Family Support and Type 2 Diabetes Self-management Behaviors in Underserved Latino/a/x Patients.
Ann Behav Med
; 58(7): 477-487, 2024 Jun 18.
Article
in En
| MEDLINE
| ID: mdl-38795386
ABSTRACT
BACKGROUND:
Latino/a/x families experience persistent Type 2 diabetes mellitus (T2DM) disparities, including higher rates of diagnosis and mortality due to disease complications than their non-Hispanic White counterparts. Though greater social support is associated with improved disease outcomes for Latino/a/x patients with diabetes, research has yet to identify the specific pathways through which social support, and specifically family support, influences self-management.PURPOSE:
This study tested a theoretical model highlighting the mechanisms and pathways linking social support and physical health. Specifically, self-efficacy and depression were tested as psychological pathways connecting family support to diabetes self-management behaviors and diabetes morbidity in Latino/a/x patients with T2DM.METHODS:
Data from 177 patients were analyzed using structural equation modeling. Measures included diabetes-specific family support needed and received, depressive symptoms, self-efficacy in diabetes management, diabetes self-management behaviors, health appraisal, and hemoglobin A1c.RESULTS:
Greater diabetes-specific family support was significantly associated with more frequent engagement in diabetes self-management behaviors, both directly (pâ <â .001) and through diabetes self-efficacy's partial mediation of this relationship (pâ =â .013). Depression was not significantly associated with either family support (support received, pâ =â .281; support needed, pâ =â .428) or self-management behaviors (pâ =â .349).CONCLUSIONS:
Family support and diabetes self-efficacy may be important modifiable psychosocial factors to target via integrated care interventions aimed at supporting Latino/a/x patients with T2DM. Future research is needed to test empirically based, culturally adapted interventions to reduce T2DM-related health disparities in this population.
Latino/a/x families experience persistent diabetes disparities, including higher rates of diagnosis and mortality due to disease complications than their non-Hispanic White counterparts. Though greater social support is associated with improved disease outcomes for Latino/a/x patients with diabetes, research has yet to identify the specific pathways through which social support, and specifically family support, influences self-management. This study examined diabetes self-efficacy and depression as potential links in the relationship between family support and diabetes self-management behaviors. Analyses revealed a significant association between greater diabetes-related family support and more frequent engagement in diabetes self-management behaviors, both directly and through diabetes self-efficacy's partial mediation of the relationship. This points to family support and diabetes self-efficacy as important modifiable psychosocial factors that can be targeted in integrated care interventions aimed at supporting Latino/a/x patients with diabetes.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Social Support
/
Hispanic or Latino
/
Self Efficacy
/
Depression
/
Diabetes Mellitus, Type 2
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Self-Management
/
Family Support
Limits:
Adult
/
Aged
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Female
/
Humans
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Male
/
Middle aged
Language:
En
Journal:
Ann Behav Med
Journal subject:
CIENCIAS DO COMPORTAMENTO
Year:
2024
Type:
Article
Affiliation country:
United States