Racial differences in diabetes-related psychosocial factors and glycemic control in patients with type 2 diabetes.

Hausmann, Leslie Rm and Ren, Dianxu and Sevick, Mary Ann (2010) Racial differences in diabetes-related psychosocial factors and glycemic control in patients with type 2 diabetes. Patient Prefer Adherence, 4. 291 - 299.

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Abstract

BACKGROUND: We examined whether diabetes-related psychosocial factors differ between African American and white patients with type 2 diabetes. We also tested whether racial differences in glycemic control are independent of such factors. METHODS: Baseline glycosylated hemoglobin (HbA(1c)) and survey measures from 79 African American and 203 white adult participants in a diabetes self-management clinical trial were analyzed. RESULTS: Several psychosocial characteristics varied by race. Perceived interference of diabetes with daily life, perceived diabetes severity, and diabetes-related emotional distress were higher for African Americans than for whites, as were access to illness-management resources and social support. Mean HbA(1c) levels were higher among African Americans than whites (8.14 vs 7.40, beta = 0.17). This difference persisted after adjusting for demographic, clinical, and diabetes-related psychosocial characteristics that differed by race (beta = 0.18). Less access to illness-management resources (beta = -0.25) and greater perceived severity of diabetes (beta = 0.21) also predicted higher HbA(1c). DISCUSSION: Although racial differences in diabetes-related psychosocial factors were observed, African Americans continued to have poorer glycemic control than whites even after such differences were taken into account. Interventions that target psychosocial factors related to diabetes management, particularly illness-management resources, may be a promising way to improve glycemic control for all patients.

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Details

Item Type:	Article
Status:	Published
Creators/Authors:	Creators Email Pitt Username ORCID Hausmann, Leslie Rm leslieh@pitt.edu LESLIEH Ren, Dianxu dir8@pitt.edu DIR8 Sevick, Mary Ann
Date:	7 September 2010
Date Type:	Publication
Journal or Publication Title:	Patient Prefer Adherence
Volume:	4
Page Range:	291 - 299
DOI or Unique Handle:	10.2147/ppa.s12353
Schools and Programs:	School of Public Health > Health Services Administration School of Medicine > Medicine School of Nursing > Nursing
Refereed:	Yes
Uncontrolled Keywords:	diabetes mellitus, disease management, health status disparities, minority health, psychosocial factors, type 2
Funders:	NCRR NIH HHS (M01 RR000056), NCRR NIH HHS (UL1 RR024153)
Date Deposited:	04 Dec 2012 22:28
Last Modified:	16 Nov 2019 23:55
URI:	http://d-scholarship.pitt.edu/id/eprint/16778

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