Social support and diabetes self-management behavior among Caribbean, Caribbean American, and African American women: A descriptive correlation study

Abstract Background: Type-2 diabetes (T2D) is one of the most prevalent chronic and noncommunicable conditions both domestically and globally. The objective of this descriptive study was to examine how perceived social support impacted self-care management behavior among female African American and Caribbean populations. Materials and Methods: The cross-sectional study recruited 42 African American and Caribbean women diagnosed with T2D (M = 69.1, SD = 12.0). Univariate and bivariate analyses were conducted to explore the relationship between (1) demographic characteristics, (2) desired and received social support variables, and (3) self-management behaviors. Results: Caribbean women residing in the United States were more likely to follow general diet (M = 5.38, SD = 1.43) and to engage in physical activity (M = 4.31, SD = 2.39), whereas African American women were more likely to follow a specific diabetes diet (M = 3.79, SD = 1.60) and to monitor their glucose (M = 5.70, SD = 1.75). Caribbean women living in the United States Virgin Islands were more likely to follow recommended foot care procedure (M = 4.65, SD = 1.36). A negative correlation occurred between female participants exercising and the desired support in exercising. Women who reported that they desired more support with physical activity exercised less (r s= −0.34; P = 0.04). No relationship was found between foot care procedure and demographic characteristics or social support variables (i.e. desired or received). Conclusion: This study suggests directions for future studies that would examine the dynamics of social support and T2D self-management behaviors, and this study might be relevant to other Caribbean and African American communities with T2D both in North America and the Caribbean.

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Peer approaches to self-management (PALS): comparing a peer mentoring approach for disease self-management in African American women with lupus with a social support control: study protocol for a randomized controlled trial

Trials ◽

10.1186/s13063-019-3580-4 ◽

2019 ◽

Vol 20 (1) ◽

Cited By ~ 1

Author(s):

Edith M. Williams ◽

Leonard Egede ◽

Jim C. Oates ◽

Clara L. Dismuke ◽

Viswanathan Ramakrishnan ◽

...

Keyword(s):

Social Support ◽

Randomized Controlled Trial ◽

African American ◽

African American Women ◽

Study Protocol ◽

Peer Mentoring ◽

Controlled Trial ◽

Self Management ◽

Randomized Controlled ◽

Control Study

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Exploring the Perceived Impact of the Chronic Disease Self‐Management Program on Self‐Management Behaviors among African American Women with Lupus: A Qualitative Study

ACR Open Rheumatology ◽

10.1002/acr2.11117 ◽

2020 ◽

Vol 2 (3) ◽

pp. 147-157 ◽

Cited By ~ 1

Author(s):

Abena A. Twumasi ◽

Anna Shao ◽

Charmayne Dunlop‐Thomas ◽

Cristina Drenkard ◽

Hannah L. Cooper

Keyword(s):

African American ◽

Chronic Disease ◽

Qualitative Study ◽

African American Women ◽

Management Program ◽

Self Management ◽

American Women ◽

Perceived Impact ◽

Management Behaviors

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256 Exploring the perceived impact of the chronic disease self-management program on self-management behaviors among african american women with lupus: a qualitative study

10.1136/lupus-2019-lsm.256 ◽

2019 ◽

Author(s):

Abena Twumasi ◽

Anna Shao ◽

Charmayne Dunlop-Thomas ◽

Hannah Cooper ◽

Cristina Drenkard

Keyword(s):

African American ◽

Chronic Disease ◽

Qualitative Study ◽

African American Women ◽

Management Program ◽

Self Management ◽

American Women ◽

Perceived Impact ◽

Management Behaviors

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Abstract P078: Childhood Social Determinants Explain Ethnic Disparities in Obesity Among Black American Women

Circulation ◽

10.1161/circ.135.suppl_1.p078 ◽

2017 ◽

Vol 135 (suppl_1) ◽

Author(s):

Debbie Barrington

Keyword(s):

African American ◽

African American Women ◽

Social Determinants ◽

Social Factors ◽

Ethnic Disparities ◽

The United States ◽

Ethnic Disparity ◽

Adult Health ◽

American Women ◽

Caribbean Women

Introduction: Black American women have the highest prevalence of obesity in the United States (US). Ethnic disparities in this risk factor for cardiovascular disease have been found; Afro-Caribbean women have lower rates of obesity compared with African American women. Contributing factors of the ethnic disparity in adult obesity have yet to be fully elucidated. However, the emergence of the ethnic disparity in adolescence suggests a potential role for childhood social determinants. Hypothesis: Childhood social determinants are hypothesized to explain the ethnic disparity in obesity between African American and Afro-Caribbean women in the United States. Methods: Multiple logistic regression models were used to examine childhood social factors and adult social, health and lifestyle risk factors that explain the ethnic disparity in obesity between African American (N = 2299) and Afro-Caribbean women (N = 978), 18 years and older, in the National Survey of American Life (2001-2003). Adult socioeconomic factors included marital status, education, occupation, home ownership and poverty status. Adult health and lifestyle risk covariates included hypertension, diabetes, menopausal status, smoking, alcohol use and physical activity. Childhood social factors included measures of parental education, receipt of public assistance prior to 18 years of age, and type of high school attended (private/parochial vs. public). Odds ratios (OR) of the association between ethnicity and adult obesity were estimated after adjusting age and adult socioeconomic measures, adult health and lifestyle measures and childhood social factors within the models. Results: The prevalence of obesity was 40.5% among African American women and 30.8% among Afro-Caribbean women. Afro-Caribbean women had 34% lower odds of obesity than African American women; age-adjusted OR = 0.66; 95%CI: (0.52, 0.82). Adjusting for age and adult socioeconomic factors slightly decreased the ethnic disparity; adjusted OR = 0.70; 95%CI: (0.53, 0.94). Adjusting for age and adult health and lifestyle factors decreased the disparity by 11%; adjusted OR = 0.73; 95%CI: (0.55, 0.97). Adjusting for age and childhood social factors eliminated the ethnic disparity; adjusted OR = 1.00; 95%CI: (0.82, 1.23). Conclusions: These findings suggest that childhood social factors are key contributors to the ethnic disparities in obesity between African American and Afro-Caribbean women in the US.

