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Area of Science:

  • Social epidemiology
  • Health psychology
  • Behavioral medicine

Background:

  • Structural social connectedness, defined by social network structure and size, is crucial for health.
  • The COVID-19 pandemic significantly disrupted social structures, impacting individuals' ability to connect.
  • Understanding these disruptions is vital for managing chronic conditions like diabetes.

Purpose of the Study:

  • To investigate the influence of structural social connectedness on diabetes self-management during the COVID-19 pandemic.
  • To explore how home and workplace social networks affected patients' ability to manage their diabetes.
  • To provide insights for healthcare providers on supporting patients' self-management.

Main Methods:

  • An explanatory sequential mixed methods design was employed.
  • Quantitative data were collected through surveys of 54 diabetes patients in 2021.
  • Qualitative data were gathered via interviews with 25 patients in 2022 to explain survey findings.

Main Results:

  • Home social connectedness was associated with overcoming pandemic-related self-management challenges.
  • Individuals with higher home social connectedness demonstrated better diabetes self-management.
  • Workplace social connectedness, while present, introduced structural barriers to effective self-management.

Conclusions:

  • Structural social connectedness significantly impacts diabetes self-management during public health crises.
  • The interplay between home and workplace social structures influences patient outcomes.
  • Clinicians should assess and leverage social connectedness to enhance diabetes self-management support.