Self-reported discrimination, diabetes distress, and continuous blood glucose in women with type 2 diabetes.
Self-reported discrimination, diabetes distress, and continuous blood glucose in women with type 2 diabetes.
复制标题
2 型糖尿病女性自我报告的歧视、糖尿病困扰和持续血糖。
DOI：
10.1007/s10903-013-9948-8
复制
发表时间：
2015
影响因子：
1.9
通讯作者：
Osborn,ChandraY
中科院分区：
文献类型：
--
作者：
Wagner,JulieA;Tennen,Howard;Feinn,Richard;Osborn,ChandraY
We investigated whether self-reported racial discrimination was associated with continuous glucose levels and variability in individuals with diabetes, and whether diabetes distress mediated these associations. Seventy-four Black and White women with type 2 diabetes completed the Experience of Discrimination scale, a measure of lifetime racial discrimination, and the Problem Areas in Diabetes, a measure of diabetes distress. Participants wore a continuous glucose monitor for 24 h after 8 h of fasting, a standard meal, and a 4-h run in period. Higher discrimination predicted higher continuous mean glucose and higher standard deviation of glucose. For both mean and standard deviation of glucose, a race × discrimination interaction indicated a stronger relationship between discrimination and glucose for Whites than for Blacks. Diabetes distress mediated the discrimination–mean glucose relationship. Whites who report discrimination may be uniquely sensitive to distress. These preliminary findings suggest that racial discrimination adversely affects glucose control in women with diabetes, and does so indirectly through diabetes distress. Diabetes distress may be an important therapeutic target to reduce the ill effects of racial discrimination in persons with diabetes.
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