Abstract
Objective: This study examined racial/ethnic differences in the relationship between diabetes self-efficacy and psychological distress among older adults with diabetes mellitus. Method: Adults aged 60 or older with a diagnosis of diabetes mellitus (N = 3,067) were drawn from the 2009 California Health Interview Survey (CHIS). Hierarchical multiple regression analyses were conducted. Results: After controlling for covariates, African Americans and those with higher levels of diabetes self-efficacy tended to have lower levels of psychological distress. Significant interactions were found in the Hispanic/Latino and Asian groups: The effect of diabetes self-efficacy on psychological distress was greater for Hispanics/Latinos and Asians than non-Hispanic Whites. Discussion: Findings suggest that diabetes self-efficacy is associated with psychological distress among older diabetic patients and that race/ethnicity moderates the relationship between diabetes self-efficacy and psychological distress. Increasing diabetes self-efficacy will help racial/ethnic minority older patients with diabetes to improve psychological well-being at a greater level.
Original language | English (US) |
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Pages (from-to) | 320-333 |
Number of pages | 14 |
Journal | Journal of Aging and Health |
Volume | 27 |
Issue number | 2 |
DOIs | |
State | Published - Jan 1 2015 |
Externally published | Yes |
Keywords
- diabetes
- health disparities
- psychological distress
- race/ethnicity
- self-efficacy
ASJC Scopus subject areas
- Gerontology
- Community and Home Care
- Geriatrics and Gerontology