Understanding the Effects of Occupational Stress and Familial Stress on Diabetes Management Among Aging Working Latinas with T2DM

Details

• Personal Author:
  Pavon SM
• Description:
  Background: As a self-managed disease, T2DM can be expensive and time consuming to manage. Disease management can be particularly challenging for Latinas who are paid 54 cents for every dollar paid to white, non-Hispanic men. Coupled with long hours employed outside the home, while still maintaining a traditional division of household labor - managing one's health can prove stressful and daunting. Purpose: The purpose of this exploratory study was to understand the effects of occupational and familial stress on T2DM management among aging, working Latinas. Methods: This was a cross-sectional, correlational study. Fifty working Latinas, 21-years and older with T2DM were recruited using convenience and snowball sampling throughout community sites in Southern California. Sample: Initially 10 women completed in-person interviews and HbA1c blood samples. Following COVID-19 research restrictions, an additional 47 women completed questionnaires on-line and self-reported their HbA1c. Seven of the 47 self-reporting women did not report HbA1c giving a final sample for analyses involving HbA1c levels was 50. Results: Approximately, 52.6% of women reported psychological distress/strain (mild-moderate distress: 15.8%; 19.3% distress; severe distress: 17.5%) and 83% reported job strain. Overall, mean body mass index was 31.21 +/- 9.38, with 56.2% women having at-risk/high risk BMIs. BMIs were higher in women ≥40 years of age (BMI 34 +/- 10.23) compared to women under the age of 40 (BMI 27.73 +/- 6.90), difference of 6.27 (95% CI, -10.77 to -1.65), t(54) = -2.73, p = .009. Of the women over 40, 62% had high risk BMI's (≥25; obesity class I). Although, 73.7% of participants were given a diet plan from their primary care provider (PCP), 62% of those given a diet plan had uncontrolled HbA1c test levels. Furthermore, 53.5% reported poor medication adherence, 65% reported not checking their feet daily, 31% reported never having an eye exam - all of which are quality indicators of T2DM management. Conclusion: There is a disconnect between healthcare service providers and T2DM management among Latinas. This divide can further increase health disparities, increase the burden of illness, and lower the quality of life among working Latinas with families. This study will fuel future studies to develop culturally appropriate interventions that improve management of diabetes within this understudied population. [Description provided by NIOSH]
• Subjects:
  Blood Chronic Disease Diet Family Healthcare Disparities Hematologic Diseases Mental Health Nervous System Occupational Health Safety Stress, Psychological Surveys And Questionnaires Women

  More +
• Keywords:
  Blood Sugar Disorders BMI Body Mass Index Chronic Diseases Cross Sectional Studies Families Health Disparities Job Stress Mental Health Questionnaires
• Publisher:
  University of California
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Dissertation
• Place as Subject:
  California ; OSHA Region 9
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  1-127
• NIOSHTIC Number:
  nn:20068233
• Citation:
  Los Angeles, CA: University of California, 2020 Dec; :1-127
• Federal Fiscal Year:
  2021
• Performing Organization:
  University of California Los Angeles
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Understanding the effects of occupational stress and familial stress on diabetes management among aging working Latinas with T2DM
• End Date:
  20270630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:5711d899c846ea3db86dfb70bfd54fb6f6f59886f3cd632c5cd3cbe0708f0560142693012d0a5ad76763b67d8dba36b9b2ab272e7684e3e00dcdf30840c043b4
• Download URL:
  https://stacks.cdc.gov/view/cdc/230434/cdc_230434_DS1.pdf
• File Type:
  [PDF - 2.12 MB ]