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38. Social Determinants of Health are Associated with Coping of Informal Caregivers of Adults with Heart Failure.

Author

Matus, Austin, Quinn, Ryan, Stawnychy, Michael A., Thomas, Gladys, Goba, Miatta, Garo, Jenna, Gordon, Deborah, and Riegel, Barbara

Subjects
HEART failure risk factors, RISK assessment, CROSS-sectional method, SCALE analysis (Psychology), SOCIAL determinants of health, CRONBACH'S alpha, RESEARCH funding, MULTIPLE regression analysis, PSYCHOLOGICAL adaptation, DESCRIPTIVE statistics, BURDEN of care, CAREGIVERS, PSYCHOLOGICAL stress, SOCIAL support, DATA analysis software, ADULTS
Abstract

We explored the influence of social determinants of health (SDH) risk on stress and coping style in heart failure (HF) caregivers. In this cross-sectional study, data from 250 caregivers were analyzed. Multivariable linear regression analyses were performed to determine the extent to which SDH risk (measured using a modified PRAPARE tool (National Association of Community Health Centers), range 0–22) predicted stress (Perceived Stress Scale, 0–56) and coping style (active (0–45), avoidance (0–30), and minimization (0–30)) while accounting for caregiver burden (HF Caregiver Questionnaire (HF-CQ) 0–100). Multivariable regression analysis with backwards elimination variable selection approach was used to identify which SDH risk factors best predicted coping styles. SDH risk was significantly associated with avoidance and minimization coping styles. Each unit increase in SDH risk was associated with an increase of 0.6 ± 0.2 units (p =.0008) in avoidance and 0.7 ± 0.2 units (p <.0001) in minimization coping style. Race and "supporting others" significantly predicted avoidance coping style; scores were 3.3 ± 0.8 units greater for caregivers who were not White (p <.0001) and 1.4 ± 0.5 units greater (p <.01) for each additional person whom they supported. Race significantly predicted minimization coping style; scores were 4.4 ± 0.7 units greater for caregivers who were not White (p <.0001). Caregivers with higher SDH risk may avoid and minimize to cope with caregiving challenges. [ABSTRACT FROM AUTHOR]

Published
2024
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50. Bedtime Habits in Adults with and without Type 2 Diabetes

Author

Malone, Susan K., Di, Junrui, Leroux, Andrew, Riegel, Barbara, Melkus, Gail D'Eramo, Rickels, Michael R., Punjabi, Naresh M., Pack, Allan, Crainiceanu, Ciprian, and Urbanek, Jacek

Subjects
Health surveys -- Surveys -- Analysis, Adults -- Surveys, Type 2 diabetes -- Surveys -- Analysis, Psychology and mental health, Science and technology
Abstract

This study aimed to identify determinants of objectively-estimated bedtime habits and to determine if these bedtime habits differed between adults with and without type 2 diabetes. Adults with accelerometry data from the National Health and Nutrition Examination Survey 2003-2004 and 2005-2006 cohorts were classified as having no diabetes or type 2 diabetes and matched for age, gender, and BMI across the two groups. Multivariate linear regression models assessed bedtime habits (time-in-bed, early versus late bedtime periods, regularity), chronotype (mid-points), and type 2 diabetes status. While the results indicated no differences in bedtime habits between adults with and without type 2 diabetes, an interesting finding was the support for an association between objectively-estimated earlier bedtime midpoints and greater physical activity. Keywords: sleep, sleep behavior, chronotype, bedtime, social jetlag, type 2 diabetes, Introduction Lifestyle modification programs are twice as effective in preventing type 2 diabetes than pharmacological interventions (Diabetes Prevention Program Research Group, 2002). Approaches that build on the success of these [...]

Published
2021

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