Effect of perceived racial discrimination on self-care behaviors, glycemic control, and quality of life in adults with type 2 diabetes

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• 作者：Aprill Z. Dawson ; Rebekah J. Walker ; Jennifer A. Campbell ; Leonard E. Egede
• 关键词：Perceived racial discrimination ; Self ; care ; Glycemic control ; Type 2 diabetes
• 刊名：Endocrine
• 出版年：2015
• 出版时间：June 2015
• 年：2015
• 卷：49
• 期：2
• 页码：422-428
• 全文大小：367 KB
• 参考文献：1.Center for Disease Control and Prevention, National Diabetes Statistics Report, 2014 (US Department of Health and Human Services, Center for Disease Control and Prevention, Atlanta, 2014)
  2.L.E. Egede, S. Dagogo-Jack, Epidemiology of Type 2 diabetes: focus on ethnic minorities. Med Clin N Am. 89(5), 949-75 (2005)View Article PubMed
  3.American Diabetes Association. Standards of Medical Care in Diabetes -2013. 36, S11-S66 (2013)
  4.C. Nwasuruba, C. Osuagwu, S. Bae, K.P. Singh, L.E. Egede, Racial differences in diabetes self-management and quality of care in Texas. J Diabet Complications. 23(2), 112-18 (2009)View Article
  5.J.A. Campbell, R.J. Walker, B.L. Smalls, L.E. Egede, Glucose control in diabetes: the impact of racial differences on monitoring and outcomes. Endocr. J. 42(3), 471-82 (2012)View Article
  6.R.J. Walker, B.L. Smalls, J.A. Campbell, J.L. Williams, L.E. Egede, Impact of social determinants of health for type 2 diabetes: a systematic review. Endocrine 47(1), 29-8 (2013)View Article
  7.V. Fiore, M. Marci, A. Poggi, V.A. Giagullia, B. Licchelli, M. Iacoviello, E. Guastamacchia, G. Pergola, V. Triggiani, The association between diabetes and depression: a very disabling condition. Endocrine (2014). doi:10.-007/?s12020-014-0323-x
  8.T.M. Daniele, V.M. Bruin, A.C. Forte, D.S. Oliveira, C.M. Pompeu, P.F. Bruin, The relationship between physical activity, restless legs syndrome, and health-related quality of life in type 2 diabetes. Endocrine 44(1), 125-31 (2012)View Article PubMed
  9.D.R. Williams, S.A. Mohammed, Discrimination and racial disparities in health: evidence and needed research. J. Behav. Med. 32(1), 20-7 (2009)View Article PubMed Central PubMed
  10.D.R. Williams, H.W. Neighbors, J.S. Jackson, Racial/ethnic discrimination and health: findings from community studies. Am. J. Public Health 93(2), 200-08 (2003)View Article PubMed Central PubMed
  11.E.A. Pascoe, L.S. Richman, Perceived discrimination and health: a meta-analytic review. Psychol. Bull. 135(4), 531-54 (2009)View Article PubMed Central PubMed
  12.D. Chen, T. Yang, The pathways from perceived discrimination to self-rated health: an investigation of the roles of distrust, social capital, and health behaviors. Soc. Sci. Med. 104, 64-3 (2014)View Article PubMed Central PubMed
  13.B.L. Perry, K.L. Harp, C.B. Oser, Racial and gender discrimination in the stress process: implications for African American women’s health and well-being. Sociol Perspect. 56(1), 25-8 (2013)PubMed Central PubMed
  14.J. Forsyth, A. Schoenthaler, W.F. Chaplin, G. Ogedegbe, J. Ravenell, Perceived discrimination and medication adherence in black hypertensive patients: the role of stress and depression. Psychosom. Med. 76(3), 229-36 (2014)View Article PubMed
  15.J.A. Wagner, H. Tennen, R. Feinn, P.H. Finan, Racial discrimination and metabolic control in women with type 2 diabetes. Ethnic Dis. 23(4), 421-27 (2013)
  16.V.M. Mays, Black women, work, stress, and perceived discrimination: the focused support group model as an intervention for stress reduction. Cult Divers ment Health. 1(1), 53-5 (1995)View Article PubMed Central PubMed
  17.A.D. Otiniano, G.C. Gee, Self-reported discrimination and health-related quality of life among Whites, Blacks, Mexicans and Central Americans. J. Immigr. Minor. Health 14(2), 189-97 (2012)View Article PubMed
  18.J.A. Wagner, H. Tennen, R. Feinn, C.Y. Osborn, Self-reported discrimination, diabetes distress, and continuous blood glucose in women with type 2 diabetes. J. Immigr. Minor. Health (2014). doi:10.-007/?s10903-013-9948-8
  19.C.M. Dolezsar, J.J. McGrath, A.J.M. Herzig, S.B. Miller, Perceived racial discrimination and hypertension: a comprehensive systematic review. Health Psychol. 33(1), 20-4 (2014)View Article PubMed
  20.V.Y. Womack, H. Ning, C.E. Lewis, E.B. Loucks, J. Reis, J. Siddique, B. Sternfeld, L. Van Horn, M.R. Carnethon, Relationship between perceived discrimination and sedentary behavior in adults. Am J Health Behav. 38(5), 641-49 (2014)View Article PubMed
  21.J.T. Coffey, M. Brandle, H. Zhou, D. Marriott, R. Burke, B.P. Tabaei, M.M. Engelgau, R.M. Kaplan, W.H. Herman, Valuing health-related quality of life in diabetes. Diabetes Care 25(12), 2238-243 (2002)View Article PubMed
  22.A.F. Brown, S.L. Ettner, J. Piette, M. Weinberger, E. Gregg, M.F. Shapiro, A.J. Karter, M. Safford, B. Waitzfelder, P.A. Prata, G.L. Beckles, Socioeconomic position and health among persons with diabetes mellitus: a conceptual framework and review of the literature. Epidemiol. Rev. 26(1), 63-7 (2004)View Article PubMed
  23.National Center for Health Statistics, Survey Questionnaire, National Health Interview Survey, National Center for Health Statistics, Hyattsville, Maryland. (2004) Available at: ftp://?cdc.?gov/?pub/?Health_?Statistics/?NCHS/?Survey_?Questionnaires/?NHIS/-002/-/span>
  24.Moffet H.M., Adler N., Schillinger D., Ahmed A.T., Laraia B,
• 作者单位：Aprill Z. Dawson (1)
  Rebekah J. Walker (1) (2)
  Jennifer A. Campbell (1)
  Leonard E. Egede (1) (2) (3)
  
