Gender invariance in the relationship between social support and glycemic control.
Gender invariance in the relationship between social support and glycemic control.
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DOI：
10.1371/journal.pone.0285373
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发表时间：
2023
期刊：
影响因子：
3.7
通讯作者：
Egede, Leonard E.
中科院分区：
文献类型：
--
作者：
Williams, Joni S.;Walker, Rebekah J.;Egede, Leonard E.
社会支持（SS）在糖尿病自我管理中很重要;然而，人们对不同类型的SS如何影响男性和女性2型糖尿病（T2 DM）患者的糖尿病结局知之甚少。因此，本研究的目的是调查SS类型与血糖控制和自我护理行为之间的关系，并评估这种关系是否因性别而异。对来自美国东南部两个初级保健诊所的615名成年人进行的横断面研究结果是从医疗记录中提取的血红蛋白A1 c（HbA 1c），以及使用糖尿病自我护理活动总结（SDSCA）测量的自我管理行为（一般饮食，特定饮食，运动，血糖测试，足部护理）。自变量为SS（情感/信息，有形，深情，积极的社会交往）使用医疗结局研究（MOS）SS量表测量。结构方程模型（SEM）被用来了解SS和血糖控制之间的途径的理论模型的基础上。对于男性和女性，情感支持与自我护理显著相关（r = 0.16; p = 0.046），而情感支持与血糖控制轻微相关（r = 0.15; p = 0.08）。使用SEM进行性别不变性检验，男性和女性之间的SS意义没有统计学差异。然而，独特的不变性的反应发生，包括有形的支持和自我照顾的妇女（r = 0.24，p = 0.061）之间的关系更强。在SS的四个组成部分中，有形和深情的支持对血糖控制的影响最大。虽然深情的支持将改善男性和女性的血糖控制，但有形的支持将改善自我护理管理，特别是女性。
Social support (SS) is important in diabetes self-management; however, little is known about how different types of SS influence diabetes outcomes in men and women with type 2 diabetes mellitus (T2DM). Therefore, the aims of this study were to investigate the relationships between types of SS and glycemic control and self-care behaviors and assess whether the relationships differ by gender. Cross-sectional study of 615 adults from two primary care clinics in the southeastern U.S. Outcomes were hemoglobin A1c (HbA1c) extracted from the medical records, and self-management behaviors (general diet, specific diet, exercise, blood glucose testing, foot care) measured using the Summary of Diabetes Self-Care Activities (SDSCA). Independent variable was SS (emotional/informational, tangible, affectionate, positive social interaction) measured using the Medical Outcomes Study (MOS) SS Scale. Structural equation modeling (SEM) was used to understand pathways between SS and glycemic control based on a theoretical model. Tangible support was significantly associated with self-care (r = 0.16; p = 0.046) and affectionate support was marginally associated with glycemic control (r = 0.15; p = 0.08) for both men and women. Using SEM to test gender invariance, there was no statistically significant difference in the meaning of SS between men and women. However, unique invariances in responses occurred, including a stronger relationship between tangible support and self-care for women (r = 0.24; p = 0.061). Of the four components of SS, tangible and affectionate support had the strongest influence on glycemic control. While affectionate support will improve glycemic control in both men and women, tangible support will improve self-care management, particularly in women.
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影响因子：
3.9
作者：
Bond, Gail E.;Burr, Robert L.;Feldt, Karen
通讯作者：
Feldt, Karen
影响因子：
2.2
作者：
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通讯作者：
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DOI：
10.1093/geronb/gbp050
发表时间：
2010-05-01
影响因子：
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通讯作者：
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影响因子：
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作者：
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通讯作者：
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影响因子：
3.8
作者：
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通讯作者：
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