Gender differences in psychosocial characteristics and diabetes self-management among inner-city African Americans

Hsin Hui Katty Tseng, Manka Nkimbeng, Hae Ra Han

Research output: Contribution to journalArticlepeer-review


Aims: To characterize differences in psychosocial variables between inner-city African American men and women with type 2 diabetes, and to test if the relationships between psychosocial variables and diabetes self-management behaviours differ by gender. Design: Secondary analysis. Methods: We used baseline data from participants enrolled in the Prevention through Lifestyle Intervention and Numeracy 4 Success-Diabetes study (N = 37). Differences in psychosocial variables between genders were compared using chi-square tests. A two-way analysis of variance was then used to compare self-management scores by different psychosocial characteristics and gender. Results: There was no statistically significant difference in psychosocial characteristics between genders. High diabetes knowledge and self-efficacy were associated with better self-management behaviours in African American women but not in men. In contrast, high numeracy was associated with better diabetes self-management only in men. Low depression, high health literacy, and high social support were associated with better self-management practices in both genders.

Original languageEnglish (US)
Pages (from-to)2425-2433
Number of pages9
JournalNursing Open
Issue number5
StatePublished - Sep 2022

Bibliographical note

Funding Information:
This work was supported by a grant from the Brancati Center for the Advancement of Community Care. Additional resources were provided by Center for Community Programs, Innovation and Scholarship and Center for Cardiovascular and Chronic Care at the Johns Hopkins University.

Funding Information:
The authors wish to thank the staff at the East Baltimore Medical Center, Shepherds Clinic, and John Hopkins Aftercare Clinic, for their assistance in the recruitment of study participants. The authors would like to thank the study participants for their time, as well as the contribution of the research staff involved in the PLAN 4 Success Diabetes Pilot Study.

Publisher Copyright:
© 2022 The Authors. Nursing Open published by John Wiley & Sons Ltd.


  • African Americans
  • diabetes
  • diabetes self-management
  • gender-specific differences
  • psychosocial characteristics


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