Associations between Psychosocial and Physiological Factors and Diabetes Health Indicators in Asian and Pacific Islander Adults with Type 2 Diabetes

The associations between psychosocial and physiological factors and diabetes’ health indicators have not been widely investigated among Asians and Pacific Islanders. We hypothesize that health behaviour and depression are directly or indirectly associated with diabetes’ health indicators such as BMI...

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Main Authors: Dongmei Li, Jillian Inouye, Jim Davis, Richard F. Arakaki
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Nursing Research and Practice
Online Access:http://dx.doi.org/10.1155/2013/703520
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author Dongmei Li
Jillian Inouye
Jim Davis
Richard F. Arakaki
author_facet Dongmei Li
Jillian Inouye
Jim Davis
Richard F. Arakaki
author_sort Dongmei Li
collection DOAJ
description The associations between psychosocial and physiological factors and diabetes’ health indicators have not been widely investigated among Asians and Pacific Islanders. We hypothesize that health behaviour and depression are directly or indirectly associated with diabetes’ health indicators such as BMI, glycemic control, general health, and diabetes quality of life. Our hypothesis was tested through a structural equation modelling (SEM) approach. Questionnaires that assessed health behaviour, depression, general health, diabetes quality of life, and haemoglobin A1c (HbA1c), along with patients’ demographic information, were obtained from 207 Asian and Pacific Islander adults with type 2 diabetes. IBM SPSS Amos 20 was used for the SEM analysis at 5% level of significance, and the goodness fit of the SEM model was also evaluated. The final SEM model showed that diet and exercise and foot care had positive associations, while depression had a negative association with diabetes’ health indicators. The results highlighted the importance of exercise and depression in diabetes patients’ BMI, glycemic control, general health, and quality of life, which provide evidence for the need to alleviate patients’ depression besides education and training in diet and exercise in future intervention studies among Asians and Pacific Islanders with type 2 diabetes.
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spelling doaj-art-0cbe05a4cac840dd893ac88ee88c5c7c2025-02-03T01:07:44ZengWileyNursing Research and Practice2090-14292090-14372013-01-01201310.1155/2013/703520703520Associations between Psychosocial and Physiological Factors and Diabetes Health Indicators in Asian and Pacific Islander Adults with Type 2 DiabetesDongmei Li0Jillian Inouye1Jim Davis2Richard F. Arakaki3Department of Public Health Sciences, University of Hawaii, Honolulu, HI 96822, USASchools of Nursing and Allied Health Sciences, University of Nevada, Las Vegas, NV 89154, USAJohn A. Burns School of Medicine, University of Hawaii, Honolulu, HI 96813, USAJohn A. Burns School of Medicine, University of Hawaii, Honolulu, HI 96813, USAThe associations between psychosocial and physiological factors and diabetes’ health indicators have not been widely investigated among Asians and Pacific Islanders. We hypothesize that health behaviour and depression are directly or indirectly associated with diabetes’ health indicators such as BMI, glycemic control, general health, and diabetes quality of life. Our hypothesis was tested through a structural equation modelling (SEM) approach. Questionnaires that assessed health behaviour, depression, general health, diabetes quality of life, and haemoglobin A1c (HbA1c), along with patients’ demographic information, were obtained from 207 Asian and Pacific Islander adults with type 2 diabetes. IBM SPSS Amos 20 was used for the SEM analysis at 5% level of significance, and the goodness fit of the SEM model was also evaluated. The final SEM model showed that diet and exercise and foot care had positive associations, while depression had a negative association with diabetes’ health indicators. The results highlighted the importance of exercise and depression in diabetes patients’ BMI, glycemic control, general health, and quality of life, which provide evidence for the need to alleviate patients’ depression besides education and training in diet and exercise in future intervention studies among Asians and Pacific Islanders with type 2 diabetes.http://dx.doi.org/10.1155/2013/703520
spellingShingle Dongmei Li
Jillian Inouye
Jim Davis
Richard F. Arakaki
Associations between Psychosocial and Physiological Factors and Diabetes Health Indicators in Asian and Pacific Islander Adults with Type 2 Diabetes
Nursing Research and Practice
title Associations between Psychosocial and Physiological Factors and Diabetes Health Indicators in Asian and Pacific Islander Adults with Type 2 Diabetes
title_full Associations between Psychosocial and Physiological Factors and Diabetes Health Indicators in Asian and Pacific Islander Adults with Type 2 Diabetes
title_fullStr Associations between Psychosocial and Physiological Factors and Diabetes Health Indicators in Asian and Pacific Islander Adults with Type 2 Diabetes
title_full_unstemmed Associations between Psychosocial and Physiological Factors and Diabetes Health Indicators in Asian and Pacific Islander Adults with Type 2 Diabetes
title_short Associations between Psychosocial and Physiological Factors and Diabetes Health Indicators in Asian and Pacific Islander Adults with Type 2 Diabetes
title_sort associations between psychosocial and physiological factors and diabetes health indicators in asian and pacific islander adults with type 2 diabetes
url http://dx.doi.org/10.1155/2013/703520
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