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The 130th Annual Meeting of APHA |
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The 130th Annual Meeting of APHA |
Katharine H. Hendrix, MS, PhD(Cand)1, Carolyn M. Jenkins, MSN, DRPH1, and Charles L. Hossler, MSN2. (1) College of Nursing, REACH Project, Medical University of South Carolina, 159 Rutledge Avenue, PO Box 250219, Charleston, SC 29425, 843-792-5469, hendrikh@musc.edu, (2) College of Nursing, Project REACH, Medical University of South Carolina, 159 Rutledge Avenue, PO Box 250219, Charleston, SC 29425
This study tests whether differences in self-care, trust, self-efficacy, attributions, knowledge, social support, and perceptions underlie differences in health outcomes among African Americans (AAs) and Caucasians with diabetes in South Carolina. Despite years of interventions, hospitalizations for diabetes complications continue to be higher in AAs than in Caucasians in South Carolina. Trend analyses indicate rates of complications for AAs are rising more rapidly than in Caucasians. The death rate for AAs with diabetes as an underlying factor is now 2.5 times higher than for Caucasians in South Carolina. It is necessary to illuminate what psychosocial issues may be driving these differences. The authors developed a survey to collect data on the aformentioned domains. All scales were adapted from previously developed instruments. Pilot tests (N=113) indicate all scales are reliable in this population (a=.62 - .92). Pilot tests reveal statistically significant differences in physician trust, health system trust, knowledge, perceived burden of diabetes, and self-efficacy when responses are stratified by race. This presentation discusses data from survey administration (N=450). Results are compared by race and illuminate psychosocial differences which may be driving disparities in outcomes. Discussion includes how results can be used to design more effective diabetes interventions for AAs. Participants will evaluate a new, reliable diabetes survey tool for rural AAs. Participants will recognize salient psychosocial issues for this population and how these issues may differ from Caucasians. Participants will be able to design interventions which appropriately address psychosocial issues specific to AAs.
Learning Objectives:
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.