Abstract:
OBJECTIVE:The average age at diagnosis for type 2 diabetes is decreasing. However, because age is most often controlled for in clinical research, little is known regarding how adult age is associated with diabetes disease-related variables. METHODS:In a community based study with type 2 diabetes patients (N=506), after adjusting for potentially confounding variables, we examined associations between patients' age and: stress, depression, diabetes-related distress, self-efficacy, diet, exercise, and glycemic control. We then explored to what extent age interacts with these variables in their association with glycemic control. RESULTS:Younger age was independently associated with: greater chronic stress and negative life events, higher levels of diabetes-related distress, higher depressed affect, eating healthier foods and exercising less frequently, lower diabetes self-efficacy, and higher HbA1c. Interactions showed that younger patients with high stress and/or low self-efficacy were more likely to have higher HbA1c levels than older patients. CONCLUSIONS:Results suggest younger adult patients with type 2 diabetes represent a unique patient subgroup with specific needs and health risks based on their developmental stage and life context. PRACTICE IMPLICATIONS:Treatment programs need to target younger adult patients and may need to utilize different media or modalities (e.g., social media) to reach this group.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Hessler DM,Fisher L,Mullan JT,Glasgow RE,Masharani Udoi
10.1016/j.pec.2010.10.030subject
Has Abstractpub_date
2011-11-01 00:00:00pages
154-9issue
2eissn
0738-3991issn
1873-5134pii
S0738-3991(10)00638-5journal_volume
85pub_type
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journal_title:Patient education and counseling
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