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Diabetes and psychological profile of younger rural African American women with type 2 diabetes.

Miller ST
J Health Care Poor Underserved. 2011 22 (4): 1239-52

PMID: 22080706 · PMCID: PMC3327471 · DOI:10.1353/hpu.2011.0110

PURPOSE - To describe diabetes self-care behaviors, diabetes-related distress, depressive symptoms, and diabetes-related needs among rural African American women with type 2 diabetes ages 21-50.

METHODS - A cross-sectional survey, including questionnaires and a single, open-ended question, was used to assess constructs of interest.

FINDINGS - Taking medication was the most frequently reported (5.5 days/week) self-care activity and exercise the least (3.0 days/week). Nearly half (44%) reported worrying about diabetes complications. Approximately one-third (31%) felt guilty about inconsistent self-care or fearful about living with diabetes. Seventy percent had a depression score suggestive of significant depressive symptomatology. Most diabetes-related concerns were about diet (34%) (i.e., what to eat), exercise (30%), taking medications (10%), and finances (8%).

CONCLUSIONS - Future research should explore specific diabetes self-care barriers/enablers and interventions should provide women with diabetes education, barrier management, and psychological support. Innovative delivery strategies are needed to provide this support in resource-limited rural communities.

MeSH Terms (19)

Adult African Americans Body Mass Index Cross-Sectional Studies Depression Diabetes Mellitus, Type 2 Exercise Female Health Knowledge, Attitudes, Practice Humans Medication Adherence Middle Aged Mississippi Rural Population Self Care Social Support Socioeconomic Factors Surveys and Questionnaires Young Adult

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