Lisa Scarton1, Luciana E Hebert2, R Turner Goins3, Jason G Umans4, Luohua Jiang5, Ashley Comiford6, Sixia Chen7, Ashley White7, Tara Ritter6, Spero M Manson8. 1. College of Nursing, University of Florida, 1225 Center Drive, Gainesville, FL, 32603, USA. lscarton@ufl.edu. 2. Department of Medical Education and Clinical Sciences, Washington State University, Seattle, WA, USA. 3. College of Health and Human Sciences, Western Carolina University, Cullowhee, NC, USA. 4. Georgetown-Howard Universities Center for Clinical and Translational Science and MedStar Health Research Institute, Washington, DC, USA. 5. Department of Epidemiology, University of California, Irvine, CA, USA. 6. Cherokee Nation, Tahlequah, OK, USA. 7. Health Sciences Center, The University of Oklahoma, Oklahoma, OK, USA. 8. Colorado School of Public Health, University of Colorado, Anschutz Medical Campus, Aurora, CO, USA.
Abstract
PURPOSE: Little is known about the association of psychosocial factors with health-related quality of life (HRQoL) among American Indians with type 2 diabetes (T2D). This study described functional social support, emotional support, coping, resilience, post-traumatic stress disorder, and HRQoL, among American Indians by diabetes status and, among those with diabetes, examined the association of these factors with HRQoL. METHODS: Using data from the Cherokee Nation Health Survey collected between 2017 and 2019, we evaluated differences in each measure of interest according to diabetes status, using t-test and Chi-squared tests of association. We used weighted multiple logistic regression to examine associations between multiple psychosocial factors and HRQoL among those with diabetes. RESULTS: Compared to individuals without diabetes, participants with diabetes rated their functional social support (4.62 vs. 4.56, respectively) and coping (2.65 vs. 2.61, respectively) slightly lower and were more likely to report ≥ 15 days of poor physical (14% vs. 26%, respectively) and mental health (14% vs. 17%, respectively) in the past month. Odds of reporting poor overall health increased more than sixfold for those who were dissatisfied/very dissatisfied with life (AOR = 6.70). Resilience scores reduced odds of reporting ≥ 15 days with poor physical health, while experiences of post-traumatic stress doubled these odds. CONCLUSION: Our study yielded insights into the risk as well as protective factors associated with diabetes outcomes in a large sample of American Indians with T2D. Researchers should design pragmatic trials that deepen understanding of preventive as well as treatment leverage through greater attention to experiences that compromise HRQoL.
PURPOSE: Little is known about the association of psychosocial factors with health-related quality of life (HRQoL) among American Indians with type 2 diabetes (T2D). This study described functional social support, emotional support, coping, resilience, post-traumatic stress disorder, and HRQoL, among American Indians by diabetes status and, among those with diabetes, examined the association of these factors with HRQoL. METHODS: Using data from the Cherokee Nation Health Survey collected between 2017 and 2019, we evaluated differences in each measure of interest according to diabetes status, using t-test and Chi-squared tests of association. We used weighted multiple logistic regression to examine associations between multiple psychosocial factors and HRQoL among those with diabetes. RESULTS: Compared to individuals without diabetes, participants with diabetes rated their functional social support (4.62 vs. 4.56, respectively) and coping (2.65 vs. 2.61, respectively) slightly lower and were more likely to report ≥ 15 days of poor physical (14% vs. 26%, respectively) and mental health (14% vs. 17%, respectively) in the past month. Odds of reporting poor overall health increased more than sixfold for those who were dissatisfied/very dissatisfied with life (AOR = 6.70). Resilience scores reduced odds of reporting ≥ 15 days with poor physical health, while experiences of post-traumatic stress doubled these odds. CONCLUSION: Our study yielded insights into the risk as well as protective factors associated with diabetes outcomes in a large sample of American Indians with T2D. Researchers should design pragmatic trials that deepen understanding of preventive as well as treatment leverage through greater attention to experiences that compromise HRQoL.
Authors: Pamela G Bowen; Olivio J Clay; Loretta T Lee; Jason Vice; Fernando Ovalle; Michael Crowe Journal: J Gerontol Nurs Date: 2015-10-15 Impact factor: 1.254
Authors: H Drew Dixon; Vasiliki Michopoulos; Rachel L Gluck; Hadrian Mendoza; Adam P Munoz; Joseph G Wilson; Abigail Powers; Ann C Schwartz; Guillermo E Umpierrez; Charles F Gillespie Journal: Endocrinol Diabetes Metab Date: 2020-01-14