1 型糖尿病西班牙裔青少年的依从性和血糖控制：家庭参与和文化适应的作用。
Adherence and glycemic control among Hispanic youth with type 1 diabetes: role of family involvement and acculturation.
机构信息
University of Miami, Coral Gables, FL 33146, USA.
出版信息
J Pediatr Psychol. 2010 Mar;35(2):156-66. doi: 10.1093/jpepsy/jsp045. Epub 2009 Jun 2.
OBJECTIVE
To assess whether family involvement and acculturation were related to adherence and glycemic control among Hispanic youth with type 1 diabetes (T1D).
METHODS
Hispanic youth with T1D (n = 111; M age = 13.33; 53% female) and parents completed questionnaires that assessed diabetes-related family involvement (distribution of responsibility for diabetes, family support for diabetes), acculturation (linguistic acculturation, generational status), and adherence. HbA1c levels indexed glycemic control.
RESULTS
Better adherence was associated with less adolescent independent responsibility, more family support for diabetes, and more recent immigration (fewer generations of the family living in US). Family support mediated the relationship between responsibility and adherence. Better glycemic control was associated with higher levels of parental education and adherence.
CONCLUSIONS
Family support for diabetes is important for adherence among Hispanic youth with T1D. Research should examine aspects of recent immigration that contribute to better adherence and the impact of supportive interventions on diabetes care.
目的
评估家庭参与和文化适应是否与 1 型糖尿病（T1D）的西班牙裔青少年的依从性和血糖控制有关。
方法
111 名患有 T1D 的西班牙裔青少年（M 年龄=13.33；53%为女性）及其父母完成了问卷调查，评估了与糖尿病相关的家庭参与（糖尿病责任分配、糖尿病家庭支持）、文化适应（语言文化适应、代际地位）和依从性。HbA1c 水平反映了血糖控制情况。
结果
更好的依从性与青少年独立责任减少、更多的家庭对糖尿病的支持以及最近移民（家庭在美国生活的代际较少）有关。家庭支持中介了责任与依从性之间的关系。更好的血糖控制与父母教育程度和依从性较高有关。
结论
家庭对糖尿病的支持对于 T1D 的西班牙裔青少年的依从性很重要。研究应探讨有助于更好依从性的近期移民方面，以及支持性干预对糖尿病护理的影响。
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