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Social Relationships and Health Among Chinese Americans With Diabetes: Does Age Make a Difference?

TitleSocial Relationships and Health Among Chinese Americans With Diabetes: Does Age Make a Difference?
Publication TypeJournal Article
Year of Publication2014
AuthorsKwan, CML, Mullan, JT, Chun, KM, Kwong, Y, Hsu, L, Chesla, CA
JournalClinical GerontologistClinical Gerontologist
Volume37
Pagination191-210
ISBN Number0731-7115
KeywordsAcculturation, Aging, California, Center for Epidemiological Studies Depression Scale, Chinese, Coping, Culture, Depression, Descriptive Statistics, Diabetes Mellitus, Type 2, Diabetic Patients, Family, Female, Funding Source, Glycemic Control, Health Status, Human, Interpersonal Relations, Male, Multiple Regression, Psychological Well-Being, Questionnaires, Scales, Short Form-36 Health Survey (SF-36), Support, Psychosocial, United States
AbstractThis study examined whether social relationships were linked to health among Chinese Americans with diabetes, and whether age moderated these links given the norm of respect for the elderly. Chinese American immigrants with type 2 diabetes (n= 163) provided questionnaire and laboratory data. Relationships were assessed with diabetes family instrumental support, emotional support, and conflicts, as well as general support. Health was assessed with subjective health, depressive symptoms, and glucose regulation. When relationship predictors were examined simultaneously, more conflicts and less general support were associated with more depressive symptoms, after adjusting for covariates. More emotional support was associated with better glucose regulation only for midlife, not older, participants. Findings underscore cultural and life-stage considerations in studying social determinants of health.
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