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Race/ethnicity moderates the relationship between chronic life stress and quality of life in type 2 diabetes.

Abstract：

AIMS:To determine whether chronic life stress is differentially associated with quality of life (QoL) for Blacks vs. Hispanics with type 2 diabetes. METHODS:We assessed self-reported chronic stress and QoL in 125 patients with type 2 diabetes who self-identified as either non-Hispanic Black or Hispanic. Separate cross-sectional two-way interaction models (stress × race/ethnicity) with physical and mental health as outcomes were examined. RESULTS:The two-way interaction predicted mental (b=3.12, P=.04) but not physical health. Simple slopes analyses indicated that under conditions of high stress, Blacks (b=-4.4, P<.001), but not Hispanics, experienced significantly lower levels of mental health. In exploratory analyses, we examined a three-way interaction (stress × race/ethnicity × social support) with physical and mental health as outcomes. Results indicated the three-way interaction predicted mental (b=.62, P=.01) but not physical health. Simple slopes analyses indicated that under conditions of high stress, high levels of social support improved mental health for Hispanics (b=1.2, P<.001), but not for Blacks. CONCLUSIONS:Black patients with type 2 diabetes may be particularly vulnerable to the deleterious effects of high chronic stress. Social support buffers effects of stress on mental health in Hispanics but not Blacks, which suggests differences in the use and/or quality of social support between Hispanics and Blacks. Longitudinal investigations that examine race/ethnicity, stress, social support, and QoL should help clarify the processes that underlie these observed relations.

journal_name

Diabetes Res Clin Pract

journal_title

Diabetes research and clinical practice

authors

Shallcross AJ,Ojie MJ,Chaplin W,Levy N,Odedosu T,Ogedegbe G,Spruill TM

doi

10.1016/j.diabres.2015.01.025

subject

Has Abstract

pub_date

2015-04-01 00:00:00

pages

150-6

issue

1

eissn

0168-8227

issn

1872-8227

pii

S0168-8227(15)00040-6

journal_volume

108

pub_type

杂志文章,多中心研究

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