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The family and disease management in Hispanic and European-American patients with type 2 diabetes.

Publication ,  Journal Article
Fisher, L; Chesla, CA; Skaff, MM; Gilliss, C; Mullan, JT; Bartz, RJ; Kanter, RA; Lutz, CP
Published in: Diabetes care
March 2000

To determine the relationship between the characteristics of families involved in disease management and the self-care practices of Hispanic and European-American (EA) patients with type 2 diabetes.A total of 74 Hispanic patients and 113 EA patients with type 2 diabetes recruited from managed care settings were assessed on three domains of family life (family structure/organization, family world view, and family emotion management [four scales]) and five areas of disease management (biological, general health and function status, emotional tone, quality of life, and behavioral [seven scales]). Analyses assessed the independent associations of patient sex, family, and sex by family interactions with disease management.Both sex and the three domains of family life were related to disease management, but the results varied by ethnic group. For EA patients, sex, family world view, and family emotion management were related to disease management (scores for Family Coherence were negatively associated with HbA1c level and depression, and poor scores for Conflict Resolution were linked with high depression); for Hispanic patients, sex and family structure/organization were related to disease management (high scores for Organized Cohesiveness were associated with good diet and exercise, and high scores for Family Sex-Role Traditionalism were related to high quality of life). No significant interactions with sex occurred.Characteristics of the family setting in which disease management takes place are significantly linked to patient self-care behavior, and these linkages vary by patient ethnicity. A family's multiple independent dimensions provide multiple targets for intervention, and differences in family norms, structures, and emotion management should be considered to ensure that interventions are compatible with the setting of disease management.

Duke Scholars

Published In

Diabetes care

DOI

EISSN

1935-5548

ISSN

0149-5992

Publication Date

March 2000

Volume

23

Issue

3

Start / End Page

267 / 272

Related Subject Headings

  • White People
  • Spouses
  • Quality of Life
  • Middle Aged
  • Managed Care Programs
  • Male
  • Humans
  • Hispanic or Latino
  • Health Status
  • Glycated Hemoglobin
 

Citation

APA
Chicago
ICMJE
MLA
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Fisher, L., Chesla, C. A., Skaff, M. M., Gilliss, C., Mullan, J. T., Bartz, R. J., … Lutz, C. P. (2000). The family and disease management in Hispanic and European-American patients with type 2 diabetes. Diabetes Care, 23(3), 267–272. https://doi.org/10.2337/diacare.23.3.267
Fisher, L., C. A. Chesla, M. M. Skaff, C. Gilliss, J. T. Mullan, R. J. Bartz, R. A. Kanter, and C. P. Lutz. “The family and disease management in Hispanic and European-American patients with type 2 diabetes.Diabetes Care 23, no. 3 (March 2000): 267–72. https://doi.org/10.2337/diacare.23.3.267.
Fisher L, Chesla CA, Skaff MM, Gilliss C, Mullan JT, Bartz RJ, et al. The family and disease management in Hispanic and European-American patients with type 2 diabetes. Diabetes care. 2000 Mar;23(3):267–72.
Fisher, L., et al. “The family and disease management in Hispanic and European-American patients with type 2 diabetes.Diabetes Care, vol. 23, no. 3, Mar. 2000, pp. 267–72. Epmc, doi:10.2337/diacare.23.3.267.
Fisher L, Chesla CA, Skaff MM, Gilliss C, Mullan JT, Bartz RJ, Kanter RA, Lutz CP. The family and disease management in Hispanic and European-American patients with type 2 diabetes. Diabetes care. 2000 Mar;23(3):267–272.

Published In

Diabetes care

DOI

EISSN

1935-5548

ISSN

0149-5992

Publication Date

March 2000

Volume

23

Issue

3

Start / End Page

267 / 272

Related Subject Headings

  • White People
  • Spouses
  • Quality of Life
  • Middle Aged
  • Managed Care Programs
  • Male
  • Humans
  • Hispanic or Latino
  • Health Status
  • Glycated Hemoglobin