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Journal of Behavioral Medicine

Erschienen in:

17.05.2019

Sex, race, and the role of relationships in diabetes health: intersectionality matters

verfasst von: Jeanean B. Naqvi, Vicki S. Helgeson, Tiffany L. Gary-Webb, Mary T. Korytkowski, Howard J. Seltman

Erschienen in: Journal of Behavioral Medicine | Ausgabe 1/2020

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Abstract

Previous research has seldom used an intersectionality framework to consider how sex and race affect diabetes health, nor has it examined the role of sex and race in the well-established link between romantic relationship quality and health. This study targeted 200 adults with type 2 diabetes (46% Black; 45% female) and examined whether sex, race, and the interaction between sex and race predicted behavioral and psychological health, or moderated the link between relationship quality and health outcomes. Black women reported poorer diabetes self-care and lower self-efficacy compared to other groups. Relationship quality was associated with better self-care, increased self-efficacy, and lower depressive symptoms. The association between relationship quality and medication adherence was stronger for Black women, and the association between relationship quality and self-efficacy was stronger for both Black women and White men. Results suggest that Black women with diabetes experience more health disadvantages than other groups, but some of these disadvantages might be attenuated by supportive romantic relationships.

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Household income was not measured during the initial assessment, but was measured during the 6-month follow-up interview. The average of patient and partner responses was taken. Missing data were imputed.

When we conducted the analyses excluding interracial couples, findings largely remained the same: the marginal effect of sex on diabetes distress became significant, F(1,182) = 5.14, p = .03.

When we conducted the analyses excluding couples with a less recent diagnosis, the significant interaction between sex and race on diabetes self-care became marginal, F(1,181) = 3.71, p = .06.

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Titel: Sex, race, and the role of relationships in diabetes health: intersectionality matters
verfasst von: Jeanean B. Naqvi
Vicki S. Helgeson
Tiffany L. Gary-Webb
Mary T. Korytkowski
Howard J. Seltman
Publikationsdatum: 17.05.2019
Verlag: Springer US
Erschienen in: Journal of Behavioral Medicine / Ausgabe 1/2020
Print ISSN: 0160-7715
Elektronische ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-019-00057-w

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Sex, race, and the role of relationships in diabetes health: intersectionality matters

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