| Gender differences in functional limitations in adults living with type 2 diabetes: biobehavioral and psychosocial mediators. | |
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MedLine Citation:
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PMID: 20827519 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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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. |
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Authors:
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Ching-Ju Chiu; Linda A Wray |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Annals of behavioral medicine : a publication of the Society of Behavioral Medicine Volume: 41 ISSN: 1532-4796 ISO Abbreviation: Ann Behav Med Publication Date: 2011 Feb |
Date Detail:
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Created Date: 2011-01-31 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8510246 Medline TA: Ann Behav Med Country: United States |
Other Details:
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Languages: eng Pagination: 71-82 Citation Subset: IM |
Affiliation:
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Department of Biobehavioral Health, The Pennsylvania State University, 315 HHD East, University Park, PA, 16802, USA, cuc197@psu.edu. |
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