Abstract
Background: Differences in functional limitations between adults with and without diabetes are more evident in women than they are in men. Purpose: This study aims to investigate if there are gender differences in biological, behavioral, and psychosocial variables, and how these gender-related variables explain the gender-functional limitations relationship in adults with type 2 diabetes. Methods: We drew data on 1,619 adults with type 2 diabetes from the Health and Retirement Study and its diabetes-specific mail survey. The fit of a series of mediation models to the data was assessed by structural equation modeling. Results: Although women had better diet and blood glucose self-monitoring behaviors than did men, they reported less favorable body mass index, glycosylated hemoglobin (HbA1c) value, blood pressure, early complications, exercise behaviors, perceived control, self-efficacy, coping, depressive symptoms, and family support than did men. Psychosocial factors made an indirect contribution in the gender-functional limitations relationship by way of their strong association with biological and behavioral factors, two factors that directly and completely mediated the gender-functional limitations relationship. Conclusions: Interventions promoting psychosocial well-being and empowering perceived diabetes control, coping, and self-efficacy in women with type 2 diabetes may help improve biological and behavioral determinants, and further, their long-term functional health.
| Original language | English |
|---|---|
| Pages (from-to) | 71-82 |
| Number of pages | 12 |
| Journal | Annals of Behavioral Medicine |
| Volume | 41 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - 2011 Feb 1 |
Fingerprint
All Science Journal Classification (ASJC) codes
- Psychology(all)
- Psychiatry and Mental health
Cite this
}
Gender differences in functional limitations in adults living with type 2 diabetes : Biobehavioral and psychosocial mediators. / Chiu, Ching-Ju; Wray, Linda A.
In: Annals of Behavioral Medicine, Vol. 41, No. 1, 01.02.2011, p. 71-82.Research output: Contribution to journal › Article
TY - JOUR
T1 - Gender differences in functional limitations in adults living with type 2 diabetes
T2 - Biobehavioral and psychosocial mediators
AU - Chiu, Ching-Ju
AU - Wray, Linda A.
PY - 2011/2/1
Y1 - 2011/2/1
N2 - Background: Differences in functional limitations between adults with and without diabetes are more evident in women than they are in men. Purpose: This study aims to investigate if there are gender differences in biological, behavioral, and psychosocial variables, and how these gender-related variables explain the gender-functional limitations relationship in adults with type 2 diabetes. Methods: We drew data on 1,619 adults with type 2 diabetes from the Health and Retirement Study and its diabetes-specific mail survey. The fit of a series of mediation models to the data was assessed by structural equation modeling. Results: Although women had better diet and blood glucose self-monitoring behaviors than did men, they reported less favorable body mass index, glycosylated hemoglobin (HbA1c) value, blood pressure, early complications, exercise behaviors, perceived control, self-efficacy, coping, depressive symptoms, and family support than did men. Psychosocial factors made an indirect contribution in the gender-functional limitations relationship by way of their strong association with biological and behavioral factors, two factors that directly and completely mediated the gender-functional limitations relationship. Conclusions: Interventions promoting psychosocial well-being and empowering perceived diabetes control, coping, and self-efficacy in women with type 2 diabetes may help improve biological and behavioral determinants, and further, their long-term functional health.
AB - Background: Differences in functional limitations between adults with and without diabetes are more evident in women than they are in men. Purpose: This study aims to investigate if there are gender differences in biological, behavioral, and psychosocial variables, and how these gender-related variables explain the gender-functional limitations relationship in adults with type 2 diabetes. Methods: We drew data on 1,619 adults with type 2 diabetes from the Health and Retirement Study and its diabetes-specific mail survey. The fit of a series of mediation models to the data was assessed by structural equation modeling. Results: Although women had better diet and blood glucose self-monitoring behaviors than did men, they reported less favorable body mass index, glycosylated hemoglobin (HbA1c) value, blood pressure, early complications, exercise behaviors, perceived control, self-efficacy, coping, depressive symptoms, and family support than did men. Psychosocial factors made an indirect contribution in the gender-functional limitations relationship by way of their strong association with biological and behavioral factors, two factors that directly and completely mediated the gender-functional limitations relationship. Conclusions: Interventions promoting psychosocial well-being and empowering perceived diabetes control, coping, and self-efficacy in women with type 2 diabetes may help improve biological and behavioral determinants, and further, their long-term functional health.
UR - http://www.scopus.com/inward/record.url?scp=79952282098&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=79952282098&partnerID=8YFLogxK
U2 - 10.1007/s12160-010-9226-0
DO - 10.1007/s12160-010-9226-0
M3 - Article
C2 - 20827519
AN - SCOPUS:79952282098
VL - 41
SP - 71
EP - 82
JO - Annals of Behavioral Medicine
JF - Annals of Behavioral Medicine
SN - 0883-6612
IS - 1
ER -