家庭关系对糖尿病意识和自我护理行为有影响吗？西班牙裔社区健康研究/拉丁裔研究的启示

IF 6.1 3区医学 Q1 ENDOCRINOLOGY & METABOLISM

Diabetes research and clinical practice Pub Date : 2025-02-22 DOI:10.1016/j.diabres.2025.112053

Karen R. Flórez , Adam M. Whalen , Mayra L. Estrella , Earle C. Chambers , Linda C. Gallo , Martha L. Daviglus , Olga Garcia-Bedoya , Melawhy L. Garcia , Gregory A. Talavera , Krista M. Perreira , Wenyan Ma , Carmen R. Isasi

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Do household ties matter for diabetes awareness and self-care behaviors? Insights from the Hispanic community health study/study of latinos

Objective

Examine the association of household ties with diabetes awareness and self-care behaviors among Hispanic/Latinos.

Research Design and Methods

Data from the Hispanic Community Health Study/Study of Latinos were used (Visit 2; 2014–2017; n = 11,071). Household ties (none, extended, and close), sex, and loneliness were used in a cluster analysis to derive the household clusters. Diabetes awareness and diabetes self-care behaviors (among the aware only) were the outcomes.

Results

Clusters that emerged were: (1) Females who rarely feel lonely and who mostly live with close ties; (2) Males who rarely feel lonely and who mostly live with close ties; (3) Males and females who feel lonely despite living with mostly close ties; (4) Males and females who feel lonely and mostly live alone or without familial ties. Cluster 4 had the highest proportion of diagnosed (27%) and undiagnosed diabetes (10%). In regression models, none of the clusters related to diabetes awareness. However, among the aware, glucose monitoring was only significantly higher among cluster 1 relative to cluster 4. Compared to cluster 4, all clusters were significantly more likely to know their HbA1c.

Conclusions

Household tie clusters were related to diabetes self-care behavior but not awareness.

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来源期刊

Diabetes research and clinical practice 医学-内分泌学与代谢

CiteScore

10.30

自引率

3.90%

发文量

862

审稿时长

32 days

期刊介绍： Diabetes Research and Clinical Practice is an international journal for health-care providers and clinically oriented researchers that publishes high-quality original research articles and expert reviews in diabetes and related areas. The role of the journal is to provide a venue for dissemination of knowledge and discussion of topics related to diabetes clinical research and patient care. Topics of focus include translational science, genetics, immunology, nutrition, psychosocial research, epidemiology, prevention, socio-economic research, complications, new treatments, technologies and therapy.