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Type 2 Diabetes in Urban Black and Rural White WomenFrom the Yale University School of Nursing, New Haven, Connecticut. Correspondence to Gail D'Eramo Melkus, NYU College of Nursing, 246 Greene Street, New York, NY 10003 (gdm3{at}nyu.edu). Purpose The purpose of this secondary analysis was to describe and compare physiological, psychosocial, and self-management characteristics of urban black and rural white women with type 2 diabetes (T2D) in the northeast United States. Methods A descriptive, cross-sectional secondary analysis was conducted with baseline data from 2 independent study samples: rural white women and urban black women. Results Results revealed the sample were on average educated, working, low-income, mid-life women with poor glycemic and blood pressure control, despite having a usual source of primary care. When compared, black women were younger, had lower income levels, worked more, and were often single and/or divorced. They had worse glycemic control, significantly higher levels of diabetes-related emotional distress, and less support than white women. Conclusion Despite differences in geography and study findings, both groups had suboptimal physiological and psychosocial levels that impede self-management. These findings serve to aid in the understanding of health disparities, emphasizing the importance of developing and evaluating effective interventions of diabetes care for women with T2D.
This version was published on March
1, 2009 The Diabetes Educator, Vol. 35, No. 2,
293-301 (2009) |
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