PMID- 37254029
OWN - NLM
STAT- Publisher
LR  - 20230530
IS  - 1532-7558 (Electronic)
IS  - 1070-5503 (Linking)
DP  - 2023 May 30
TI  - Cultural Beliefs About Diabetes-Related Social Exclusion and Diabetes Distress 
      Impact Self-Care Behaviors and HbA1c Among Patients with Type 2 Diabetes.
LID - 10.1007/s12529-023-10179-w [doi]
AB  - BACKGROUND: Type 2 diabetes mellitus (T2DM) disproportionally impacts Latin 
      Americans (Latinos) in the U.S. compared to non-Latino Whites, as reflected by an 
      increased risk for disease complications and higher mortality rates. Guided by an 
      Integrative Model of Culture, Psychological Processes, and Health Behavior, the 
      purpose of the present study was to examine the role of cultural beliefs and 
      diabetes distress as determinants of self-care behaviors and HbA1c among Latino 
      patients with T2DM. METHODS: Participants included 109 Latino patients with T2DM 
      recruited from a diabetes treatment center located in a region of Southern 
      California with high diabetes mortality rates. Structural equation modeling was 
      employed to examine the extent to which cultural beliefs about diabetes-related 
      social exclusion and diabetes distress impact self-care behaviors and 
      self-reported HbA1c. RESULTS: Consistent with the study hypotheses, cultural 
      beliefs about diabetes-related social exclusion predicted diabetes distress, 
      which in turn predicted poor diabetes self-care. CONCLUSIONS: Findings suggest an 
      important need for intervention efforts that address both cultural and 
      psychological factors in order to improve diabetes self-care behaviors and 
      associated disease outcomes among Latino patients with T2DM. Future research 
      could benefit from investigating protective aspects of culture that could help 
      counter the negative implications of cultural beliefs about social exclusion and 
      diabetes distress associated with poor self-care.
CI  - (c) 2023. The Author(s).
FAU - Ly, Albert L
AU  - Ly AL
AUID- ORCID: 0000-0002-2707-1306
AD  - Department of Psychology, Loma Linda University, Loma Linda, CA, 92350, USA.
FAU - Flynn, Patricia M
AU  - Flynn PM
AUID- ORCID: 0000-0002-8701-8611
AD  - Department of Psychology, Loma Linda University, Loma Linda, CA, 92350, USA. 
      pflynn@llu.edu.
AD  - Department of Preventive Medicine, Loma Linda University, Loma Linda, CA, 92350, 
      USA. pflynn@llu.edu.
FAU - Betancourt, Hector M
AU  - Betancourt HM
AUID- ORCID: 0000-0001-9052-4200
AD  - Department of Psychology, Loma Linda University, Loma Linda, CA, 92350, USA.
LA  - eng
PT  - Journal Article
DEP - 20230530
PL  - England
TA  - Int J Behav Med
JT  - International journal of behavioral medicine
JID - 9421097
SB  - IM
OTO - NOTNLM
OT  - Cultural beliefs
OT  - Diabetes distress
OT  - Diabetes self-care
OT  - HbA1c
OT  - Latinos
OT  - Type 2 diabetes
EDAT- 2023/05/31 01:09
MHDA- 2023/05/31 01:09
CRDT- 2023/05/30 23:32
PHST- 2023/04/19 00:00 [accepted]
PHST- 2023/05/31 01:09 [medline]
PHST- 2023/05/31 01:09 [pubmed]
PHST- 2023/05/30 23:32 [entrez]
AID - 10.1007/s12529-023-10179-w [pii]
AID - 10.1007/s12529-023-10179-w [doi]
PST - aheadofprint
SO  - Int J Behav Med. 2023 May 30. doi: 10.1007/s12529-023-10179-w.