PDF(Pubmed)
Abstract：
UNASSIGNED: The purpose of this study is to describe diabetes distress and related factors among Chinese Americans with type 2 diabetes in New York City (NYC).
UNASSIGNED: We conducted a secondary data analysis of the baseline data from three research studies conducted among community-dwelling Chinese American adults with type 2 diabetes. Diabetes Distress Scale (DDS) was used to measure sources of diabetes distress including emotional-, regimen-, interpersonal-, and physician-related distress. A score of 2 or greater indicates moderate diabetes distress or higher. Patient Health Questionnaire-2 (PHQ-2) was used to measure depressive symptoms. Participants\' sociodemographic information was also collected. Descriptive statistics were used to describe diabetes distress, and logistic least absolute shrinkage and selection operator (LASSO) regression was used to examine factors associated with diabetes distress level.
UNASSIGNED: Data from 178 participants (mean age 63.55±13.56 years) were analyzed. Most participants were married (76.40%), had a high school degree or less (65.73%), had a household annual income < $25,000 (70.25%), and reported limited English proficiency (93.22%). About 25.84% reported moderate or higher overall distress. The most common sources of distress were emotional burden (29.78%), followed by regimen- (28.65%), interpersonal- (18.54%), and physician-related distress (14.04%). Participants who were younger, female, limited English proficient, and had elevated depressive symptoms were more likely to have higher diabetes distress.
UNASSIGNED: Diabetes distress is prevalent among Chinese immigrants with type 2 diabetes, especially emotional- and regimen-related distress. Given the known link between diabetes distress and poor glycemic control, it is critical to screen for diabetes distress at primary care clinics and incorporate psychological counseling in diabetes care in this underserved population.
UNASSIGNED: We conducted a secondary data analysis of the baseline data from three research studies conducted among community-dwelling Chinese American adults with type 2 diabetes. Diabetes Distress Scale (DDS) was used to measure sources of diabetes distress including emotional-, regimen-, interpersonal-, and physician-related distress. A score of 2 or greater indicates moderate diabetes distress or higher. Patient Health Questionnaire-2 (PHQ-2) was used to measure depressive symptoms. Participants\' sociodemographic information was also collected. Descriptive statistics were used to describe diabetes distress, and logistic least absolute shrinkage and selection operator (LASSO) regression was used to examine factors associated with diabetes distress level.
UNASSIGNED: Data from 178 participants (mean age 63.55±13.56 years) were analyzed. Most participants were married (76.40%), had a high school degree or less (65.73%), had a household annual income < $25,000 (70.25%), and reported limited English proficiency (93.22%). About 25.84% reported moderate or higher overall distress. The most common sources of distress were emotional burden (29.78%), followed by regimen- (28.65%), interpersonal- (18.54%), and physician-related distress (14.04%). Participants who were younger, female, limited English proficient, and had elevated depressive symptoms were more likely to have higher diabetes distress.
UNASSIGNED: Diabetes distress is prevalent among Chinese immigrants with type 2 diabetes, especially emotional- and regimen-related distress. Given the known link between diabetes distress and poor glycemic control, it is critical to screen for diabetes distress at primary care clinics and incorporate psychological counseling in diabetes care in this underserved population.
摘要：
■这项研究的目的是描述纽约市（NYC）患有2型糖尿病的华裔美国人的糖尿病困扰和相关因素。
我们对居住在社区的2型糖尿病华裔美国成年人进行的三项研究的基线数据进行了二次数据分析。糖尿病困扰量表（DDS）用于测量糖尿病困扰的来源，包括情绪，方案-，interpersonal-,和医生相关的痛苦。评分为2或更高表示中度糖尿病困扰或更高。患者健康问卷-2（PHQ-2）用于测量抑郁症状。还收集了参与者的社会人口统计信息。描述性统计用于描述糖尿病困扰，和logistic最小绝对收缩和选择算子(LASSO)回归用于检查与糖尿病困扰水平相关的因素。
■对178名参与者（平均年龄63.55±13.56岁）的数据进行了分析。大多数参与者已婚（76.40%），具有高中或以下学历（65.73％），家庭年收入<25,000美元(70.25%)，并报告英语水平有限(93.22%)。约25.84％的人报告了中度或更高的总体困扰。最常见的痛苦来源是情绪负担(29.78%)，其次是治疗方案-（28.65%），人际-（18.54%），和医生相关的困扰（14.04%）。年轻的参与者，女性,英语熟练程度有限，和有升高的抑郁症状更可能有更高的糖尿病困扰。
■糖尿病困扰在患有2型糖尿病的中国移民中普遍存在，尤其是情绪和方案相关的痛苦。鉴于已知的糖尿病困扰和血糖控制不良之间的联系，在初级保健诊所筛查糖尿病困扰,并将心理咨询纳入这一得不到充分服务的人群的糖尿病护理中至关重要.
我们对居住在社区的2型糖尿病华裔美国成年人进行的三项研究的基线数据进行了二次数据分析。糖尿病困扰量表（DDS）用于测量糖尿病困扰的来源，包括情绪，方案-，interpersonal-,和医生相关的痛苦。评分为2或更高表示中度糖尿病困扰或更高。患者健康问卷-2（PHQ-2）用于测量抑郁症状。还收集了参与者的社会人口统计信息。描述性统计用于描述糖尿病困扰，和logistic最小绝对收缩和选择算子(LASSO)回归用于检查与糖尿病困扰水平相关的因素。
■对178名参与者（平均年龄63.55±13.56岁）的数据进行了分析。大多数参与者已婚（76.40%），具有高中或以下学历（65.73％），家庭年收入<25,000美元(70.25%)，并报告英语水平有限(93.22%)。约25.84％的人报告了中度或更高的总体困扰。最常见的痛苦来源是情绪负担(29.78%)，其次是治疗方案-（28.65%），人际-（18.54%），和医生相关的困扰（14.04%）。年轻的参与者，女性,英语熟练程度有限，和有升高的抑郁症状更可能有更高的糖尿病困扰。
■糖尿病困扰在患有2型糖尿病的中国移民中普遍存在，尤其是情绪和方案相关的痛苦。鉴于已知的糖尿病困扰和血糖控制不良之间的联系，在初级保健诊所筛查糖尿病困扰,并将心理咨询纳入这一得不到充分服务的人群的糖尿病护理中至关重要.
