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The relationship between psychosocial factors, self-care, and blood sugar in an Appalachian population
INTRODUCTION: Appalachian residents are more likely than other populations to have Type 2 Diabetes Mellitus (T2DM) and to experience more severe complications from the disease, including excess and premature mortality. METHODS: This study examines health alongside sociodemographic factors, psychosoc...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The University of Kentucky
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10655736/ https://www.ncbi.nlm.nih.gov/pubmed/38026048 http://dx.doi.org/10.13023/jah.0403.01 |
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author | Smalls, Brittany L. Azam, Tofial Dunfee, Madeline Westgate, Philip M. Westneat, Susan C. Schoenberg, Nancy |
author_facet | Smalls, Brittany L. Azam, Tofial Dunfee, Madeline Westgate, Philip M. Westneat, Susan C. Schoenberg, Nancy |
author_sort | Smalls, Brittany L. |
collection | PubMed |
description | INTRODUCTION: Appalachian residents are more likely than other populations to have Type 2 Diabetes Mellitus (T2DM) and to experience more severe complications from the disease, including excess and premature mortality. METHODS: This study examines health alongside sociodemographic factors, psychosocial factors (including knowledge, empowerment, social support/function, religiosity, distress), and perceived problems in diabetes management that may influence self-care and HbA1c among vulnerable rural residents. A survey of a community–based sample of 356 adults with diagnosed diabetes or HbA1c > 6.5 was conducted in six counties in Appalachian Kentucky. RESULTS: Findings suggest that neither religiosity nor social support/function mediate/moderate the relationship between psychosocial factors and dependent variables (problem areas in diabetes, T2DM self-care or HbA1c). Results also suggest that distress is a predictor of problem areas in diabetes, and both distress and empowerment are predictors of T2DM self-care. IMPLICATIONS: This study addresses the gap in the literature concerning the influence of psychosocial factors on problem areas in diabetes, T2DM self-care and HbA1c among vulnerable rural residents, as well as the potential mediating/modifying effects of religiosity and social function/support. Future research is needed to inform strategies for identifying and addressing distress among vulnerable populations burdened by T2DM, including Appalachian adults. |
format | Online Article Text |
id | pubmed-10655736 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | The University of Kentucky |
record_format | MEDLINE/PubMed |
spelling | pubmed-106557362023-01-01 The relationship between psychosocial factors, self-care, and blood sugar in an Appalachian population Smalls, Brittany L. Azam, Tofial Dunfee, Madeline Westgate, Philip M. Westneat, Susan C. Schoenberg, Nancy J Appalach Health Articles INTRODUCTION: Appalachian residents are more likely than other populations to have Type 2 Diabetes Mellitus (T2DM) and to experience more severe complications from the disease, including excess and premature mortality. METHODS: This study examines health alongside sociodemographic factors, psychosocial factors (including knowledge, empowerment, social support/function, religiosity, distress), and perceived problems in diabetes management that may influence self-care and HbA1c among vulnerable rural residents. A survey of a community–based sample of 356 adults with diagnosed diabetes or HbA1c > 6.5 was conducted in six counties in Appalachian Kentucky. RESULTS: Findings suggest that neither religiosity nor social support/function mediate/moderate the relationship between psychosocial factors and dependent variables (problem areas in diabetes, T2DM self-care or HbA1c). Results also suggest that distress is a predictor of problem areas in diabetes, and both distress and empowerment are predictors of T2DM self-care. IMPLICATIONS: This study addresses the gap in the literature concerning the influence of psychosocial factors on problem areas in diabetes, T2DM self-care and HbA1c among vulnerable rural residents, as well as the potential mediating/modifying effects of religiosity and social function/support. Future research is needed to inform strategies for identifying and addressing distress among vulnerable populations burdened by T2DM, including Appalachian adults. The University of Kentucky 2023-01-01 /pmc/articles/PMC10655736/ /pubmed/38026048 http://dx.doi.org/10.13023/jah.0403.01 Text en Copyright © 2023 Brittany L. Smalls, Md. Tofial Azam, Madeline Dunfee, Philip M. Westgate, Susan C. Westneat, and Nancy Schoenberg https://creativecommons.org/licenses/by/4.0/This work is licensed under a Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Articles Smalls, Brittany L. Azam, Tofial Dunfee, Madeline Westgate, Philip M. Westneat, Susan C. Schoenberg, Nancy The relationship between psychosocial factors, self-care, and blood sugar in an Appalachian population |
title | The relationship between psychosocial factors, self-care, and blood sugar in an Appalachian population |
title_full | The relationship between psychosocial factors, self-care, and blood sugar in an Appalachian population |
title_fullStr | The relationship between psychosocial factors, self-care, and blood sugar in an Appalachian population |
title_full_unstemmed | The relationship between psychosocial factors, self-care, and blood sugar in an Appalachian population |
title_short | The relationship between psychosocial factors, self-care, and blood sugar in an Appalachian population |
title_sort | relationship between psychosocial factors, self-care, and blood sugar in an appalachian population |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10655736/ https://www.ncbi.nlm.nih.gov/pubmed/38026048 http://dx.doi.org/10.13023/jah.0403.01 |
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