Abstract
This study used a social-ecological framework to examine predictors of depression, diabetes self-management, and clinical indicators of health risk among Hispanics with type 2 diabetes residing in the United States (U.S.)-Mexico border region in San Diego County, California, United States of America. Important links were observed between greater social-environmental support for disease management and less depression, better diabetes self-management, and lower body mass index and serum triglyceride concentrations. Less depressive symptomatology was also related to lower hemoglobin A1c levels. Findings suggest that programs aiming to improve diabetes self-management and health outcomes in Hispanics with type 2 diabetes should consider multilevel, social, and environmental influences on health, behavior, and emotional well-being.
Publication types
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Comparative Study
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Randomized Controlled Trial
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Research Support, N.I.H., Extramural
MeSH terms
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Adult
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Aged
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Blood Pressure
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Body Mass Index
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California / epidemiology
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Community Health Services / statistics & numerical data
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Depression / epidemiology
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Diabetes Mellitus, Type 2 / blood
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Diabetes Mellitus, Type 2 / epidemiology
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Diabetes Mellitus, Type 2 / ethnology
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Diabetes Mellitus, Type 2 / psychology*
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Diabetes Mellitus, Type 2 / therapy
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Disease Management
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Emotions
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Family
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Female
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Friends
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Glycated Hemoglobin / analysis
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Health Status Indicators
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Humans
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Lipids / blood
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Male
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Medicaid / statistics & numerical data
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Mexican Americans / psychology*
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Mexican Americans / statistics & numerical data
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Mexico / epidemiology
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Mexico / ethnology
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Middle Aged
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Patient Education as Topic*
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Self Care / statistics & numerical data
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Self-Help Groups*
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Social Support*
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United States
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Young Adult
Substances
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Glycated Hemoglobin A
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Lipids