Diabetes and psychological profile of younger rural African American women with type 2 diabetes
Open accessAbstract
PURPOSE: To describe diabetes self-care behaviors, diabetes-related distress, depressive symptoms, and diabetes-related needs among rural African American women with type 2 diabetes ages 21-50. METHODS: A cross-sectional survey, including questionnaires and a single, open-ended question, was used to assess constructs of interest. FINDINGS: Taking medication was the most frequently reported (5.5 days/week) self-care activity and exercise the least (3.0 days/week). Nearly half (44%) reported worrying about diabetes complications. Approximately one-third (31%) felt guilty about inconsistent self-care or fearful about living with diabetes. Seventy percent had a depression score suggestive of significant depressive symptomatology. Most diabetes-related concerns were about diet (34%) (i.e., what to eat), exercise (30%), taking medications (10%), and finances (8%). CONCLUSIONS: Future research should explore specific diabetes self-care barriers/enablers and interventions should provide women with diabetes education, barrier management, and psychological support. Innovative delivery strategies are needed to provide this support in resource-limited rural communities.
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Deficiencies in practical nutritional literacy and inadequate food preparation proficiency represent prominent individual-level barriers to sustained adherence to diabetic dietary regimens.
“Deficiencies in practical nutritional literacy and inadequate food preparation proficiency represent prominent individual-level barriers to sustained adherence to diabetic dietary regimens (19, 76).”
From Implementation and translation of evidence-based dietary strategies for type 2 diabetes in resource-limited settings: a scoping review based on the CFIR framework (2026) · cites this paper as [76]
In Results > Specific diabetes-related needs (page not provided), participants identified diet as an area where they needed help, particularly because they were unsure what and how much to eat. The Discussion says education-related needs may affect their ability to maintain daily diabetes self-care. The paper does not identify inadequate food-preparation proficiency as a barrier, and its findings concern younger rural African American women rather than people with diabetes generally. (LLM, conf=0.86)
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“Deficiencies in practical nutritional literacy and inadequate food preparation proficiency represent prominent individual-level barriers to sustained adherence to diabetic dietary regimens (19, 76).”
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- Authors
- Miller, S. T.
- Affiliations
- Meharry Medical College (US)
- Corresponding author
- Miller, Stephania T.
- Venue
- Journal of Health Care for the Poor and Underserved
- Publisher
- Project MUSE
- Published
- 2011-11
- Volume
- 22
- Issue
- 4
- Pages
- 1239-1252
- ISSN
- 1049-2089 (ISSN-L)
- 1548-6869
- PMC
- PMC3327471
- OpenAlex
- W2022284755
- Cited by
- 18
- References
- 36
- Citations by year
- 2026: 1 · 2022: 2 · 2021: 1 · 2020: 3 · 2019: 3 · 2018: 1 · 2017: 2 · 2016: 1 · 2014: 2 · 2013: 2
- FWCI
- 1.05
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Health Care for the Poor and Underserved (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Project Muse (Johns Hopkins University) (submittedVersion)
- Funders
- National Center for Research Resources (R25RR017577)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Keywords
- type 2 diabetes, African American women, rural health, diabetes self-care, diabetes distress, depressive symptoms, diabetes education, psychological support, resource-limited communities
- MeSH terms
- Adult, Black or African American, Cross-Sectional Studies, Depression, Diabetes Mellitus, Type 2, Female, Humans, Health Knowledge, Attitudes, Practice, Middle Aged, Mississippi, Surveys and Questionnaires, Rural Population, Self Care, Social Support, Socioeconomic Factors, Exercise, Body Mass Index, Medication Adherence, Young Adult
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