Title | Gender differences in functional limitations in adults living with type 2 diabetes: biobehavioral and psychosocial mediators. |
Publication Type | Journal Article |
Year of Publication | 2011 |
Authors | Chiu, C-J, Wray, LA |
Journal | Ann Behav Med |
Volume | 41 |
Issue | 1 |
Pagination | 71-82 |
Date Published | 2011 Feb |
ISSN Number | 1532-4796 |
Call Number | newpubs20110418_Chiu.pdf |
Keywords | Adult, Aged, Aged, 80 and over, Biomarkers, Blood Glucose Self-Monitoring, Body Mass Index, Diabetes Mellitus, Type 2, Exercise, Female, Health Behavior, Humans, Male, Middle Aged, Models, Psychological, Prospective Studies, Risk Factors, Self Report, Sex Characteristics, Socioeconomic factors, United States |
Abstract | BACKGROUND: Differences in functional limitations between adults with and without diabetes are more evident in women than they are in men. PURPOSE: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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. |
DOI | 10.1007/s12160-010-9226-0 |
User Guide Notes | |
Endnote Keywords | Gender differences/Psychosocial well-being/Mediator/Structural equation modeling/Functional limitations |
Endnote ID | 24790 |
Alternate Journal | Ann Behav Med |
Citation Key | 7573 |
PubMed ID | 20827519 |
Grant List | R21 DK078894 / DK / NIDDK NIH HHS / United States R21-DK078894 / DK / NIDDK NIH HHS / United States |