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

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

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Carlson, Amanda E.; Aronson, Benjamin D.; Unzen, Michael; Lewis, Melissa; Benjamin, Gabrielle J.; Walls, Melissa L.
Johns Hopkins University Press
Medicine; Apathy; Community-based Participatory Research; Culture; Type 2 Diabetes Mellitus; American Indians; Critical and Cultural Studies; Endocrinology, Diabetes, and Metabolism; Indigenous Studies; Other Pharmacy and Pharmaceutical Sciences; Psychiatric and Mental Health
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.