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AN EXAMINATION OF THE ASSOCIATION BETWEEN SPOUSAL SUPPORT AND TYPE 2 DIABETES SELF-MANAGEMENT
by
Keosha R. Partlow
________________________________________________________________________
A Dissertation Presented to the
FACULTY OF THE USC GRADUATE SCHOOL
UNIVERSITY OF SOUTHERN CALIFORNIA
In Partial Fulfillment of the
Requirements for the Degree
DOCTOR OF PHILOSOPHY
(PREVENTIVE MEDICINE (HEALTH BEHAVIOR))
May 2011
Copyright 2011 Keosha R. Partlow
Object Description
| Title | An examination of the association between spousal support and type 2 diabetes self-management |
| Author | Partlow, Keosha R. |
| Author email | krpartlo@usc.edu; krpartlow@gmail.com |
| Degree | Doctor of Philosophy |
| Document type | Dissertation |
| Degree program | Preventive Medicine (Health Behavior) |
| School | Keck School of Medicine |
| Date defended/completed | 2011-03-23 |
| Date submitted | 2011 |
| Restricted until | Unrestricted |
| Date published | 2011-05-04 |
| Advisor (committee chair) | Sussman, Steven |
| Advisor (committee member) |
Reynolds, Kim Baezconde-Garbanati, Lourdes Xiang, Anny Lincoln, Karen |
| Abstract | The present study sought to explore the effects of spousal support on Type 2 diabetes self-management. Cross-sectional data from 305 spousal pairs, ages 30-70, were collected from a tailored self-management intervention study for type 2 diabetes entitled Prevention and Control of Diabetes in Families (PCDF). Three separate studies were conducted in order to examine spousal support effects on three different self-management domains: behavioral (diet, physical activity), psychological (diabetes distress), and biological (BMI, HbA1c). The studies were also designed to assess gender and race as moderators of the relationship between spousal support and self-management measures. Findings from Study 1 revealed that increased instrumental support and unsupportive behavior for physical activity was associated with decreased moderate physical activity levels. Additionally, increased appraisal support for physical activity was associated with higher levels of light activity. Individuals who had lower levels of acculturation and perceived higher levels of appraisal support reported higher levels of light physical activity. Findings from Study 2 revealed that for women, increased levels of instrumental support were associated with higher levels of diabetes distress. Further, higher levels of perceived unsupportive behavior for diet were associated with increased levels of diabetes distress, particularly when the non-diabetic spouse was healthier. Finally, findings from Study 3 revealed that increased unsupportive behavior for diet and emotional support for diet was associated with negative health outcomes, including increased BMI among Whites, and increased HbA1c levels. Findings support and expand prior research on spousal support literature, particularly regarding the negative impacts of support. Results indicate that support can have negative health outcomes, even if the provider has well-meaning intentions.; Results emphasize the importance of contextual factors, such as gender and race, in addition to the social context when tailoring family-based interventions. Further, the role of unsupportive behavior and appraisal support in spousal relationships deserves further attention. |
| Keyword | social support; spousal support; type 2 diabetes; self-management; marriage; emotional support; appraisal support |
| Geographic subject (city or populated place) | Los Angeles |
| Geographic subject (state) | California |
| Geographic subject (country) | USA |
| Coverage date | 2003/2005 |
| Language | English |
| Part of collection | University of Southern California dissertations and theses |
| Publisher (of the original version) | University of Southern California |
| Place of publication (of the original version) | Los Angeles, California |
| Publisher (of the digital version) | University of Southern California. Libraries |
| Provenance | Electronically uploaded by the author |
| Type | texts |
| Legacy record ID | usctheses-m3895 |
| Rights | Partlow, Keosha R. |
| Repository name | Libraries, University of Southern California |
| Repository address | Los Angeles, California |
| Repository email | http://www.usc.edu/isd/libraries/services/ask_a_librarian/email/ |
| Filename | etd-Partlow-4433 |
| Archival file | uscthesesreloadpub_Volume32/etd-Partlow-4433.pdf |
Description
| Title | Page 1 |
| Full text | AN EXAMINATION OF THE ASSOCIATION BETWEEN SPOUSAL SUPPORT AND TYPE 2 DIABETES SELF-MANAGEMENT by Keosha R. Partlow ________________________________________________________________________ A Dissertation Presented to the FACULTY OF THE USC GRADUATE SCHOOL UNIVERSITY OF SOUTHERN CALIFORNIA In Partial Fulfillment of the Requirements for the Degree DOCTOR OF PHILOSOPHY (PREVENTIVE MEDICINE (HEALTH BEHAVIOR)) May 2011 Copyright 2011 Keosha R. Partlow |
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