.initials: JE
authors.lastname: Slaven
authors.forename: J Dennis
authors.initials: JD
authors.lastname: Fortenberry
authors.forename: Linda A
authors.initials: LA
authors.lastname: DiMeglio
mesh_terms: D000293:Adolescent; D003922:Diabetes Mellitus, Type 1 / Q000523:psychology* / Q000628:therapy*; D019468:Disease Management; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D011788:Quality of Life; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: adolescence; diabetes; diabetes-related quality of life; emerging adults; self-care; self-management