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Journal of Pediatric Psychology, Vol. 27, No. 8, 2002, pp. 759-764
© 2002 Society of Pediatric Psychology

Brief Report: Self-Care Behaviors of Children With Type 1 Diabetes Living in Puerto Rico

Randi Streisand, PhD1, Deedrah Respess, PhD2, Stacy Overstreet, PhD3, Lilliam Gonzalez de Pijem, MD4, Ru San Chen, PhD5 and Clarissa Holmes, PhD5,6

1 Children's National Medical Center, 2 Houston School System, 3 Tulane University, 4 University of Puerto Rico Medical School, 5 Georgetown University, 6 Virginia Commonwealth University

All correspondence should be sent to Randi Streisand, Children's National Medical Center, Department of Psychology, 111 Michigan Ave. NW, Washington, District of Columbia 20010. E-mail: rstreis{at}cnmc.org.

Objective: To examine self-care behaviors among children and adolescents with type 1 diabetes living in Puerto Rico, to determine the relationship between self-care and demographic variables, and to investigate the utility of the 24-hour recall interview within a Hispanic population.

Method: Forty-one children (M age = 12.6 years) with type 1 diabetes, and their mothers, were administered the 24-hour recall interview on three separate occasions to assess diabetes-related self-care behaviors.

Results: Children reported self-care behaviors that included daily administration of an average of two insulin injections and two blood glucose tests, and consumption of 5.5 meals a day comprised of 52% carbohydrates and 29% fat. Younger age, female gender, longer illness duration, and better metabolic control were associated with higher rates of several self-care behaviors.

Conclusions: Data provide a first look at self-care behaviors of children with type 1 diabetes living in Puerto Rico and suggest the utility of the 24-hour recall interview within this population.

Key words: type 1 diabetes; self-care; Puerto Rico.


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