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Successful Aging Among African American Older Adults With Type 2 Diabetes
Sarah Chard1, Brandy Harris-Wallace1, Erin G Roth1
1Department of Sociology, Anthropology, and Health Administration & Policy, Center for Aging Studies, UMBC, Baltimore, Maryland.
Older African Americans with diabetes define well-being by comparing to the past and caring for others. Life hardships and distrust in medical systems influence their health decisions and well-being.
Area of Science:
- Gerontology
- Public Health
- Sociology
Background:
- Rowe and Kahn's successful aging model needs expansion for disadvantaged populations.
- Understanding well-being in urban African American older adults with Type 2 diabetes is crucial.
Purpose of the Study:
- Examine subjective well-being constructions in urban African American adults (age ≥ 50) with Type 2 diabetes.
- Identify the role of life events in their well-being.
Main Methods:
- Qualitative study using adapted McGill Illness Narrative Interview with 41 African American older adults with diabetes.
- Thematic analysis of codes related to aging, disease prognosis, and worldview.
Main Results:
- Well-being is evaluated through social comparisons and caregiving.
- Diabetes self-care can promote social engagement.
- Distrust in medical institutions may lead to nonadherence to biomedical treatments.
Conclusions:
- Life hardships and illness shape diabetes experiences and well-being perceptions.
- Healthcare providers must consider socio-economic and political factors in diabetes self-management and well-being.
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