Department of Family and Community Medicine, Wake Forest School of Medicine NC, Winston-Salem, NC 27157-1084, USA.
J Aging Health. 2012 Sep;24(6):899-922. doi: 10.1177/0898264312449186. Epub 2012 Jul 4.
To describe diabetes management behaviors and social integration among older adults, and delineate the associations of social integration with diabetes management behaviors.
Interview data from 563 African American, American Indian, and White participants (age 60+) from eight south central North Carolina counties selected using a site-based procedure. Statistical analysis comprises descriptive statistics, bivariate analysis, and multivariate analysis.
Participants had high levels of social integration and largely adhered to diabetes management behaviors (glucose monitoring, checking feet, maintaining diet, formal exercise program, health provider monitoring A1C and examining feet). Social integration was associated with several behaviors; social network size, particularly other relatives seen and spoken with on the telephone, was associated with provider A1C monitoring and foot examinations.
Social integration had small but significant associations with diabetes management behaviors. This analysis suggests specific mechanisms for how social integration influences the effect of disease on disability.
描述老年人的糖尿病管理行为和社会融合情况，并阐明社会融合与糖尿病管理行为之间的关联。
本研究采用基于地点的程序，从北卡罗来纳州中南部的八个县中选取了 563 名年龄在 60 岁及以上的非裔美国人、美国印第安人和白人参与者进行访谈，获取了相关数据。统计分析包括描述性统计、双变量分析和多变量分析。
参与者的社会融合程度较高，且基本遵循糖尿病管理行为（血糖监测、检查足部、保持饮食、定期锻炼、定期接受医疗服务提供者监测 A1C 和检查足部）。社会融合与多种行为相关联；社会网络的规模，特别是与其他亲戚的电话往来情况，与提供者 A1C 监测和足部检查相关。
社会融合与糖尿病管理行为之间存在着虽小但有意义的关联。这一分析表明了社会融合影响疾病对残疾影响的具体机制。
