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Journal of Pediatric Psychology Advance Access published online on March 3, 2005
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsi075
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Journal of Pediatric Psychology © The Author 2005. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oupjournals.org
Received December 30, 2003
Revised October 8, 2004
Accepted October 20, 2004

Article

Health Beliefs and Regimen Adherence in Minority Adolescents with Type 1 Diabetes

Anna Maria Patino PhD1, Janine Sanchez MD1, Margaret Eidson MD1, and Alan M. Delamater PhD1*

1 University of Miami

* To whom correspondence should be addressed.
Alan M. Delamater, E-mail: adelamater{at}med.miami.edu


  Abstract

Objective To examine the appraisal of short- and long-term diabetes health risk and adherence, determine whether health risk predicts adherence and glycemic control in an ethnic minority sample, and determine whether perceptions of personal risk differ from risk to others. Methods Seventy-four youths with type 1 diabetes (ages 11-16) completed measures of risk perception and regimen adherence during their clinic visit; parents completed a measure of their children’s adherence. Glycosylated hemoglobin A1c level was measured as part of the clinic visit. Results Regression analyses predicting parental report and self-reported adherence from appraisal of risk yielded nonsignificant results; perceived short-term complications to self predicted glycemic control. Appraisal of risk was higher for short- and long-term complications occurring to someone else with diabetes than to self. Greater risk for short-term complications than for long-term complications to self and other was found. Conclusions The distinction between long-term and short-term complications and complications occurring to ones’ self or someone else with diabetes was supported. Assessment of perceived risks for short-term complications is important for this age group and should be addressed in interventions to improve adherence.

Keywords: adolescence; health beliefs; risk perceptions; type 1 diabetes.
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