Resolving disease management problems in European-American and Latino couples with type 2 diabetes: the effects of ethnicity and patient gender.

Journal Article (Journal Article)

The management of type 2 diabetes requires major life style changes. How patients and family members resolve disagreements about disease management affects how well the disease is managed over time. Our goal was to identify differences in how couples resolved disagreements about diabetes management based on ethnicity and patient gender. We recruited 65 Latino and 110 European-American (EA) couples in which one spouse had type 2 diabetes. Couples participated in a 10-minute videotaped, revealed differences interaction task that was evaluated with 7 reliable observer ratings: warm-engagement, hostility, avoidance, amount of conflict resolution, off-task behavior, patient dominance, and dialogue. A series of 2 x 2, Ethnicity x Sex ANOVAs indicated significant effects for Ethnicity and for the Ethnicity x Sex interaction, but not for Sex. Latino couples were rated as significantly more emotionally close, less avoidant, less hostile toward each other, and had less dominant patients than EA couples; however, Latino couples achieved significantly less problem resolution and were more frequently off-task than EA couples. These findings were qualified by patient gender. The findings highlight important differences

Full Text

Duke Authors

Cited Authors

  • Fisher, L; Gudmundsdottir, M; Gilliss, C; Skaff, M; Mullan, J; Kanter, R; Chesla, C

Published Date

  • January 2000

Published In

Volume / Issue

  • 39 / 4

Start / End Page

  • 403 - 416

PubMed ID

  • 11143595

Electronic International Standard Serial Number (EISSN)

  • 1545-5300

International Standard Serial Number (ISSN)

  • 0014-7370

Digital Object Identifier (DOI)

  • 10.1111/j.1545-5300.2000.39402.x


  • eng