Economic burden, financial stress, and cost-related coping among people with uncontrolled diabetes in the U.S

Patel, Minal R.; Tolentino, Dante Anthony; Smith, A. W.; Heisler, Michele

doi:10.1016/j.pmedr.2023.102246

Cited by 5 publications

(2 citation statements)

References 45 publications

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“…Furthermore, the results of data gathered from participants indicated that financial distress was not a direct consequence of their condition, due to the availability of insurance services. However, there have been reports of adaptive failures, such as the inability to afford healthcare costs, being associated with low levels of distress in individuals with T2DM (Patel et al, 2023). However, other studies indicate that the high prevalence of stress in T2DM sufferers without financial problems may result from a lack of utilisation of health services (Vidyulatha et al, 2022).…”

Section: Sources Of Distressmentioning

confidence: 99%

Distress and Coping Strategy among Indonesian Men with Type-2 Diabetes Mellitus

Nugroho,

Chandra,

Laila

et al. 2024

Nurs. Med. J. Nursing

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Background: Type 2 diabetes mellitus (T2DM) can have a notable impact on the psychological and physical well-being of individuals, which, in turn, affects the management of the condition. Both men and women experience stress and adopt distinct coping strategies. However, research focusing specifically on T2DM in men is still limited. Purpose: The present study aimed to investigate the distress and coping strategies adopted by outpatient men with T2DM in Malang, East Java, Indonesia.Methods: This study employed a qualitative research design and conducted in-depth interviews with 24 outpatient men with T2DM. The interview guidelines were formulated using the Bahasa Indonesia version of the Diabetes Distress Scale (DDS17) questionnaire, which includes four domains: physician distress, emotional burden, regimen distress, and interpersonal distress. Thematic analysis was performed to analyze the results gathered during the research and compile them into a final report. Results: The study revealed that individuals diagnosed with T2DM experienced a range of emotional and practical difficulties, including feelings of fear, anxiety, and a lack of understanding. Disease burden, a lack of understanding of healthcare services, difficulties managing their diet, routine medication, financial concerns, and fatigue also contributed to the distress. To cope with distress, the informants identified eight distinct coping strategies. Among these, the most effective was receiving support from family members. Additionally, acceptance of the condition, self-management, a positive attitude, understanding of the illness, participation in the diabetes community, spiritual solace, and gaining further knowledge of T2DM were also identified. Conclusion: The findings of this research indicate that men experience eight distinct types of stress and utilize comparable coping strategies associated with T2DM. Emotional distress represents the predominant pressure, while family support constitutes the primary coping strategy. These results are important for nurses and other healthcare professionals in supporting patients.

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Section: Sources Of Distressmentioning

confidence: 99%

Distress and Coping Strategy among Indonesian Men with Type-2 Diabetes Mellitus

Nugroho,

Chandra,

Laila

et al. 2024

Nurs. Med. J. Nursing

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“…Food insecurity is disproportionately experienced by racial/ethnic minorities and lower-income individuals, with 19.8% of Black households, 16.2% of Hispanic households, and 26.5% of households with incomes below 185% of the poverty threshold experiencing food insecurity in 2021 [11]. Individuals experiencing food insecurity have limited options to obtain food for their family and are more likely to purchase inexpensive and unhealthy food [12][13][14], thus consuming fewer vegetables, fruits, and dairy products compared to those without food insecurity [15]. Since low-income and race/ethnic minority groups are disproportionately affected by rising rates of chronic disease in the United States, improving the food environment by increasing access to healthy foods like fruit and vegetables should be considered as a possible solution.…”

Section: Healthy Eating Disparities Barriers and Facilitating Factorsmentioning

confidence: 99%

Cross-Sector Partnerships for Improved Cooking Skills, Dietary Behaviors, and Belonging: Findings from a Produce Prescription and Cooking Education Pilot Program at a Federally Qualified Health Center

Ylitalo,

Janda,

Clavon

et al. 2023

Nutrients

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Participant engagement, psychosocial factors, and dietary behaviors are important components of “Food as Medicine” and cooking education programs. The purpose of this study is to describe a multidisciplinary cooking program at a Federally Qualified Health Center in central Texas. During biannual harvest seasons (2022–2023), patients participated in four or six weekly 1.5 h hands-on cooking classes with shared meals, education, and produce delivery. Pretest–posttest surveys assessed sociodemographic information, health, psychosocial factors, and dietary behaviors; follow-up assessed group cohesion/sense of community in classes. Survey data were described using means and proportions. Across four cohorts, participants (n = 33; mean age: 45 ± 16 years) were 30% Hispanic/Latino, 18% non-Hispanic Black, and 52% non-Hispanic White; on average, participants attended 66% of sessions. Increases in cooking self-efficacy (p < 0.001) and diet-related self-management strategies (p < 0.001) were observed for those with follow-up data (n = 16); further, 44% reported increased vegetable consumption. All participants (100%) reported feeling like a valued member of their cooking group and 94% reported high levels of belonging. In a diverse community health center serving low-income patients, provision of produce and cooking education classes supported strategies to improve diet-related confidence, skills, and behavior. Cross-sector partnership within a health care setting may help patients and physicians prioritize nutrition and food access.

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Diabetes and Financial Well-Being: Differential Hardship Among Vulnerable Populations

Evans,

Jacobs

2024

The Science of Diabetes Self-Management and Care

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Purpose The purpose of the study was to examine financial well-being among a diverse population of individuals with and without diabetes. Methods Data from the Understanding America Survey, a nationally representative, longitudinal panel, were utilized to identify adults with self-reported diabetes diagnoses between 2014 and 2020. We used longitudinal mixed effects regression models to assess the association between diabetes and financial well-being score (FWBS) among racial and ethnic population subgroups. Models included sex, age, marital status, household size, income, education, race/ethnicity, insurance, body mass index, employment, and health insurance, incorporating individual- and household-level fixed effects. Racial and ethnic differentials were captured using group-condition interactions. Results Black participants (17.06%) had the highest prevalence of diabetes, followed by White participants (12.2%), “other” racial groups (10.7%), and Hispanic participants (10.0%). In contrast, White participants (M = 67.66, SD = 22.63) and other racial groups (M = 67.99, SD = 18.45) had the highest FWBSs, followed by Hispanic participants (M = 59.31, SD = 22.78) and Black participants (M = 55.86, SD = 25.67). Compared to White participants, Black participants (β = −5.49, SE = 0.71) and Hispanic participants (β = −2.06, SE = 0.63) have significantly lower FWBSs. Compared to males, females (β = −3.25, SE = 0.41) had lower FWBSs among individuals with diabetes. FWBSs of individuals with diabetes was 2.71 points lower (SE = 0.52), on average, than those without diabetes. Education, household size, age, marital status, and income were also significantly associated with FWBSs. Conclusions Findings suggest potential disparities in the financial ramifications of diabetes among socially marginalized populations.

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Economic burden, financial stress, and cost-related coping among people with uncontrolled diabetes in the U.S

Cited by 5 publications

References 45 publications

Distress and Coping Strategy among Indonesian Men with Type-2 Diabetes Mellitus

Distress and Coping Strategy among Indonesian Men with Type-2 Diabetes Mellitus

Cross-Sector Partnerships for Improved Cooking Skills, Dietary Behaviors, and Belonging: Findings from a Produce Prescription and Cooking Education Pilot Program at a Federally Qualified Health Center

Diabetes and Financial Well-Being: Differential Hardship Among Vulnerable Populations

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