  1. Center for Health Disparities Research, Medical University of South Carolina, 135 Rutledge Avenue, Room 280, PO Box 250593, Charleston, SC, 29425, USA
  2. Health Equity and Rural Outreach Innovation Center (HEROIC), Charleston VA HSR&D COIN, Ralph H. Johnson VAMC, Charleston, SC, USA
  3. Division of General Internal Medicine and Geriatrics, Department of Medicine, Medical University of South Carolina, Charleston, SC, USA
  
• 刊物主题：Endocrinology; Diabetes; Internal Medicine; Science, general;
• 出版者：Springer US
• ISSN：1559-0100

文摘

Objective: This study used a large sample size of black and white patients with type 2 diabetes to investigate the influence of perceived racial discrimination on biologic measures (glycemic control, blood pressure, and LDL cholesterol), the mental component of quality of life (MCS), and health behaviors known to improve diabetes outcomes. Methods: 602 patients were recruited from two adult primary care clinics in the southeastern United States. Linear regression models were used to assess the associations between perceived racial discrimination, self-care, clinical outcomes, MCS, adjusting for relevant covariates. Race-stratified models were conducted to examine differential associations by race. Results: The mean age was 61?years, with 64.9?% non-Hispanic black, and 41.6?% earning less than $20,000 annually. Perceived discrimination was significantly negatively associated with MCS (β?=??.56, 95?% CI ?.90, 0.23), general diet (β?=??.37, CI ?.65, ?.08), and specific diet (β?=??.25, CI ?.47, ?.03). In African Americans, perceived discrimination was significantly associated with higher systolic blood pressure (β?=?10.17, CI 1.13, ?9.22). In Whites, perceived discrimination was significantly associated with lower MCS (β?=??.51, CI ?.89, ?.14), general diet (β?=??.40, CI ?.69, ?.99), specific diet (β?=??.25, CI ?.47, ?.03), and blood glucose testing (β?=??.43, CI ?.80, ?.06).Conclusions: While no association was found with biologic measures, perceived discrimination was associated with health behaviors and the MCS. In addition, results showed a difference in influence of perceived discrimination by race.