Abstract
American Indian (AI) communities experience a disproportionate rate of Type 2 diabetes (T2D) and cumulative exposure to stress. Although this link is well researched among various populations, it has not been examined among AI communities. Path analysis was used to examine a multiple-mediator model to explain how caregiver stress influences self-reported mental and physical health among 100 AI participants with T2D. Caregiver stress was negatively associated with physical and mental health. Physical health was positively associated with family/community connectedness and mental health was positively associated with both family support and connectedness. The relationship between caregiver stress and mental health was partially mediated by family/community connectedness; caregiver stress had no indirect effects on physical health via either hypothesized mediator. Findings demonstrate the importance of integrating individuals’ connection to family and community and its influence on caregiver stress and mental health in intervention programs targeting diabetes management and care among AI communities.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 621-639 |
| Number of pages | 19 |
| Journal | Journal of Family Nursing |
| Volume | 24 |
| Issue number | 4 |
| DOIs | |
| State | Published - Nov 1 2018 |
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Keywords
- American Indians
- Type 2 diabetes
- community
- family
- stress
Cite this
Caregiving Stress Among American Indians With Type 2 Diabetes : The Importance of Awareness of Connectedness and Family Support. / Coser, Ashleigh; Sittner, Kelley J.; Walls, Melissa L.; Handeland, Tina.
In: Journal of Family Nursing, Vol. 24, No. 4, 01.11.2018, p. 621-639.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Caregiving Stress Among American Indians With Type 2 Diabetes
T2 - The Importance of Awareness of Connectedness and Family Support
AU - Coser, Ashleigh
AU - Sittner, Kelley J.
AU - Walls, Melissa L.
AU - Handeland, Tina
PY - 2018/11/1
Y1 - 2018/11/1
N2 - American Indian (AI) communities experience a disproportionate rate of Type 2 diabetes (T2D) and cumulative exposure to stress. Although this link is well researched among various populations, it has not been examined among AI communities. Path analysis was used to examine a multiple-mediator model to explain how caregiver stress influences self-reported mental and physical health among 100 AI participants with T2D. Caregiver stress was negatively associated with physical and mental health. Physical health was positively associated with family/community connectedness and mental health was positively associated with both family support and connectedness. The relationship between caregiver stress and mental health was partially mediated by family/community connectedness; caregiver stress had no indirect effects on physical health via either hypothesized mediator. Findings demonstrate the importance of integrating individuals’ connection to family and community and its influence on caregiver stress and mental health in intervention programs targeting diabetes management and care among AI communities.
AB - American Indian (AI) communities experience a disproportionate rate of Type 2 diabetes (T2D) and cumulative exposure to stress. Although this link is well researched among various populations, it has not been examined among AI communities. Path analysis was used to examine a multiple-mediator model to explain how caregiver stress influences self-reported mental and physical health among 100 AI participants with T2D. Caregiver stress was negatively associated with physical and mental health. Physical health was positively associated with family/community connectedness and mental health was positively associated with both family support and connectedness. The relationship between caregiver stress and mental health was partially mediated by family/community connectedness; caregiver stress had no indirect effects on physical health via either hypothesized mediator. Findings demonstrate the importance of integrating individuals’ connection to family and community and its influence on caregiver stress and mental health in intervention programs targeting diabetes management and care among AI communities.
KW - American Indians
KW - Type 2 diabetes
KW - community
KW - family
KW - stress
UR - http://www.scopus.com/inward/record.url?scp=85058600390&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85058600390&partnerID=8YFLogxK
U2 - 10.1177/1074840718810550
DO - 10.1177/1074840718810550
M3 - Article
C2 - 30497320
AN - SCOPUS:85058600390
VL - 24
SP - 621
EP - 639
JO - Journal of Family Nursing
JF - Journal of Family Nursing
SN - 1074-8407
IS - 4
ER -