The relationship between coping styles in response to unfair treatment and understanding of diabetes self-care.
Diabetes Educ
; 39(6): 848-55, 2013.
Article
em En
| MEDLINE
| ID: mdl-24096805
ABSTRACT
PURPOSE:
This study examined the relationship between coping style and understanding of diabetes self-care among African American and white elders in a southern Medicare-managed care plan.METHODS:
Participants were identified through a diabetes-related pharmacy claim or ICD-9 code and completed a computer-assisted telephone survey in 2006-2007. Understanding of diabetes self-care was assessed using the Diabetes Care Profile Understanding (DCP-U) scale. Coping styles were classified as active (talk about it/take action) or passive (keep it to yourself). Linear regression was used to estimate the associations between coping style with the DCP-U, adjusting for age, sex, education, and comorbidities. Based on the conceptual model, 4 separate categories were established for African American and white participants who displayed active and passive coping styles.RESULTS:
Of 1420 participants, the mean age was 73 years, 46% were African American, and 63% were female. Most respondents (77%) exhibited active coping in response to unfair treatment. For African American participants in the study, active coping was associated with higher adjusted mean DCP-U scores when compared to participants with a passive coping style. No difference in DCP-U score was noted among white participants on the basis of coping style.CONCLUSIONS:
Active coping was more strongly associated with understanding of diabetes self-care among older African Americans than whites. Future research on coping styles may give new insights into reducing diabetes disparities among racial/ethnic minorities.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Autocuidado
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Negro ou Afro-Americano
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Atitude Frente a Saúde
/
População Branca
Tipo de estudo:
Guideline
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
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Female
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Humans
/
Male
País como assunto:
America do norte
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article