The mediating/moderating role of cultural context factors on self-care practices among those living with diabetes in rural Appalachia.
The mediating/moderating role of cultural context factors on self-care practices among those living with diabetes in rural Appalachia.
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DOI：
10.1186/s12889-021-11777-7
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发表时间：
2021-10-02
影响因子：
4.5
通讯作者：
Schoenberg NE
中科院分区：
文献类型：
--
作者：
Smalls BL;Adegboyega A;Combs E;Rutledge M;Westgate PM;Azam MT;De La Barra F;Williams LB;Schoenberg NE
本研究的目的是检验文化因素，如宗教信仰和社会支持，是否在阿巴拉契亚农村社区个人/心理社会因素与T2 DM自我护理之间的关系中起中介/调节作用。回归模型被用来评估调解和缓和。多水平线性混合效应模型和Gee型Logistic回归模型分别适用于持续性(社会支持、自理)和二元(宗教)结果。结果表明，文化情境因素(宗教信仰和社会支持)在心理社会因素与T2 DM自理之间的关系中起中介作用。具体地说，在对人口统计变量进行调整后，研究结果表明，社会支持可能会缓解抑郁症状和压力对自我照顾的影响。宗教信仰可以缓和痛苦对自我照顾的影响，而赋权是自我照顾的预测因子，但不受评估的文化背景因素的中介/调节。在考虑健康状况时，宗教信仰是自我照顾的中等显著预测因子，并可能在自感健康状况与T2 DM自我照顾之间的关系中起中介作用。这项研究是已知的第一项研究，调查了阿巴拉契亚地区成年人的社区样本中的文化资产和糖尿病自我护理实践。我们呼应呼吁在这一高度受影响的人口中增加关于社会支持、宗教信仰和其他背景因素的证据。美国国家科学图书馆标识NCT03474731。注册于2018年3月23日，www.Clinicaltrials.gov。
The aim of this study was to examine whether cultural factors, such as religiosity and social support, mediate/moderate the relationship between personal/psychosocial factors and T2DM self-care in a rural Appalachian community. Regression models were utilized to assess for mediation and moderation. Multilevel linear mixed effects models and GEE-type logistic regression models were fit for continuous (social support, self-care) and binary (religiosity) outcomes, respectively. The results indicated that cultural context factors (religiosity and social support) can mediate/moderate the relationship between psychosocial factors and T2DM self-care. Specifically, after adjusting for demographic variables, the findings suggested that social support may moderate the effect of depressive symptoms and stress on self-care. Religiosity may moderate the effect of distress on self-care, and empowerment was a predictor of self-care but was not mediated/moderated by the assessed cultural context factors. When considering health status, religiosity was a moderately significant predictor of self-care and may mediate the relationship between perceived health status and T2DM self-care. This study represents the first known research to examine cultural assets and diabetes self-care practices among a community-based sample of Appalachian adults. We echo calls to increase the evidence on social support and religiosity and other contextual factors among this highly affected population. US National Library of Science identifier NCT03474731. Registered March 23, 2018, www.clinicaltrials.gov.
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影响因子：
2.9
作者：
Fitzgerald M;O'Tuathaigh C;Moran J
通讯作者：
Moran J
影响因子：
5.2
作者：
Gonzalez-Zacarias AA;Mavarez-Martinez A;Arias-Morales CE;Stoicea N;Rogers B
通讯作者：
Rogers B
影响因子：
1.4
作者：
Mohebi S;Parham M;Sharifirad G;Gharlipour Z;Mohammadbeigi A;Rajati F
通讯作者：
Rajati F
影响因子：
3.5
作者：
Castel, Liana D.;Williams, Kelly A.;DeVellis, Robert F.
通讯作者：
DeVellis, Robert F.
DOI：
10.1177/104365960101200306
发表时间：
2001-07-01
期刊：
Journal of transcultural nursing : official journal of the Transcultural Nursing Society
影响因子：
--
作者：
MacAvoy, S;Lippman, D T
通讯作者：
Lippman, D T