Apathy and Type 2 Diabetes among American Indians: Exploring the Protective Effects of Traditional Cultural Involvement.

Citation data:

Journal of health care for the poor and underserved, ISSN: 1548-6869, Vol: 28, Issue: 2, Page: 770-783

Publication Year:
2017
Usage 39
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PMID:
28529223
DOI:
10.1353/hpu.2017.0073
Author(s):
Carlson, Amanda E, Aronson, Benjamin D, Unzen, Michael, Lewis, Melissa, Benjamin, Gabrielle J, Walls, Melissa L
Publisher(s):
Johns Hopkins University Press
Tags:
Medicine
article description
In this study we examine relationships between traditional cultural factors, apathy, and health-related outcomes among a sample of American Indian adults with type 2 diabetes. Participants completed cross-sectional interviewer-assisted paper and pencil surveys. We tested a proposed model using latent variable path analysis in order to understand the relationships between cultural participation, apathy, frequency of high blood sugar symptoms, and health-related quality of life. The model revealed significant direct effects from cultural participation to apathy, and apathy to both health-related outcomes. No direct effect of cultural participation on either health-related outcome was found; however, cultural participation had a negative indirect effect through apathy on high blood sugar and positive indirect effects on health-related quality of life. This study highlights a potential pathway of cultural involvement to positive diabetes outcomes.

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