TY - JOUR
T1 - Apathy and type 2 diabetes among American Indians
T2 - Exploring the protective effects of traditional cultural involvement
AU - Carlson, Amanda E.
AU - Aronson, Benjamin D.
AU - Unzen, Michael
AU - Lewis, Melissa
AU - Benjamin, Gabrielle J.
AU - Walls, Melissa L.
N1 - Funding Information:
This research was funded by a National Institutes of Health (NIH) grant (MH085852), M. Walls, Principal Investigator and Pathways to Advanced Degrees in Life Sciences grant (GM086669). The contents of this manuscript are produced by the authors and do not necessarily represent the official views of the National Institutes of Health. B. Aronson gratefully acknowledges support from an American Foundation for Pharmaceutical Education Fellowship and a Health Services Dissertation Award (R36) from the Agency for Healthcare Research and Quality (1R36HS024180-01). The authors would like to thank Community Research Council members: Doris Isham, Julie Yaekeal- Black Elk, Tracy Martin, Sidnee Kellar, Robert Miller, Geraldine Whiteman, Peggy Connor, Michael Conner, Stan Day, Pam Hughes, Jane Villebrun, Muriel Deegan, Beverly Steel, and Ray Villebrun.
Publisher Copyright:
© Meharry Medical College.
PY - 2017/5
Y1 - 2017/5
N2 - In this study we examine relationships between traditional cultural factors, apathy, and health- related outcomes among a sample of American Indian adults with type 2 diabetes. Participants completed cross- sectional interviewer- assisted paper and pencil surveys. We tested a proposed model using latent variable path analysis in order to understand the relationships between cultural participation, apathy, frequency of high blood sugar symptoms, and health- related quality of life. The model revealed significant direct effects from cultural participation to apathy, and apathy to both health- related outcomes. No direct effect of cultural participation on either health- related outcome was found; however, cultural participation had a negative indirect effect through apathy on high blood sugar and positive indirect effects on health- related quality of life. This study highlights a potential pathway of cultural involvement to positive diabetes outcomes.
AB - In this study we examine relationships between traditional cultural factors, apathy, and health- related outcomes among a sample of American Indian adults with type 2 diabetes. Participants completed cross- sectional interviewer- assisted paper and pencil surveys. We tested a proposed model using latent variable path analysis in order to understand the relationships between cultural participation, apathy, frequency of high blood sugar symptoms, and health- related quality of life. The model revealed significant direct effects from cultural participation to apathy, and apathy to both health- related outcomes. No direct effect of cultural participation on either health- related outcome was found; however, cultural participation had a negative indirect effect through apathy on high blood sugar and positive indirect effects on health- related quality of life. This study highlights a potential pathway of cultural involvement to positive diabetes outcomes.
KW - American indians
KW - Apathy
KW - Community- based participatory research
KW - Culture
KW - Type 2 diabetes mellitus
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U2 - 10.1353/hpu.2017.0073
DO - 10.1353/hpu.2017.0073
M3 - Article
C2 - 28529223
AN - SCOPUS:85020098785
SN - 1049-2089
VL - 28
SP - 770
EP - 783
JO - Journal of health care for the poor and underserved
JF - Journal of health care for the poor and underserved
IS - 2
ER -