Coping and psychosocial adaptation to Type 2 diabetes in older Blacks born in the Southern US and the Caribbean

Older Black men and women (n = 212) with Type 2 diabetes completed questionnaires. Spearman's rho correlation indicated that confrontive coping strategies supported effective psychosocial adaptation for persons originally from Haiti and Jamaica, while emotive coping strategies were related to i...

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Bibliographic Details
Published in:Research in nursing & health 2007-04, Vol.30 (2), p.151-163
Main Authors: Degazon, Cynthia E., Parker, Veronica G.
Format: Article
Language:English
Subjects:
Adaptation, Psychological
African Americans
African Americans - education
African Americans - ethnology
African Continental Ancestry Group - education
African Continental Ancestry Group - ethnology
Analysis of Variance
Attitude to Health - ethnology
Barbados - ethnology
Biological and medical sciences
birth origin
Birth place
Black American people
Blacks born in the Southern US and the Caribbean
Caribbean people
coping
Coping strategies
Correlation analysis
Cross-Cultural Comparison
Diabetes
Diabetes Mellitus, Type 2 - ethnology
Diabetes Mellitus, Type 2 - prevention & control
Diabetes. Impaired glucose tolerance
Elder care
Emotions
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Etiopathogenesis. Screening. Investigations. Target tissue resistance
Family - ethnology
Female
Gerontology
Haiti - ethnology
Humans
Jamaica - ethnology
Male
Medical sciences
Miscellaneous
New England
Nursing
Nursing Methodology Research
Older people
psychosocial adaptation
Psychosocial adjustment
Public health. Hygiene
Public health. Hygiene-occupational medicine
Residence Characteristics
Social psychology
Social Support
Southeastern United States - ethnology
Surveys and Questionnaires
Trinidad and Tobago - ethnology
Type 2 diabetes
Type 2 diabetes mellitus
Urban Population
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Summary:Older Black men and women (n = 212) with Type 2 diabetes completed questionnaires. Spearman's rho correlation indicated that confrontive coping strategies supported effective psychosocial adaptation for persons originally from Haiti and Jamaica, while emotive coping strategies were related to ineffective psychosocial adaptation for persons originally from Barbados and to increased psychological distress for all participants. Women used more palliative coping; no gender differences were observed for psychosocial adaptation. Health care orientation, extended family relationships, and psychological distress domains distinguished Blacks born in Haiti from Blacks born in Barbados and Jamaica, the Southern US and Jamaica, and the Southern US, Barbados, and Jamaica. Findings from this study may aid in the development of interventions focused on improving diabetes self‐management for older Blacks. © 2007 Wiley Periodicals, Inc. Res Nurs Health 30: 151–163, 2007
ISSN:0160-6891
1098-240X
DOI:10.1002/nur.20192