家庭密度和社会经济地位与1型糖尿病青少年的糖尿病管理及血糖控制相关
Family Density and SES Related to Diabetes Management and Glycemic Control in Adolescents With Type 1 Diabetes.
作者信息
Caccavale Laura J, Weaver Patrick, Chen Rusan, Streisand Randi, Holmes Clarissa S
机构信息
Virginia Commonwealth University, Georgetown University, and Children's National Medical Center, Washington, DC, USA
Virginia Commonwealth University, Georgetown University, and Children's National Medical Center, Washington, DC, USA.
出版信息
J Pediatr Psychol. 2015 Jun;40(5):500-8. doi: 10.1093/jpepsy/jsu113. Epub 2015 Jan 17.
Abstract
OBJECTIVE
Youth with Type 1 diabetes (T1D) from single-parent families have poorer glycemic control; a finding confounded with socioeconomic status (SES). Family density (FD), or youth:adult ratio, may better characterize family risk status.
METHODS
Structural equation modeling assessed the relation of single-parent status, SES, and FD to parenting stress, diabetes-related conflict, parental monitoring, adherence, and glycemic control using cross-sectional parent and youth data (n = 257).
RESULTS
Single-parent status exhibited similar relations as SES and was removed. Lower FD was associated with better glycemic control (β = -.29, p = .014) via less conflict (β = .17, p = .038) and greater adherence (β = -.54, p < .001).
CONCLUSIONS
Beyond SES, FD plays a significant role in adherence and glycemic control via diabetes-related conflict. In contrast, the effects of single-parent status were indistinguishable from those of SES. FD provides distinct information related to adolescent glycemic control.
摘要
目的
来自单亲家庭的1型糖尿病（T1D）青少年血糖控制较差；这一发现与社会经济地位（SES）混淆。家庭密度（FD），即青少年与成年人的比例，可能更能体现家庭风险状况。
方法
采用横断面的父母和青少年数据（n = 257），通过结构方程模型评估单亲状况、SES和FD与育儿压力、糖尿病相关冲突、父母监督、依从性和血糖控制之间的关系。
结果
单亲状况与SES表现出相似的关系，因此被排除。较低的FD通过较少的冲突（β = .17，p = .038）和更高的依从性（β = -.54，p < .001）与更好的血糖控制相关（β = -.29，p = .014）。
结论
除了SES，FD通过与糖尿病相关的冲突在依从性和血糖控制中发挥重要作用。相比之下，单亲状况的影响与SES的影响难以区分。FD提供了与青少年血糖控制相关的独特信息。
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