Apathy and type 2 diabetes among American Indians: Exploring the protective effects of traditional cultural involvement

Amanda E. Carlson, Benjamin D. Aronson, Michael Unzen, Melissa Lewis, Gabrielle J. Benjamin, Melissa L Walls

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)770-783
Number of pages14
JournalJournal of health care for the poor and underserved
Volume28
Issue number2
DOIs
StatePublished - May 1 2017

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Apathy
North American Indians
Type 2 Diabetes Mellitus
Blood Glucose
Health
Quality of Life
Interviews

Keywords

  • American indians
  • Apathy
  • Community- based participatory research
  • Culture
  • Type 2 diabetes mellitus

Cite this

Apathy and type 2 diabetes among American Indians : Exploring the protective effects of traditional cultural involvement. / Carlson, Amanda E.; Aronson, Benjamin D.; Unzen, Michael; Lewis, Melissa; Benjamin, Gabrielle J.; Walls, Melissa L.

In: Journal of health care for the poor and underserved, Vol. 28, No. 2, 01.05.2017, p. 770-783.

Research output: Contribution to journalArticle

Carlson, Amanda E. ; Aronson, Benjamin D. ; Unzen, Michael ; Lewis, Melissa ; Benjamin, Gabrielle J. ; Walls, Melissa L. / Apathy and type 2 diabetes among American Indians : Exploring the protective effects of traditional cultural involvement. In: Journal of health care for the poor and underserved. 2017 ; Vol. 28, No. 2. pp. 770-783.
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