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Hispanic acculturation, psychosocial functioning, and routine support for diabetes self-management
Melissa Scollan-Koliopoulos1, Clyde B Schechter2, Arlene Caban2
1The University of Medicine and Dentistry of New Jersey, Division of Endocrinology, Department of Medicine, New Jersey Medical School, Newark, New Jersey (Dr Scollan-Koliopoulos)
The Diabetes Educator
|September 13, 2012
Summary
Spanish language-based acculturation had minimal impact on psychosocial coping with diabetes. Instead, Hispanic cultural values emphasizing mutual support are more influential in managing diabetes daily.
Area of Science:
- Psychology
- Public Health
- Sociology
Background:
- Diabetes self-management requires significant psychosocial coping strategies.
- Understanding factors influencing coping, such as acculturation and social support, is crucial for effective diabetes care.
- Acculturation, the process of cultural and psychological change, may impact how individuals manage chronic conditions like diabetes.
Purpose of the Study:
- To examine the association between Spanish language-based acculturation and psychosocial coping with diabetes.
- To investigate the role of social support in the daily management of diabetes among Hispanic adults.
- To explore how acculturation influences perceptions of social support obtainment for diabetes self-management.
Main Methods:
- A telephone survey was conducted with 209 adults, including 101 Hispanic individuals.
- Data collected included Hispanic ethnicity, depressed mood (PHQ-8), anxiety and worry over diabetes, social burden, diabetes control, physical function (Diabetes-39), and Spanish language-based acculturation.
- Statistical analyses were performed to identify significant associations between variables.
Main Results:
- Less Spanish language-based acculturation was associated with increased depressed mood and social burden, influenced by factors like gender, family demands, and disease severity.
- Acculturation alone explained a small portion of the variance in psychosocial coping with diabetes.
- Individuals experiencing poor psychosocial coping were more likely to receive daily assistance with diabetes self-management, irrespective of their acculturation level.
Conclusions:
- Hispanic cultural values, particularly the emphasis on helping friends and family, appear more significant for psychosocial coping with diabetes than language preference.
- Individuals with poor psychosocial functioning may require external social support for routine diabetes management, especially when family support is insufficient.
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