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Second, relationships between domains of family life and disease management are examined at one point in time; longitudinal designs are required to establish the causation between family context and disease outcomes. Third, this study of the social context of disease management focused directly on family features. Many other contextual features that influence how African Americans manage diabetes deserve further study, for example, neighborhood, degree of segregation, availability of medical care, and so on. Fourth, examining multiple forms of family relationships and living arrangements strengthens external validity but prevents some analyses because of small numbers in particular cells e.

In summary, attention to the family context of disease is warranted in African-American patients with type 2 diabetes. African-American families have previously been identified as both a support and barrier to adequate care of type 2 diabetes. This work suggests that greater consideration should be given to interventions that enable family members to become involved in diabetes management in positive ways and to change patterns that may serve to make diabetes management more difficult.


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Standardized regression coefficients for multivariate analyses of the effects of family on disease management. NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail.

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  5. Catherine A. E-mail: kit. Diabetes Care Dec; 27 12 : - Previous Next. Family measures Family is defined broadly to include a group of intimates living together or in geographic proximity, with strong emotional bonds, and with a history and a future. Measures of disease management Disease management is also conceptualized as multidimensional and includes patient morale DQOL, general health, and depressive symptoms , diabetes care behaviors diet and exercise , and biologic outcomes HbA 1c Data analysis The goal of the analysis was to examine the concurrent relationship between three domains of family life and three conceptually distinct domains of disease management.

    View this table: View inline View popup. Table 2— Standardized regression coefficients for multivariate analyses of the effects of family on disease management. Accepted August 19, Received April 29, Diabetes Care 24 : —, Diabetes Educ 27 : —, Diabetes Care 14 : —, Diabetes Educ 25 : —, Maillet NA, Melkus GD, Spollett G: Using focus groups to characterize the health beliefs and practices of black women with non-insulin-dependent diabetes.

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    Diabetes Educ 22 : 39 —46, Diabetes Care 25 : —, Diabetes Care 20 : —, J Natl Med Assoc 90 : —, OpenUrl PubMed. Diabetes Educ 26 : —, Boykin W: Afrocultural expression and its implications for schooling. Educ Res 31 : 3 —12, OpenUrl CrossRef. Diabetes Care 23 : —, OpenUrl Abstract. Use of discussion groups to identify barriers to dietary therapy among low-income individuals with non-insulin-dependent diabetes mellitus.

    Diabetes Educ 22 : —, J Fam Issues 21 : —, OpenUrl Web of Science. Diabetes Educ 24 : —, Fam Process 42 : —, Fam Process 31 : —, Family world view and adult health.

    Top 5 Diseases That Disproportionately Affect Blacks

    Family emotion management and adult health. J Marriage Family 61 : —, J Fam Psychol 18 : —, Conceptual framework and item selection.

    Dr. John Wald on African American concern about heart health

    Med Care 30 : —, Diabetes Care 17 : —, Med Sci Sports Exerc 25 : 60 —70, Psychosom Med 59 : —, Fam Syst Health 20 : 7 —46, Campbell TL: The effectiveness of family interventions for physical disorders. J Marital Fam Ther 29 : —, As frightening as those statistics are the risks of getting those diseases are even higher for African-Americans. The good news is, African-Americans can improve their odds of preventing and beating these diseases by understanding the risks and taking simple steps to address them.

    The prevalence of high blood pressure in African-Americans is the highest in the world. Also known as hypertension, high blood pressure increases your risk of heart disease and stroke, and it can cause permanent damage to the heart before you even notice any symptoms , that's why it is often referred to as the " silent killer. Research suggests African-Americans may carry a gene that makes them more salt sensitive, increasing the risk of high blood pressure.

    Gandy said. Check it regularly, and notify your doctor of changes in case treatment needs to be adjusted, Dr. African-Americans are disproportionately affected by obesity. Among non-Hispanic blacks age 20 and older, 63 percent of men and 77 percent of women are overweight or obese. Gandy suggests focusing on the quality of your diet throughout the day, not just during mealtime.

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