Michelle L Dyke1, Yendelela L Cuffee2, Jewell H Halanych3, Richard H McManus4, Carol Curtin5, Jeroan J Allison4. 1. Massachusetts General Hospital, Boston, Massachusetts (Dr Dyke) 2. New York University Medical School, New York, New York (Dr Cuffee) 3. University of Alabama at Birmingham,Birmingham, Alabama (Dr Halanych) 4. University of Massachusetts Medical School, Worcester, Massachusetts (Mr McManus, and Dr Allison) 5. Eunice Kennedy Shriver Center, Waltham, Massachusetts (Ms Curtin)
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.
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.
Authors: J T Fitzgerald; R M Anderson; L D Gruppen; W K Davis; L C Aman; S J Jacober; G Grunberger Journal: Eval Health Prof Date: 1998-03 Impact factor: 2.651
Authors: Jewell H Halanych; Monika M Safford; Wendy C Keys; Sharina D Person; James M Shikany; Young-Il Kim; Robert M Centor; Jeroan J Allison Journal: Diabetes Care Date: 2007-08-23 Impact factor: 19.112
Authors: Ayomide R Ojebuoboh; Amparo G Gonzalez-Feliciano; Kristen M Brown; Rumana J Khan; Ruihua Xu; Lisa A DeRoo; Jessica Lewis; Rakale C Quarells; Sharon K Davis Journal: BMC Psychiatry Date: 2022-02-21 Impact factor: 3.630