PMID- 31139469
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20201001
IS  - 2090-214X (Print)
IS  - 2090-2158 (Electronic)
VI  - 2019
DP  - 2019
TI  - Psychosocial Mediators between Socioeconomic Status and Dietary Restrictions 
      among Patients Receiving Hemodialysis in Japan.
PG  - 7647356
LID - 10.1155/2019/7647356 [doi]
LID - 7647356
AB  - The generalizability of differences in dietary restrictions (DRs) as function of 
      socioeconomic status (SES) and the pathways of the associations between SES and 
      DRs remain unclear. Therefore, we aimed to explore SES differences in DRs and 
      psychosocial mediators between SES and DRs in Japanese patients receiving 
      hemodialysis. This study was a cross-sectional survey of 6,644 outpatients 
      (average age = 66.5 years; 65% males) of hemodialysis facilities across Japan. 
      DRs were assessed by self-reported and objective measures, and SES was assessed 
      based on education and income. Three psychosocial mediators were used: 
      self-efficacy, control expectancy, and social support. Indirect influences of SES 
      through the mediators were evaluated with a multiple mediator model. Although 
      higher education was significantly associated with higher self-reported DRs, 
      higher income was significantly associated with lower self-reported DRs. 
      Significant SES differences in objective DRs were not observed. The relationships 
      between education and self-reported DRs and objective DRs were significantly 
      mediated by self-efficacy and/or control expectancy. The influences of income 
      were mediated by social support. It becomes possible to design interventions 
      targeting modifiable psychosocial factors including self-efficacy, control 
      expectancy, and social support in order to reduce SES inequalities in DRs.
FAU - Sugisawa, Hidehiro
AU  - Sugisawa H
AUID- ORCID: 0000-0003-1646-1824
AD  - Graduate School of Gerontology, J. F. Oberlin University, Machida-shi 194-0294, 
      Japan.
FAU - Shinoda, Toshio
AU  - Shinoda T
AD  - Faculty of Medical and Health Sciences, Tsukuba International University, 
      Tsuchiura-city 300-0051, Japan.
FAU - Shimizu, Yumiko
AU  - Shimizu Y
AD  - Faculty of Nursing, The Jikei University School of Medicine, Chofu-shi 182-8570, 
      Japan.
FAU - Kumagai, Tamaki
AU  - Kumagai T
AD  - Graduate School of Nursing, Osaka City University, Osaka-shi 545-0051, Japan.
FAU - Sugisaki, Hiroaki
AU  - Sugisaki H
AD  - Hachioji Azumacho Clinic, Hachioji-shi 192-0082, Japan.
LA  - eng
PT  - Journal Article
DEP - 20190417
PL  - United States
TA  - Int J Nephrol
JT  - International journal of nephrology
JID - 101546753
PMC - PMC6500646
EDAT- 2019/05/30 06:00
MHDA- 2019/05/30 06:01
PMCR- 2019/04/17
CRDT- 2019/05/30 06:00
PHST- 2018/12/03 00:00 [received]
PHST- 2019/03/31 00:00 [accepted]
PHST- 2019/05/30 06:00 [entrez]
PHST- 2019/05/30 06:00 [pubmed]
PHST- 2019/05/30 06:01 [medline]
PHST- 2019/04/17 00:00 [pmc-release]
AID - 10.1155/2019/7647356 [doi]
PST - epublish
SO  - Int J Nephrol. 2019 Apr 17;2019:7647356. doi: 10.1155/2019/7647356. eCollection 
      2019.