Assessing Sources Of Support For Diabetes Self-Care In Urban And Rural Underserved Communities
- 442 Downloads
The ability of adults with diabetes to manage their illness properly and prevent complications is, in part, a function of support provided by the people and institutions surrounding them. Using data from over 200 adults with diabetes in two medically underserved communities – one urban and one rural – this study examines the self-care specific support provided by four key sources: family and friends, community organizations, one’s neighbors and neighborhood, and resources in the wider community. More specifically, this study aims to assess the support needs of adults with diabetes in these communities by estimating their rates of various self-care behaviors, the amount of support provided by key sources, and the associations between support from these sources and adherence to recommended diabetes self-care behaviors. Descriptive findings indicate that close to 40% of the sample failed to report at least moderate levels of adherence, and that physical activity in the rural community, and smoking in the urban community represent particular problem areas. Individuals from the urban subsample reported receiving more support from all of the sources assessed. Logistic regression models indicated that one’s neighbors and neighborhood resources appear to have a broad influence on adherence to diabetes self-care behaviors. Support from family and friends, as well as from community organizations, also seems to be important. These results have implications for the design of interventions aimed at bolstering support for diabetes self-care, and point to the need for an enhanced focus on strengthening the social environmental resources of adults with diabetes.
Keywordstype 2 diabetes diabetes self-care underserved communities urban and rural communities needs assessment
This research was supported by a Prevention Research Center grant from the Centers for Disease Control and Prevention.
- 2.Fisher EB Jr., Arfken CL, Heims JM, Houston CA, Jeffe DB, Sykes RK (1997). Acceptance of diabetes regimens in adults. In: Gochman DS (eds.), Handbook of Health Behavior Research II: Provider Determinants. Plenum Publishing, New York, pp. 189–212Google Scholar
- 6.Glasgow RE, Eakin EG (1998). Issues in diabetes self-management. In: Shumaker SA, Schron EB, Ockene JK, McBee WL (eds.), The Handbook of Health Behavior Change. Springer, New York, pp. 435–461Google Scholar
- 8.Clark NM, Becker MH, Janz NK, Lorig K, Rakowski W, Anderson L (1991) Self-management of chronic disease by older adults. J Aging Health 3:3–27Google Scholar
- 10.Sallis JF, Owen N (1997) Ecological models. In: Glanz K, Lewis FM, Rimer BK (eds.), Health Behavior and Health Education: Theory, Research, and Practice. Jossey-Bass, San Francisco, pp 403–424Google Scholar
- 12.Kawachi I, Berkman LF (2003) Neighborhoods and Health. Oxford University Press, New York, pp 1–19Google Scholar
- 13.New York State Department of Health (2001). Diabetes Surveillance in New York State. Unpublished manuscriptGoogle Scholar
- 19.Centers for Disease Control. (2002). Behavioral Risk Factor Surveillance System Survey Data. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Atlanta, GeorgiaGoogle Scholar
- 21.Carmines EG, Zeller RA (1979) Reliability and Validity Assessment. Sage Publications, Thousand Oaks CA, p 46Google Scholar