Fitzgerald J T, Anderson R M, Funnell M M, Arnold M S, Davis W K, Aman L C, Jacober S J, Grunberger G
Department of Postgraduate Medicine, University of Michigan Medical School, Ann Arbor, Michigan (Drs Fitzgerald, Anderson, and Davis)
The Michigan Diabetes Research and Training Center, University of Michigan Medical School, Ann Arbor, Michigan (Ms Funnell and Arnold)
Diabetes Educ. 1997 Jan-Feb;23(1):41-7. doi: 10.1177/014572179702300104.
African-American and Caucasian patients with non-insulin-dependent diabetes mellitus were surveyed to determine differences in self-reported dietary adherence. The relationship between dietary adherence and other psychosocial factors also was explored. The Diabetes Care Profile, an instrument designed to assess psychosocial factors related to diabetes, was completed by 178 patients. Correlation and regression analyses were used to examine the relationship between dietary adherence and 15 other scales in this instrument. Regression analyses revealed that selected scales were better at predicting dietary adherence for African Americans than for Caucasians. Self-care adherence was the most significant predictor of dietary adherence for African Americans while support was the most significant predictor for Caucasians. These findings suggest that cultural and social functions of food and diet should be examined and incorporated in the development of appropriate meal plans and educational interventions.
对患有非胰岛素依赖型糖尿病的非裔美国人和白人患者进行了调查，以确定自我报告的饮食依从性差异。还探讨了饮食依从性与其他社会心理因素之间的关系。178名患者完成了旨在评估与糖尿病相关的社会心理因素的工具——糖尿病护理概况。使用相关分析和回归分析来检验该工具中饮食依从性与其他15个量表之间的关系。回归分析显示，所选量表对非裔美国人饮食依从性的预测比对白人更好。自我护理依从性是非裔美国人饮食依从性最显著的预测因素，而支持则是白人最显著的预测因素。这些发现表明，应研究食物和饮食的文化及社会功能，并将其纳入适当饮食计划和教育干预措施的制定中。
