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- Title
Support for disease management, depression, self-care, and clinical indicators among Hispanics with type 2 diabetes in San Diego County, United States of America.
- Authors
Fortmann, Addie L.; Gallo, Linda C.; Walker, Chris; Philis-Tsimikas, Athena
- Abstract
This study used a social-ecological framework to examine predictors of depression, diabetes self-management, and clinical indicators of health risk among Hispanics with type 2 diabetes residing in the United States (U.S.)-Mexico border region in San Diego County, California, United States of America. Important links were observed between greater social-environmental support for disease management and less depression, better diabetes self-management, and lower body mass index and serum triglyceride concentrations. Less depressive symptomatology was also related to lower hemoglobin A1c levels. Findings suggest that programs aiming to improve diabetes self-management and health outcomes in Hispanics with type 2 diabetes should consider multilevel, social, and environmental influences on health, behavior, and emotional well-being.
- Subjects
UNITED States; CALIFORNIA; MENTAL depression; DIABETES; ECOLOGICAL research; HEALTH promotion; HEALTH status indicators; HISPANIC Americans; METABOLIC regulation; TYPE 2 diabetes; HEALTH self-care; ETHNOLOGY
- Publication
Pan American Journal of Public Health / Revista Panamericana de Salud Pública, 2010, Vol 28, Issue 3, p230
- ISSN
1020-4989
- Publication type
Article
- DOI
10.1590/S1020-49892010000900014