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J Pediatr Psychol. 2017 Oct 1;42(9):933-940. doi: 10.1093/jpepsy/jsx092.

Diabetes-Specific and General Life Stress and Glycemic Outcomes in Emerging Adults With Type 1 Diabetes: Is Race/Ethnicity a Moderator?

Author information

1
Department of Pediatrics, Baylor College of Medicine.
2
Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine.
3
Center for Clinical and Translational Research, Seattle Children's Research Institute.

Abstract

Objective:

This study examines whether race/ethnicity moderates relationships of (a) diabetes stress and general life stressors with (b) diabetes outcomes of glycemic control and diabetic ketoacidosis (DKA) among emerging adults (aged 18-25 years) with type 1 diabetes (T1D).

Method:

Using a T1D Exchange Registry sample of non-Hispanic White, African American, and Hispanic emerging adults (N = 3,440), multiple group analyses were used to determine whether race/ethnicity moderates the relationships between stress and diabetes outcomes.

Results:

The relationships between the two stress types and glycemic control did not differ between African American and non-Hispanic Whites. However, as compared with non-Hispanic Whites, the association between higher diabetes-specific stress and poorer glycemic control was significantly stronger for Hispanics, and Hispanics had poorer glycemic control when they experienced a relatively fewer number of general life stressors than non-Hispanic Whites. The relationships between the type of stress (diabetes-specific and general stress) and DKA did not differ across racial/ethnic groups.

Conclusions:

Future research should evaluate possible mechanisms that contribute to the different relationships of stress with glycemic control among Hispanics compared with non-Hispanic Whites.

KEYWORDS:

diabetic ketoacidosis; glycemic control; race/ethnicity; stress; type 1 diabetes

PMID:
28645198
PMCID:
PMC5896631
DOI:
10.1093/jpepsy/jsx092
[Indexed for MEDLINE]
Free PMC Article

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