TY - JOUR
T1 - Personal Agency and Social Supports to Manage Health Among Non-Hispanic Black and Hispanic Men With Diabetes
AU - Sherman, Ledric D.
AU - Cisneros-Franco, Cynthia Luz
AU - Prochnow, Tyler
AU - Patterson, Megan S.
AU - Johannes, Bobbie L.
AU - Alexander, Janae
AU - Merianos, Ashley L.
AU - Bergeron, Caroline D.
AU - Smith, Matthew Lee
N1 - Publisher Copyright:
© The Author(s) 2023.
PY - 2023/11/1
Y1 - 2023/11/1
N2 - The prevalence of type 2 diabetes (T2D) is increasing among non-Hispanic Black and Hispanic communities, especially among men who develop this chronic condition at earlier ages. Personal agency and social support are vital aspects to diabetes management. However, less is known about the relationship between these variables among men living with diabetes. The purposes of this study were to identify (1) levels of personal agency to manage health, (2) sources of social supports to manage health based on personal agency levels, and (3) factors associated with lower personal agency to manage health. Cross-sectional data from non-Hispanic Black (n = 381) and Hispanic (n = 292) men aged 40 years or older with T2D were collected using an internet-delivered questionnaire. Three binary logistic regression models were fitted to assess sociodemographics, health indicators, and support sources associated with weaker personal agency to manage health. About 68% of participants reported having the strongest personal agency relative to 32.1% reporting weaker personal agency. Men who relied more on their spouse/partner (odds ratio [OR] = 1.22, p =.025), coworkers (OR = 1.59, p =.008), or faith-based organizations (OR = 1.29, p =.029) for ongoing help/support to improve their health and manage health problems were more likely to have weaker personal agency. Conversely, men who relied more on their health care providers for ongoing help/support to improve their health and manage health problems were less likely to have weaker personal agency to manage health (OR = 0.74, p <.001). Findings suggest personal agency may influence men’s support needs to manage T2D, which may also be influenced by cultural, socioeconomics, and the composition of social networks.
AB - The prevalence of type 2 diabetes (T2D) is increasing among non-Hispanic Black and Hispanic communities, especially among men who develop this chronic condition at earlier ages. Personal agency and social support are vital aspects to diabetes management. However, less is known about the relationship between these variables among men living with diabetes. The purposes of this study were to identify (1) levels of personal agency to manage health, (2) sources of social supports to manage health based on personal agency levels, and (3) factors associated with lower personal agency to manage health. Cross-sectional data from non-Hispanic Black (n = 381) and Hispanic (n = 292) men aged 40 years or older with T2D were collected using an internet-delivered questionnaire. Three binary logistic regression models were fitted to assess sociodemographics, health indicators, and support sources associated with weaker personal agency to manage health. About 68% of participants reported having the strongest personal agency relative to 32.1% reporting weaker personal agency. Men who relied more on their spouse/partner (odds ratio [OR] = 1.22, p =.025), coworkers (OR = 1.59, p =.008), or faith-based organizations (OR = 1.29, p =.029) for ongoing help/support to improve their health and manage health problems were more likely to have weaker personal agency. Conversely, men who relied more on their health care providers for ongoing help/support to improve their health and manage health problems were less likely to have weaker personal agency to manage health (OR = 0.74, p <.001). Findings suggest personal agency may influence men’s support needs to manage T2D, which may also be influenced by cultural, socioeconomics, and the composition of social networks.
KW - Black men
KW - Hispanic men
KW - diabetes
KW - social support
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U2 - 10.1177/15579883231211057
DO - 10.1177/15579883231211057
M3 - Article
C2 - 38032066
AN - SCOPUS:85178426899
SN - 1557-9883
VL - 17
JO - American Journal of Men's Health
JF - American Journal of Men's Health
IS - 6
ER -