TY - JOUR
T1 - Sex differences in the association of psychosocial resources with prevalent type 2 diabetes among African Americans
T2 - The Jackson Heart Study
AU - Glover, LáShauntá M.
AU - Bertoni, Alain G.
AU - Golden, Sherita H.
AU - Baltrus, Peter
AU - Min, Yuan I.
AU - Carnethon, Mercedes R.
AU - Taylor, Herman
AU - Sims, Mario
N1 - Funding Information:
The Jackson Heart Study (JHS) is supported and conducted in collaboration with Jackson State University ( HHSN268201800013I ), Tougaloo College ( HHSN268201800014I ), the Mississippi State Department of Health ( HHSN268201800015I ), and the University of Mississippi Medical Center ( HHSN268201800010I and HHSN268201800011I , and HHSN268201800012I ) contracts from the National Heart, Lung, and Blood Institute (NHLBI) and the National Institute for Minority Health and Health and the National Institute on Minority Health and Health Disparities (NIMHD). Ms. Glover is currently supported by The Genetic Epidemiology of Heart, Lung, and Blood Traits Training Grant (GENHLB) T32HL12998202 . Dr. Bertoni is supported by R01HL117285 from the NHLBI. Dr. Sims is supported by the grants P60MD002249 and U54MD008176 from the NIMHD ; 15SFDRN26140001 and P50HL120163 from the American Heart Association ; and 1R01HL116446 from the NHLBI . The authors also wish to thank the staffs and participants of the JHS.
Publisher Copyright:
© 2018 Elsevier Inc.
PY - 2019/2
Y1 - 2019/2
N2 - Aim: To examine the association of psychosocial resources with prevalent type 2 diabetes (T2D) in 5104 African American men and women. Methods: Using data from the Jackson Heart Study (JHS), we evaluated the cross-sectional associations of four psychosocial resources (social support, optimism, religiosity, and social networks) with T2D [fasting glucose ≥126 mg/dL, or HbA1c ≥ 6.5%, or use of diabetic medication]. Multivariable Poisson regression estimated prevalence ratios (PR, 95% confidence interval-CI) of T2D by each psychosocial measure, adjusting for demographics, SES, waist circumference, health behaviors, and depressive symptoms. Results: Women reported greater religiosity and had more social networks than men (p < 0.001). High (vs. low) social support was associated with a lower prevalence of T2D among men after full adjustment (PR 0.74, 95% CI 0.59–0.91). Women with high (vs. low) social networks had a 16% lower prevalence of T2D (PR 0.84, 95% CI 0.73–0.96) after full adjustment. High (vs. low) optimism was associated with a 20% lower prevalence of T2D after adjustment for age (PR 0.80, 95% CI 0.65–0.98). Religiosity was not associated with T2D. Conclusion: Social support and networks should be considered in efforts to prevent T2D among a high-risk group such as African Americans.
AB - Aim: To examine the association of psychosocial resources with prevalent type 2 diabetes (T2D) in 5104 African American men and women. Methods: Using data from the Jackson Heart Study (JHS), we evaluated the cross-sectional associations of four psychosocial resources (social support, optimism, religiosity, and social networks) with T2D [fasting glucose ≥126 mg/dL, or HbA1c ≥ 6.5%, or use of diabetic medication]. Multivariable Poisson regression estimated prevalence ratios (PR, 95% confidence interval-CI) of T2D by each psychosocial measure, adjusting for demographics, SES, waist circumference, health behaviors, and depressive symptoms. Results: Women reported greater religiosity and had more social networks than men (p < 0.001). High (vs. low) social support was associated with a lower prevalence of T2D among men after full adjustment (PR 0.74, 95% CI 0.59–0.91). Women with high (vs. low) social networks had a 16% lower prevalence of T2D (PR 0.84, 95% CI 0.73–0.96) after full adjustment. High (vs. low) optimism was associated with a 20% lower prevalence of T2D after adjustment for age (PR 0.80, 95% CI 0.65–0.98). Religiosity was not associated with T2D. Conclusion: Social support and networks should be considered in efforts to prevent T2D among a high-risk group such as African Americans.
KW - African Americans
KW - Optimism
KW - Psychosocial resources
KW - Social networks
KW - Social support
KW - Type 2 diabetes
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U2 - 10.1016/j.jdiacomp.2018.11.005
DO - 10.1016/j.jdiacomp.2018.11.005
M3 - Article
C2 - 30545559
AN - SCOPUS:85057966390
SN - 1056-8727
VL - 33
SP - 113
EP - 117
JO - Journal of Diabetes and Its Complications
JF - Journal of Diabetes and Its Complications
IS - 2
ER -
