Evidence map›Paper›PMID 34698832›Full record

ArticleThe Gerontologist2022

"How I Can Help Me": Self-Care Priorities and Structural Pressures Among Black Older Adults With Diabetes.

Sarah Chard, Loren Henderson, Brandy H Wallace, Erin G Roth, Laura Girling, J Kevin Eckert

Abstract read
In one paragraph

Article in The Gerontologist, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Sarah ChardDepartment of Sociology, Anthropology and Public Health, University of Maryland, Baltimore County, Baltimore, Maryland, USA.
Loren HendersonDepartment of Sociology, Anthropology and Public Health, University of Maryland, Baltimore County, Baltimore, Maryland, USA.
Brandy H WallaceDepartment of Sociology, Anthropology and Public Health, University of Maryland, Baltimore County, Baltimore, Maryland, USA.
Erin G RothPATIENTS Program, Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore, Maryland, USA.
Laura GirlingDepartment of Sociology, Anthropology and Public Health, Center for Aging Studies, University of Maryland, Baltimore County, Baltimore, Maryland, USA.
J Kevin EckertDepartment of Sociology, Anthropology and Public Health, University of Maryland, Baltimore County, Baltimore, Maryland, USA.

Funding

The Subjective Experience of Diabetes Among Urban Older AdultsR01AG041709 · NIA · UNIVERSITY OF MARYLAND BALTIMORE COUNTY · PI ECKERT, JOHN KEVIN · 2012 to 2014
$1.3M
NIA NIH HHS R01 AG041709
6 · The paper itself

Abstract

BACKGROUND AND

objectivesDisparities in type 2 diabetes mellitus (diabetes) represent an ongoing public health challenge. Black older adults are at high risk of diabetes and diabetes' complications. Diet, physical activity, and medication can control these risks, yet disease rates remain elevated. Utilizing an intersectionality framework, we seek to extend understanding of the social dimensions of diabetes through an examination of the diabetes self-care process from the perspective of Black older adults. RESEARCH DESIGN AND

methodsThis project involved a thematic analysis of diabetes illness narrative interviews with Black participants (N = 41) in our National Institute on Aging-funded study of diabetes. In a narrative approach, the participant communicates the significance of actions and events.

resultsThe findings suggest that diabetes self-care involves interconnected struggles across four domains of care: (1) multimorbidity management, (2) financial well-being, (3) family support, and (4) formal health care. DISCUSSION AND IMPLICATIONS: Black older adult self-care reflects an active process of pursuing meaningful social goals and critical health needs. An intersectional framework, however, reveals the ongoing histories of inequity that shape this process. Further intervention to address the racist policies and practices found in Black older adults' communities and clinical care is needed to make true progress on diabetes disparities.

Indexed as

Diabetes Mellitus, Type 2Self CareAgedExerciseHumansLongitudinal StudiesMultimorbidityHealth disparitiesMcGill Illness Narrative InterviewQualitative researchUrban

Identifiers

PMID34698832
PMCPMC9154248

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.