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Journal of Pediatric Psychology Advance Access first published online on June 2, 2009
This version published online on October 26, 2009
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsp045
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© The Author 2009. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Adherence and Glycemic Control among Hispanic Youth with Type 1 Diabetes: Role of Family Involvement and Acculturation

Olivia Hsin, MS, Annette M. La Greca, PhD, Jessica Valenzuela, PhD, Cortney Taylor Moine, MS and Alan Delamater, PhD

University of Miami

All correspondence concerning this article should be addressed to Olivia Hsin, MS, University of Miami, Department of Psychology, 5665 Ponce de Leon Blvd., Coral Gables, FL 33146. E-mail: ohsin{at}psy.miami.edu


  Abstract

Objective To assess whether family involvement and acculturation were related to adherence and glycemic control among Hispanic youth with type 1 diabetes (T1D). Methods Hispanic youth with T1D (n = 111; M age = 13.33; 53% female) and parents completed questionnaires that assessed diabetes-related family involvement (distribution of responsibility for diabetes, family support for diabetes), acculturation (linguistic acculturation, generational status), and adherence. HbA1c levels indexed glycemic control. Results Better adherence was associated with less adolescent independent responsibility, more family support for diabetes, and more recent immigration (fewer generations of the family living in US). Family support mediated the relationship between responsibility and adherence. Better glycemic control was associated with higher levels of parental education and adherence. Conclusions Family support for diabetes is important for adherence among Hispanic youth with T1D. Research should examine aspects of recent immigration that contribute to better adherence and the impact of supportive interventions on diabetes care.

Key words: diabetes; adolescents; youth; acculturation; family; social support; adherence; glycemic control; Hispanic..

The last sentence before the Results section was removed.

Received July 20, 2008; accepted April 29, 2009


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