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Dissertation/Thesis Abstract

An Examination of Type 1 Diabetes Management Among Latinx Adolescents Using the Ecological Framework
by Flores Garcia, Jaquelin, M.P.H., California State University, Long Beach, 2020, 57; 28028887
Abstract (Summary)

The incidence of Type 1 Diabetes (T1D) has increased among Latinx adolescents and their Hemoglobin A1c (HbA1c) levels are higher in comparison to their white counterparts. Limited research exists on this topic, and only intrapersonal and some interpersonal level factors have been examined in association with HbA1c. The aim of this cross-sectional study is to expand the research and examine organizational factors that may be associated to HbA1c among Latinx adolescents (N=55) and their parents in Southern California. A secondary data analysis was conducted on the Adolescents and Young Adults with Type 1 Diabetes Assessment in the Center for Endocrinology, Diabetes, and Metabolism (Attack) Study. Participant inclusion criteria included, self-identified as Hispanic/Latino/Latinx between the ages 11-17, a diagnosis of T1D for at least 6 months, and adolescents and parents who answered the questions of interest. Results from hierarchical multiple linear regression suggested that intrapersonal (e.g., diabetes self-management behaviors [blood glucose checks]), interpersonal (e.g., family’s insurance [proxy for socio-economic status] and language preference of the parent), and organizational level factors (e.g., cultural competency [communication and discrimination] of the provider) were significantly associated with HbA1c. Therefore, these factors should be further examined as potential predictors of HbA1c levels among other groups of Latinx adolescents with T1D, as they may inform T1D management interventions.

Indexing (document details)
Advisor: Garcia, Melawhy
Commitee: Bavarian Ellis, Niloofar, Raymond, Jennifer
School: California State University, Long Beach
Department: Health Science
School Location: United States -- California
Source: MAI 82/6(E), Masters Abstracts International
Subjects: Public health, Endocrinology, Health care management, Hispanic American studies, Latin American Studies
Keywords: Type 1 Diabetes, Latinx adolescents, Southern California, Diabetes self-management, Hispanic adolescents, Language preference , Blood glucose , Cultural competency , Discrimination
Publication Number: 28028887
ISBN: 9798698594635
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