The relationship between coping styles in response to unfair treatment and understanding of diabetes self-care
AuthorsDyke, Michelle L.
Cuffee, Yendelela L.
Halanych, Jewell H.
McManus, Richard H.
Allison, Jeroan J.
Faculty AdvisorJeroan Allison, MD, MScEpi/Quantitative Health Sciences
UMass Chan AffiliationsEunice Kennedy Shriver Center
Department of Quantitative Health Sciences
School of Medicine
Senior Scholars Program
Document TypeJournal Article
*Attitude to Health
*European Continental Ancestry Group
Health Status Disparities
Patient Education as Topic
Southeastern United States
Endocrinology, Diabetes, and Metabolism
Public Health Education and Promotion
MetadataShow full item record
AbstractPURPOSE: This study examined the relationship between coping style and understanding of diabetes self-care among African American and white elders in a southern Medicare-managed care plan. METHODS: Participants were identified through a diabetes-related pharmacy claim or ICD-9 code and completed a computer-assisted telephone survey in 2006-2007. Understanding of diabetes self-care was assessed using the Diabetes Care Profile Understanding (DCP-U) scale. Coping styles were classified as active (talk about it/take action) or passive (keep it to yourself). Linear regression was used to estimate the associations between coping style with the DCP-U, adjusting for age, sex, education, and comorbidities. Based on the conceptual model, 4 separate categories were established for African American and white participants who displayed active and passive coping styles. RESULTS: Of 1420 participants, the mean age was 73 years, 46% were African American, and 63% were female. Most respondents (77%) exhibited active coping in response to unfair treatment. For African American participants in the study, active coping was associated with higher adjusted mean DCP-U scores when compared to participants with a passive coping style. No difference in DCP-U score was noted among white participants on the basis of coping style. CONCLUSIONS: Active coping was more strongly associated with understanding of diabetes self-care among older African Americans than whites. Future research on coping styles may give new insights into reducing diabetes disparities among racial/ethnic minorities.
SourceDiabetes Educ. 2013 Nov-Dec;39(6):848-55. doi: 10.1177/0145721713507112. Epub 2013 Oct 4. Link to article on publisher's site
Permanent Link to this Itemhttp://hdl.handle.net/20.500.14038/49284
Michelle Dyke participated in this study as a medical student as part of the Senior Scholars research program at the University of Massachusetts Medical School.
Related ResourcesLink to Article in PubMed