Skip to main content
Top
Published in: BioPsychoSocial Medicine 1/2007

Open Access 01-12-2007 | Research

Sense of control and diabetes mellitus among U.S. adults: A cross-sectional analysis

Authors: Kathryn M Cardarelli, Sally W Vernon, Elizabeth R Baumler, Susan Tortolero, M David Low

Published in: BioPsychoSocial Medicine | Issue 1/2007

Login to get access

Abstract

Background

Little is known about the influence of psychosocial factors on diabetes mellitus. The aim of this study was to improve understanding of the association between two psychosocial factors- sense of control and social support- and diabetes mellitus.

Methods

The authors analyzed data from 2,592 U.S. households in the 1995 survey of the Aging, Status, and the Sense of Control study. Logistic regression analyses were conducted to examine whether sense of personal control and social support were associated with DM and whether gender, race, and Hispanic ethnicity modified these associations.

Results

After adjusting for age, obesity, and socioeconomic position, a one point increase in sense of control (i.e., a stronger sense of control) was associated a significant reduction in risk of diabetes mellitus (odds ratio = 0.67, 95% confidence interval: 0.47, 0.95). A weak social support system was associated with a non-significant risk of diabetes (odds ratio = 1.32, 95% confidence interval: 0.93, 1.89). No effect modification was detected.

Conclusion

Sense of control deserves greater attention as a predictor of diabetes mellitus. Further studies of the contribution of psychosocial factors to diabetes mellitus should assess the temporal nature of this relationship.
Literature
1.
go back to reference Rozanski A, Blumenthal JA, Davison KW, Saab PG, Kubzansky L: The epidemiology, pathophysiology, and management of psychosocial risk factors in cardiac practice. J Am Coll Cardiol. 2005, 45: 637-651. 10.1016/j.jacc.2004.12.005.CrossRefPubMed Rozanski A, Blumenthal JA, Davison KW, Saab PG, Kubzansky L: The epidemiology, pathophysiology, and management of psychosocial risk factors in cardiac practice. J Am Coll Cardiol. 2005, 45: 637-651. 10.1016/j.jacc.2004.12.005.CrossRefPubMed
2.
go back to reference Helz JW, Templeton B: Evidence of the role of psychosocial factors in diabetes mellitus: a review. Am J Psychiatry. 1990, 147 (10): 1275-1282.CrossRefPubMed Helz JW, Templeton B: Evidence of the role of psychosocial factors in diabetes mellitus: a review. Am J Psychiatry. 1990, 147 (10): 1275-1282.CrossRefPubMed
3.
go back to reference Hemingway H, Marmot M: Evidence based cardiology: psychosocial factors in the aetiology and prognosis of coronary heart disease. Systematic review of prospective cohort studies. Br Med J. 1999, 318: 1460-1467.CrossRef Hemingway H, Marmot M: Evidence based cardiology: psychosocial factors in the aetiology and prognosis of coronary heart disease. Systematic review of prospective cohort studies. Br Med J. 1999, 318: 1460-1467.CrossRef
4.
go back to reference Krantz DS, McCeney MK: Effects of psychological and social factors on organic disease: a critical assessment of research on coronary heart disease. Ann Rev Psychol. 2002, 53: 341-369. 10.1146/annurev.psych.53.100901.135208.CrossRef Krantz DS, McCeney MK: Effects of psychological and social factors on organic disease: a critical assessment of research on coronary heart disease. Ann Rev Psychol. 2002, 53: 341-369. 10.1146/annurev.psych.53.100901.135208.CrossRef
5.
go back to reference Wulsin LR, Singal BM: Do depressive symptoms increase the risk for the onset of coronary disease? A systematic quantitative review. Psychosom Med. 2003, 65: 201-210. 10.1097/01.PSY.0000058371.50240.E3.CrossRefPubMed Wulsin LR, Singal BM: Do depressive symptoms increase the risk for the onset of coronary disease? A systematic quantitative review. Psychosom Med. 2003, 65: 201-210. 10.1097/01.PSY.0000058371.50240.E3.CrossRefPubMed
6.
go back to reference Diez Roux AV, Ranjit N, Powell L, et al: Psychosocial factors and coronary calcium in adults without clinical cardiovascular disease. Ann Intern Med. 2006, 144: 822-831.CrossRefPubMed Diez Roux AV, Ranjit N, Powell L, et al: Psychosocial factors and coronary calcium in adults without clinical cardiovascular disease. Ann Intern Med. 2006, 144: 822-831.CrossRefPubMed
7.
go back to reference National Center for Chronic Disease Prevention and Health Promotion: Diabetes: Disabling, Deadly, and on the Rise. 2003, Atlanta, GA: Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion: Diabetes: Disabling, Deadly, and on the Rise. 2003, Atlanta, GA: Centers for Disease Control and Prevention
8.
go back to reference Trost S, