UCLA School of Nursing, University of California at Los Angeles, Los Angeles, California.
Fielding School of Public Health, University of California, Los Angeles, Los Angeles, California.
Diabetes Educ. 2020 Dec;46(6):559-568. doi: 10.1177/0145721720964580. Epub 2020 Oct 16.
The purpose of this study was to investigate factors associated with receiving diabetes spousal support in a sample of Korean immigrants with type 2 diabetes (T2DM) and to test whether disclosure (culture-specific factor) is a significant predictor of spousal support receipt in this group.
A cross-sectional survey was conducted with a convenience sample of 136 US community-dwelling Korean immigrants with T2DM ages 46 to 89 years old. Potential predictors were sociodemographic factors (age, gender, education, years in US), personal characteristics (quality of marriage and depression), diabetes severity (duration of diabetes, A1C, insulin use), diabetes self-management, diabetes worries/concerns (psychological factor), and disclosure of worries (cultural factor). The study used validated survey instruments including Diabetes Care Profile for spousal support received, Summary of Diabetes Self-Care Activities, Problem Area in Diabetes, and Diabetes Distress Disclosure Index. Descriptive statistics, correlations, and hierarchical multivariable linear regression models were conducted.
Six predictors (education level, years spent in the US, glucose control status, diabetes self-management level, diabetes worries/concerns, and disclosure of diabetes worries) were significantly related to receiving spousal support. At least some college education, less time in the US, better glucose control (lower A1C), poor self-management, more diabetes worries, and more disclosure of diabetes worries/distress were associated with receiving higher level of spousal support. Disclosure was the strongest predictor.
Receiving spousal support for diabetes self-management among Korean immigrants is influenced by 6 factors identified in this study. Disclosing diabetes worries (cultural factor) is most impactful.
本研究旨在调查韩国 2 型糖尿病（T2DM）移民样本中与获得糖尿病配偶支持相关的因素，并检验在该人群中，披露（特定文化因素）是否是配偶支持获得的重要预测因素。
采用横断面调查方法，对 136 名居住在美国社区的年龄在 46 至 89 岁之间的韩国 T2DM 移民进行了便利抽样。潜在的预测因素包括社会人口统计学因素（年龄、性别、教育程度、在美国的年限）、个人特征（婚姻质量和抑郁）、糖尿病严重程度（糖尿病病程、糖化血红蛋白、胰岛素使用）、糖尿病自我管理、糖尿病担忧/关注（心理因素）和担忧的披露（文化因素）。本研究使用了经过验证的调查工具，包括配偶支持接受情况的糖尿病护理概况、糖尿病自我护理活动摘要、糖尿病问题领域和糖尿病困扰披露指数。进行了描述性统计、相关性分析和分层多元线性回归模型。
有 6 个预测因素（教育水平、在美国的年限、血糖控制状况、糖尿病自我管理水平、糖尿病担忧/关注、以及糖尿病担忧的披露）与获得配偶支持显著相关。至少接受过大学教育、在美国的时间较短、血糖控制较好（糖化血红蛋白较低）、自我管理较差、更多的糖尿病担忧、以及更多地披露糖尿病担忧/困扰，与获得更高水平的配偶支持相关。披露是最强的预测因素。
在韩国移民中，获得糖尿病自我管理的配偶支持受到本研究确定的 6 个因素的影响。披露糖尿病担忧（特定文化因素）最具影响力。
