一个网络分析,以探索患有2型糖尿病的黑人成年人的疾病感知
Meng-Jung Wen1, Tongtong Zou2, Daniel M Bolt2
1Division of Social and Administrative Sciences in Pharmacy, School of Pharmacy, University of Wisconsin-Madison, Madison, Wisconsin, USA.
对2型糖尿病的负面情绪对黑人成年人来说至关重要. 干预措施应解决情绪调节,耻辱和社会决定因素,以改善糖尿病自我管理.
科学领域:
- 健康心理学 心理健康心理学
- 健康的社会决定因素
- 糖尿病 自主管理 糖尿病 自主管理
背景情况:
- 2型糖尿病不成比例地影响黑人成年人.
- 了解疾病的感知对于有效的自我管理策略至关重要.
研究的目的:
- 探索围绕黑人成年人2型糖尿病的信念结构.
- 确定潜在的干预目标,以重新定义负面信念并加强自我管理.
主要方法:
- 对170名患有2型糖尿病的黑人成年人调查数据的网络分析.
- 利用规范化的部分相关性网络和高斯图形模型.
- 从一个文化适应的疾病感知问卷-修订的21个项目中检查了相互关系.
主要成果:
- 压倒性的负面情绪,特别是抑郁症,是疾病感知的核心.
- 关键的桥梁信念包括对食物享受,就业,社会经济地位和社会支持的影响.
- 种族认同和健康的社会决定因素成为重要的社会文化影响.
结论:
- 疾病感知网络突出了负面情绪的中心作用和社会文化因素的影响.
- 干预目标包括情绪调节,内化耻辱感,健康饮食适应以及解决社会决定因素.
- 文化定制的方法对于加强黑人成年人糖尿病自我管理至关重要.
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