Publication Date

2014

Journal Title

Journal of Aging and Health

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.

Volume Number

27

Issue Number

2

Pages

320-333

Document Type

Article

EPub Date

2014/09/19

Status

Faculty

Facility

School of Medicine

Primary Department

Psychiatry

PMID

25231883

DOI

10.1177/0898264314549662

For the public and Northwell Health campuses

Included in

Psychiatry Commons

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