Gender Differences in Functional Limitations in Adults Living with Type 2 Diabetes: Biobehavioral and Psychosocial Mediators

TitleGender Differences in Functional Limitations in Adults Living with Type 2 Diabetes: Biobehavioral and Psychosocial Mediators
Publication TypeJournal Article
Year of Publication2011
AuthorsChiu, C-J, Wray, LA
JournalANNALS OF BEHAVIORAL MEDICINE
Volume41
Issue1
Pagination71
Call Numbernewpubs20110418_Chiu.pdf
KeywordsDemographics, Health Conditions and Status, Methodology, Other
Abstract

Differences in functional limitations between adults with and without diabetes are more evident in women than they are in men. This study aims to investigate if there are gender differences in biological, behavioral, and psychosocial variables, and how these gender-related variables explain the gender-functional limitations relationship in adults with type 2 diabetes. We drew data on 1,619 adults with type 2 diabetes from the Health and Retirement Study and its diabetes-specific mail survey. The fit of a series of mediation models to the data was assessed by structural equation modeling. Although women had better diet and blood glucose self-monitoring behaviors than did men, they reported less favorable body mass index, glycosylated hemoglobin (HbA1c) value, blood pressure, early complications, exercise behaviors, perceived control, self-efficacy, coping, depressive symptoms, and family support than did men. Psychosocial factors made an indirect contribution in the gender-functional limitations relationship by way of their strong association with biological and behavioral factors, two factors that directly and completely mediated the gender-functional limitations relationship. Interventions promoting psychosocial well-being and empowering perceived diabetes control, coping, and self-efficacy in women with type 2 diabetes may help improve biological and behavioral determinants, and further, their long-term functional health.

URLhttp://www.springerlink.com/content/w37661218746t4nx/fulltext.pdf
Endnote Keywords

Gender differences/Psychosocial well-being/Mediator/Structural equation modeling/Functional limitations

Endnote ID

24790

Citation Key7573