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dc.contributor.authorKennedy, Kelly Stidham
dc.date.accessioned2014-03-04T19:59:33Z
dc.date.available2014-03-04T19:59:33Z
dc.date.issued2011-05
dc.identifier.otherkennedy_kelly_s_201105_phd
dc.identifier.urihttp://purl.galileo.usg.edu/uga_etd/kennedy_kelly_s_201105_phd
dc.identifier.urihttp://hdl.handle.net/10724/27186
dc.description.abstractRural African American women in Georgia have a disproportionate prevalence rate of diabetes, which nearly doubled in the past 30 years. Self-care behaviors, such as healthy eating, physical activity, foot care, and monitoring blood glucose levels, are important in the long-term prognosis of the disease. Using a social ecological model and stress coping theory, I examined the pathways in which community disadvantage, social support, and depressive symptoms are linked to type 2 diabetes self-care in women. Specifically, I hypothesized that community disadvantage would affect women’s self-care by increasing depressive symptoms and that social support would ameliorate the influence of community disadvantage on depressive symptoms. Hypotheses were tested with data from 140 rural African American women diagnosed with type 2 diabetes. As hypothesized, community disadvantage was linked to type 2 diabetes self-care and this association was mediated through depressive symptoms. No evidence was found to support the moderating influence of social support on the association between community disadvantage and depressive symptoms. Interventions are needed to decrease depressive symptoms and increase community support for rural African American women with type 2 diabetes.
dc.languageeng
dc.publisheruga
dc.rightspublic
dc.subjectdiabetes
dc.subjectself-care
dc.subjectAfrican Americans
dc.subjectrural
dc.subjectsocial ecological theory
dc.titleUsing a social ecological model in predicting type 2 diabetes self-care in rural African American women
dc.typeDissertation
dc.description.degreePhD
dc.description.departmentChild and Family Development
dc.description.majorChild and Family Development
dc.description.advisorStephanie Burwell
dc.description.committeeStephanie Burwell
dc.description.committeeSteve Kogan
dc.description.committeeJ. Maria Bermudez


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