Social support and diabetes distress among adults with type 2 diabetes covered by Alabama Medicaid.

Citation
Presley, C. A., et al. “Social Support And Diabetes Distress Among Adults With Type 2 Diabetes Covered By Alabama Medicaid.”. Diabetic Medicine : A Journal Of The British Diabetic Association, p. e14503.
Center University of Alabama at Birmingham
Author Caroline A Presley, Favel L Mondesir, Lucia D Juarez, April A Agne, Kevin R Riggs, Yufeng Li, Maria Pisu, Emily B Levitan, Janet M Bronstein, Andrea L Cherrington
Keywords Medicaid, diabetes distress, population-based, Social support
Abstract

AIMS: Diabetes distress affects approximately 36% of adults with diabetes and is associated with worse diabetes self-management and poor glycaemic control. We characterized participants' diabetes distress and studied the relationship between social support and diabetes distress.

METHODS: In this cross-sectional study, we surveyed a population-based sample of adults with type 2 diabetes covered by Alabama Medicaid. We used the Diabetes Distress Scale assessing emotional burden, physician-related, regimen-related and interpersonal distress. We assessed participants' level of diabetes-specific social support and satisfaction with this support, categorized as low or moderate-high. We performed multivariable logistic regression of diabetes distress by level of and satisfaction with social support, adjusting for demographics, disease severity, self-efficacy and depressive symptoms.

RESULTS: In all, 1147 individuals participated; 73% were women, 41% White, 58% Black and 3% Hispanic. Low level of or satisfaction with social support was reported by 11% of participants; 7% of participants had severe diabetes distress. Participants with low satisfaction with social support were statistically significantly more likely to have severe diabetes distress than those with moderate-high satisfaction, adjusted odds ratio 2.43 (95% CI 1.30, 4.54).

CONCLUSIONS: Interventions addressing diabetes distress in adults with type 2 diabetes may benefit from a focus on improving diabetes-specific social support.

Year of Publication
2021
Journal
Diabetic medicine : a journal of the British Diabetic Association
Volume
38
Issue
4
Number of Pages
e14503
Date Published
04/2021
ISSN Number
1464-5491
DOI
10.1111/dme.14503
Alternate Journal
Diabet Med
PMID
33351189
PMCID
PMC7979501