ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2021
Diabetes and health-related quality of life among American Indians: the role of psychosocial factors.
Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 10 citations in OpenAlex.
- Change in Health Status Among American Indian/Alaska Native Adolescents Living Outside of Tribal Land in California Before and During the COVID-19 Pandemic.Journal of racial and ethnic health disparities · 2026Article
- The mediating role of health literacy in the relationship between social support and glycemic control among rural patients with diabetes in Western China: a cross-sectional SEM study.Frontiers in endocrinology · 2026Article
- Management of Type 2 Diabetes Mellitus in Native Americans and Alaska Natives: A Systematic Review.Journal of racial and ethnic health disparities · 2025Review
- COVID-19 Pandemic Coping, Social Support, and Emotional Health in American Indian and Alaska Native Peoples.JAMA network open · 2024Article
- Experience of humanistic nursing in hemodialysis nursing for patients with diabetic kidney disease.World journal of diabetes · 2024Article
- The role of resilience in diabetes stigma among young and middle-aged patients with type 2 diabetes.Nursing open · 2023Article
- HPV vaccination coverage and factors among American Indians in Cherokee Nation.Cancer causes & control : CCC · 2023Article
- The associations between social support, self-regulatory fatigue, and health-promoting behaviors among people with type 2 diabetes mellitus: a cross-sectional survey.Frontiers in public health · 2023Article
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Authors and funding
10 authors at 8 institutions in 1 country.
Funding
Abstract
purposeLittle is known about the association of psychosocial factors with health-related quality of life (HRQoL) among American Indians with type 2 diabetes (T2D). This study described functional social support, emotional support, coping, resilience, post-traumatic stress disorder, and HRQoL, among American Indians by diabetes status and, among those with diabetes, examined the association of these factors with HRQoL.
methodsUsing data from the Cherokee Nation Health Survey collected between 2017 and 2019, we evaluated differences in each measure of interest according to diabetes status, using t-test and Chi-squared tests of association. We used weighted multiple logistic regression to examine associations between multiple psychosocial factors and HRQoL among those with diabetes.
resultsCompared to individuals without diabetes, participants with diabetes rated their functional social support (4.62 vs. 4.56, respectively) and coping (2.65 vs. 2.61, respectively) slightly lower and were more likely to report ≥ 15 days of poor physical (14% vs. 26%, respectively) and mental health (14% vs. 17%, respectively) in the past month. Odds of reporting poor overall health increased more than sixfold for those who were dissatisfied/very dissatisfied with life (AOR = 6.70). Resilience scores reduced odds of reporting ≥ 15 days with poor physical health, while experiences of post-traumatic stress doubled these odds.
conclusionOur study yielded insights into the risk as well as protective factors associated with diabetes outcomes in a large sample of American Indians with T2D. Researchers should design pragmatic trials that deepen understanding of preventive as well as treatment leverage through greater attention to experiences that compromise HRQoL.
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