UNASSIGNED: This study examined whether self-esteem mediates the association between perceived age stigma and emotional well-being (loneliness and emotional isolation) among Korean older adults and how these processes differ by marital status.
UNASSIGNED: Using the 2018 Age Integration and Generation Integration Survey, a cross-sectional national survey of Korean adults, we analyzed data from 266 adults aged 60 and older.
UNASSIGNED: Older adults who perceived greater age stigma reported higher levels of loneliness and emotional isolation. Self-esteem played a significant indirect role in the association between perceived age stigma and the two emotional well-being outcomes. Moderated mediation analyses further revealed significant differences by marital status: self-esteem was a more powerful mechanism among unmarried older adults relative to their married counterparts.
UNASSIGNED: The findings suggest that efforts to minimize public and internalized stigmatization of older adults and improve their self-esteem may be critical for their emotional well-being.

OBJECTIVE: To predict dietary self-efficacy behaviors in high glycosylated hemoglobin A1c (HbA1c) patients using type D personality (TDP) and other psychosocial measures.
METHODS: A cross-sectional, predictive research design was implemented. Participants were type 2 diabetes mellitus patients diagnosed more than 2 years prior to the study. Data were collected for demographics, dietary self-efficacy and psychological measures. Spearman\'s rank-order correlation was used to test for relationships, the Mann-Whitney test was used to test for differences and multiple linear regression was used to examine predictors of dietary self-efficacy.
RESULTS: Lower dietary self-efficacy was strongly correlated with greater social isolation (r = 0.93) and moderately correlated with more mental health problems (r = 0.20) and higher TDP scores (r = 0.17). Higher HbA1c was inversely related to self-reported physical health (r = -0.19). Social and emotional isolation and time since diagnosis predicted dietary self-efficacy (greater isolation was associated with more dietary management difficulties).
CONCLUSIONS: Regression outcomes suggested that a 10% decrease in social isolation improves dietary self-efficacy by 30%, a significant boost to therapeutic adherence. We recommend assessment of social isolation to improve dietary self-efficacy and achieve better patient adherence to therapy.