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9 a.m. - 6 p.m.
Phone: (843) 722-7550
West Ashley Library
9 a.m. - 6 p.m.
Phone: (843) 766-6635
Folly Beach Library
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Phone: (843) 588-2001
Edgar Allan Poe/Sullivan's Island Library
Closed for renovations
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Wando Mount Pleasant Library
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Phone: (843) 805-6888
Village Library
9 a.m. - 6 p.m.
Phone: (843) 884-9741
St. Paul's/Hollywood Library
9 a.m. - 6 p.m.
Phone: (843) 889-3300
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Phone: (843) 572-4094
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McClellanville Library
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9 a.m. - 6 p.m.
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Phone: (843) 805-6930
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Glycemic control and self‐rated health among ethnically diverse adolescents with type 1 diabetes.
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- Author(s): Kane, Naomi S.; Hoogendoorn, Claire J.; Commissariat, Persis V.; Schulder, Talia E.; Gonzalez, Jeffrey S.
- Source:
Pediatric Diabetes; Feb2020, Vol. 21 Issue 1, p69-76, 8p, 2 Diagrams, 2 Charts, 1 Graph- Subject Terms:
BLACK people; ETHNIC groups; GLYCOSYLATED hemoglobin; HEALTH behavior; HEALTH status indicators; HISPANIC Americans; INSULIN; TYPE 1 diabetes; MEDICAL records; MINORITIES; HEALTH outcome assessment; REGRESSION analysis; RISK assessment; HEALTH self-care; SELF-evaluation; SEX distribution; STATISTICS; SOCIOECONOMIC factors; CROSS-sectional method; DISEASE duration; ACQUISITION of data methodology; GLYCEMIC control; ADOLESCENCE - Source:
- Additional Information
- Abstract: Objective: Patient‐reported outcomes have received increased attention as treatment outcomes and indicators of wellbeing. A1c has been criticized as lacking patient‐centered relevance because individuals are often unaware of their A1c, and studies also often fail to show a benefit of intensive control on quality of life. The goal of the present study was to examine self‐rated health (SRH) in relation to diabetes self‐care behaviors, socioeconomic factors, treatment regimen characteristics, and glycemic control among predominately Hispanic and African American adolescents with type 1 diabetes (T1D). Methods: Adolescents with T1D (N = 84) were recruited for a cross‐sectional study evaluating psychosocial factors and identity development. SRH, self‐care behaviors, treatment regimen, and demographic variables were collected through self‐report while glycemic control (A1c) was determined through chart review. Results: Participants were predominantly racial and ethnic minorities (48% Hispanic, 27% African American; 52% female, M age 15.9, M diabetes duration 6.8, M A1c 10% [86 mmol/mol]). Significant bivariate relationships emerged between SRH and sex, A1c, self‐care behavior, and insulin delivery method. Covariate‐adjusted regression models showed only A1c was significantly and independently related to SRH. Mediation analyses illustrated a significant indirect effect for A1c between self‐care and SRH. Conclusion: These findings suggest glycemic control is associated with self‐ratings of health among ethnically diverse adolescents with T1D. SRH appears to be an appropriate patient‐reported outcome that is sensitive to glycemic control in this population. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Pediatric Diabetes is the property of Hindawi Limited and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Abstract:
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