Spencer Michael S, Kieffer Edith C, Sinco Brandy R, Palmisano Gloria, Guzman J Ricardo, James Sherman A, Graddy-Dansby Gwendolyn, Two Feathers Jacqueline, Heisler Michele
University of Michigan School of Social Work, USA.
J Health Care Poor Underserved. 2006 May;17(2 Suppl):88-105. doi: 10.1353/hpu.2006.0095.
This study examines baseline levels and correlates of diabetes-related emotional distress among inner-city African Americans and Hispanics with type 2 diabetes. The Problem Areas in Diabetes (PAID) scale, which measures diabetes-related emotional distress, was administered to 180 African American and Hispanic adults participating in the REACH Detroit Partnership. We examined bivariate and multivariate associations between emotional distress and biological, psychosocial, and quality of health care variables for African Americans and Hispanics. Scores were significantly higher among Hispanics than African Americans. Demographic factors were stronger predictors of emotional distress for Hispanics than for African Americans. Daily hassles, physician support, and perceived seriousness and understanding of diabetes were significant for African Americans. Understanding the personal, family and community context of living with diabetes and conducting interventions that provide support and coping strategies for self-management have important implications for reducing health disparities among disadvantaged racial and ethnic groups.
本研究调查了美国市中心非裔美国人和西班牙裔2型糖尿病患者与糖尿病相关的情绪困扰的基线水平及其相关因素。对参与底特律REACH伙伴关系的180名非裔美国人和西班牙裔成年人进行了糖尿病问题（PAID）量表测试，该量表用于测量与糖尿病相关的情绪困扰。我们研究了非裔美国人和西班牙裔人群中情绪困扰与生物、心理社会及医疗保健质量变量之间的双变量和多变量关联。西班牙裔的得分显著高于非裔美国人。人口统计学因素对西班牙裔情绪困扰的预测作用比对非裔美国人更强。日常烦恼、医生支持以及对糖尿病的感知严重性和了解程度对非裔美国人有显著影响。了解糖尿病患者的个人、家庭和社区背景，并开展提供自我管理支持和应对策略的干预措施，对于减少弱势种族和族裔群体之间的健康差距具有重要意义。
