The relationship between coping styles in response to unfair treatment and understanding of diabetes self-care
Senior Scholars Program; School of Medicine; Department of Quantitative Health Sciences; Eunice Kennedy Shriver Center
Jeroan Allison, MD, MScEpi/Quantitative Health Sciences
Adaptation, Psychological; *African Americans; Aged; *Attitude to Health; Cross-Sectional Studies; Educational Status; *European Continental Ancestry Group; Female; Health Status Disparities; Humans; Male; Medicare; Patient Education as Topic; *Self Care; Southeastern United States; United States
Endocrinology, Diabetes, and Metabolism | Health Psychology | Public Health Education and Promotion
PURPOSE: This study examined the relationship between coping style and understanding of diabetes self-care among African American and white elders in a southern Medicare-managed care plan.
METHODS: Participants were identified through a diabetes-related pharmacy claim or ICD-9 code and completed a computer-assisted telephone survey in 2006-2007. Understanding of diabetes self-care was assessed using the Diabetes Care Profile Understanding (DCP-U) scale. Coping styles were classified as active (talk about it/take action) or passive (keep it to yourself). Linear regression was used to estimate the associations between coping style with the DCP-U, adjusting for age, sex, education, and comorbidities. Based on the conceptual model, 4 separate categories were established for African American and white participants who displayed active and passive coping styles.
RESULTS: Of 1420 participants, the mean age was 73 years, 46% were African American, and 63% were female. Most respondents (77%) exhibited active coping in response to unfair treatment. For African American participants in the study, active coping was associated with higher adjusted mean DCP-U scores when compared to participants with a passive coping style. No difference in DCP-U score was noted among white participants on the basis of coping style.
CONCLUSIONS: Active coping was more strongly associated with understanding of diabetes self-care among older African Americans than whites. Future research on coping styles may give new insights into reducing diabetes disparities among racial/ethnic minorities.
DOI of Published Version
Diabetes Educ. 2013 Nov-Dec;39(6):848-55. doi: 10.1177/0145721713507112. Epub 2013 Oct 4. Link to article on publisher's site
The Diabetes educator
Dyke, Michelle L.; Cuffee, Yendelela L.; Halanych, Jewell H.; McManus, Richard H.; Curtin, Carol; and Allison, Jeroan J., "The relationship between coping styles in response to unfair treatment and understanding of diabetes self-care" (2013). University of Massachusetts Medical School. Senior Scholars Program. Paper 227.