caa a22 4500 467934479 CHVBK 20180406152953.0 cr unu---uuuuu 170328e20061001xx s 000 0 eng 10.1007/s10900-006-9018-4 doi (NATIONALLICENCE)springer-10.1007/s10900-006-9018-4 Assessing Sources Of Support For Diabetes Self-Care In Urban And Rural Underserved Communities [Elektronische Daten] [Benjamin Shaw, Mary Gallant, Mary Riley-Jacome, Linda Spokane] The ability of adults with diabetes to manage their illness properly and prevent complications is, in part, a function of support provided by the people and institutions surrounding them. Using data from over 200 adults with diabetes in two medically underserved communities - one urban and one rural - this study examines the self-care specific support provided by four key sources: family and friends, community organizations, one's neighbors and neighborhood, and resources in the wider community. More specifically, this study aims to assess the support needs of adults with diabetes in these communities by estimating their rates of various self-care behaviors, the amount of support provided by key sources, and the associations between support from these sources and adherence to recommended diabetes self-care behaviors. Descriptive findings indicate that close to 40% of the sample failed to report at least moderate levels of adherence, and that physical activity in the rural community, and smoking in the urban community represent particular problem areas. Individuals from the urban subsample reported receiving more support from all of the sources assessed. Logistic regression models indicated that one's neighbors and neighborhood resources appear to have a broad influence on adherence to diabetes self-care behaviors. Support from family and friends, as well as from community organizations, also seems to be important. These results have implications for the design of interventions aimed at bolstering support for diabetes self-care, and point to the need for an enhanced focus on strengthening the social environmental resources of adults with diabetes. Springer Science+Business Media, Inc., 2006 type 2 diabetes nationallicence diabetes self-care nationallicence underserved communities nationallicence urban and rural communities nationallicence needs assessment nationallicence Shaw Benjamin Department of Health Policy, Management, and Behavior School of Public Health, University at Albany, 12144-3456, Rensselaer, NY, USA aut Gallant Mary Department of Health Policy, Management, and Behavior School of Public Health, University at Albany, 12144-3456, Rensselaer, NY, USA aut Riley-Jacome Mary Department of Health Policy, Management, and Behavior School of Public Health, University at Albany, 12144-3456, Rensselaer, NY, USA aut Spokane Linda Department of Health Policy, Management, and Behavior School of Public Health, University at Albany, 12144-3456, Rensselaer, NY, USA aut Journal of Community Health Kluwer Academic Publishers-Plenum Publishers; http://www.springer-ny.com 31/5(2006-10-01), 393-412 0094-5145 31:5<393 2006 31 10900 https://doi.org/10.1007/s10900-006-9018-4 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10900-006-9018-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Shaw Benjamin Department of Health Policy, Management, and Behavior School of Public Health, University at Albany, 12144-3456, Rensselaer, NY, USA aut NATIONALLICENCE 700 1- Gallant Mary Department of Health Policy, Management, and Behavior School of Public Health, University at Albany, 12144-3456, Rensselaer, NY, USA aut NATIONALLICENCE 700 1- Riley-Jacome Mary Department of Health Policy, Management, and Behavior School of Public Health, University at Albany, 12144-3456, Rensselaer, NY, USA aut NATIONALLICENCE 700 1- Spokane Linda Department of Health Policy, Management, and Behavior School of Public Health, University at Albany, 12144-3456, Rensselaer, NY, USA aut NATIONALLICENCE 773 0- Journal of Community Health Kluwer Academic Publishers-Plenum Publishers; http://www.springer-ny.com 31/5(2006-10-01), 393-412 0094-5145 31:5<393 2006 31 10900 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer