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Gender differences in adherence and metabolic control in urban youth with poorly controlled type 1 diabetes: the mediating role of mental health symptoms
- Source :
- Journal of pediatric psychology. 31(8)
- Publication Year :
- 2005
-
Abstract
- Objective To examine gender differences in adherence and metabolic control and test the mediating role of mental health symptoms in a sample of predominantly African-American, low-income youth with chronically poor metabolic control. Methods Baseline questionnaire data from an intervention study were collected from 119 youth and their primary caregiver. Results Boys had worse adherence than girls, but there were no gender differences in hemoglobin A1C (HbA1C). Boys had more externalizing symptoms, whereas girls had more anxiety; there were no gender differences in depression. Externalizing symptoms were associated with poor adherence and metabolic control. Although anxiety was correlated with poor adherence, this relationship was not significant in the invariate analysis. Results of structural equation modeling (SEM) suggested that externalizing symptoms mediated the relationship between gender and adherence. Conclusions Results suggest that gender differences in adherence may be attributed, in part, to gender differences in externalizing symptoms in urban youth with poor metabolic control. Interventions targeting these symptoms may be necessary to improve adherence and HbA1C in both boys and girls.
- Subjects :
- Male
medicine.medical_specialty
Adolescent
Urban Population
Health Behavior
Psychological intervention
Sex Factors
Diabetes mellitus
Surveys and Questionnaires
Developmental and Educational Psychology
medicine
Humans
Psychiatry
Child
Depression (differential diagnoses)
Demography
Type 1 diabetes
Mental Disorders
Social environment
medicine.disease
Mental health
Diabetes Mellitus, Type 1
Metabolic control analysis
Pediatrics, Perinatology and Child Health
Anxiety
Patient Compliance
Female
medicine.symptom
Psychology
Subjects
Details
- ISSN :
- 01468693
- Volume :
- 31
- Issue :
- 8
- Database :
- OpenAIRE
- Journal :
- Journal of pediatric psychology
- Accession number :
- edsair.doi.dedup.....ee5de41167ef7416f739ec73d85f6b19