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Journal of Diabetes & Metabolic Disorders

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18-12-2023 | Research article

Implications on self-care behaviors among older Korean immigrants diagnosed with diabetes residing in the United States: a path analytical approach

Authors: Jung Eun Kim, Ying Hong Jiang, Vivien Dee

Published in: Journal of Diabetes & Metabolic Disorders | Issue 1/2024

Abstract

Background

Diabetes is a prevalent chronic disease. Although self-care is the crucial element in managing diabetes, older Korean immigrants with diabetes face challenges in performing effective self-care related to vulnerability as minority immigrants.

Purpose

This study measures sociodemographics, self-efficacy, social support, diabetes knowledge, and diabetes self-care activities among older Korean immigrants in the United States. This study also aims to demonstrate the direct and indirect effects of the related factors on diabetes self-care activities using a path analysis.

Methods

This study uses a cross-sectional design. Convenience sampling targeted Korean immigrants aged 55 or older using paper and online surveys. Four instruments were used to measure variables: self-efficacy was measured by the General Self-Efficacy scale, diabetes knowledge by the Simplified Diabetes Knowledge Test, social support by the Lubben Social Network Scale-6, and diabetes self-care by the Summary of Diabetes Self-Care Activities questionnaire. Using path analysis, the effects of related factors on self-care activities were analyzed.

Results

190 older Korean immigrants participated, 53.2% female, and 46.8% male. The mean age was 67.2 (SD = 9.9; range, 58–93). A path model shows that sociodemographics (sex, age, education, and years in the United States), diabetes knowledge, self-efficacy, and family support predict diabetes self-care.

Conclusions

The path model demonstrates the effects of sociodemographics, self-efficacy, diabetes knowledge, and social support on diabetes self-care among older Korean immigrants. The findings can help to understand diabetes self-care among the minority ethnic older group and can be used to develop culturally tailored education, counseling, and healthcare services.

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Title: Implications on self-care behaviors among older Korean immigrants diagnosed with diabetes residing in the United States: a path analytical approach
Authors: Jung Eun Kim
Ying Hong Jiang
Vivien Dee
Publication date: 18-12-2023
Publisher: Springer International Publishing
Published in: Journal of Diabetes & Metabolic Disorders / Issue 1/2024
Electronic ISSN: 2251-6581
DOI: https://doi.org/10.1007/s40200-023-01363-6

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Implications on self-care behaviors among older Korean immigrants diagnosed with diabetes residing in the United States: a path analytical approach

Abstract

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Methods

Results

Conclusions

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