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Till Death Do Us Part: Lived Experiences of HIV-Positive Married African American Women

The Qualitative Report ◽

10.46743/2160-3715/2011.1303 ◽

2014 ◽

Author(s):

Lorece Edwards ◽

Shalon Irving ◽

Anita Hawkins

Keyword(s):

Social Support ◽

African American ◽

African American Women ◽

Well Being ◽

The United States ◽

Hiv Positive ◽

Childbearing Age ◽

American Women ◽

Demographic Groups ◽

Hiv Aids

HIV/AIDS disease continues to be an escalating health problem, particularly among women. However, African American women are among the leading demographic groups for HIV prevalence in the United States. The typical woman with HIV/AIDS is young, in her late twenties, economically challenged, and of childbearing age. Participants were recruited from an HIV/AIDS outpatient clinic to explore their perceptions of social support, life experiences and marriage. Data were collected through tape-recorded interviews using a semi-structured guide and journaling. Participants reported that most of their time was spent providing care for their husbands who were HIV-positive. Very often their health and well-being were compromised by providing care to others. Participants reported a lack of social support and challenges managing their self-care.

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Structural Violence of Schooling: A Genealogy of a Critical Family History of Three Generations of African American Women in a Rural Community in Florida

Genealogy ◽

10.3390/genealogy5010020 ◽

2021 ◽

Vol 5 (1) ◽

pp. 20

Author(s):

Evelyn Newman Phillips ◽

Wangari Gichiru

Keyword(s):

African American ◽

Family History ◽

African American Women ◽

White Supremacy ◽

Structural Violence ◽

The United States ◽

Structural Barriers ◽

American Women ◽

Three Generations ◽

American Children

Through the lens of structural violence, Black feminism and critical family history, this paper explores how societal structures informed by white supremacy shaped the lives of three generations of rural African American women in a family in Florida during the middle to the late twentieth century. Specifically, this study investigates how disparate funding, segregation, desegregation, poverty and post-desegregation policies shaped and limited the achievement trajectories among these women. Further, an oral historical examination of their lives reveals the strategies they employed despite their under-resourced and sometimes alienating schooling. The paper highlights the experiences of the Newman family, descendants of captive Africans in the United States that produced three college-educated daughters and a granddaughter despite structural barriers that threatened their progress. Using oral history interviews, archival resources and first-person accounts, this family’s story reveals a genealogy of educational achievement, barriers and agency despite racial and gendered limitations in a Southern town. The findings imply that their schooling mirrors many of the barriers that other Blacks face. However, this study shows that community investment in African American children, plus teachers that affirm students, and programs such as Upward Bound, help to advance Black students in marginalized communities. Further, these women’s lives suggest that school curriculums need to be anti-racist and public policies that affirm each person regardless of the color of their skin. A simple solution that requires the structural violence of whiteness be eliminated from the schooling spheres.

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P372 Bacterial vaginosis and high-risk human papillomavirus coinfection among african american women in the united states

10.1136/sextrans-2019-sti.474 ◽

2019 ◽

Author(s):

Purnima Madhivanan ◽

Makella Coudray ◽

Daniel Ruiz-Perez ◽

Brett Colbert ◽

Karl Krupp ◽

...

Keyword(s):

United States ◽

African American ◽

Human Papillomavirus ◽

High Risk ◽

Bacterial Vaginosis ◽

African American Women ◽

The United States ◽

American Women

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“I Don’t Know and I Don’t Want to Know”: A Qualitative Examination of Older African American Women’s Knowledge and Experiences With HIV

Journal of Black Psychology ◽

10.1177/0095798418813222 ◽

2018 ◽

Vol 44 (7) ◽

pp. 644-666 ◽

Cited By ~ 2

Author(s):

Faye Z. Belgrave ◽

Sarah J. Javier ◽

Deborah Butler ◽

Chelsie Dunn ◽

Joann Richardson ◽

...

Keyword(s):

African American ◽

African American Women ◽

Black Church ◽

The United States ◽

Sociocultural Factors ◽

Hiv Knowledge ◽

Female Population ◽

American Women ◽

Heterosexual Women ◽

Older African American Women

While older African American women (e.g., aged 50 years and older) comprise only 11% of the female population in the United States, they account for 50% of HIV diagnoses among women in this age group. Unique sociocultural factors, including a lack of HIV knowledge and stigma, contribute to HIV risk among older African American women. The goal of this qualitative study was to obtain a nuanced perspective from older African American women about HIV knowledge and experiences with HIV using the framework of intersectionality theory. Focus groups were conducted with 35 African American women who were 50 years and older, nonpartnered, and heterosexual. Women were asked what they knew about HIV and if they thought older women were at risk for HIV. A thematic analysis using NVivo 11 yielded two central themes and three subthemes: HIV knowledge, including experiential knowledge, superficial knowledge, and no knowledge, and stigma around HIV in the Black church. Implications for developing HIV prevention programs and testing messages are discussed.

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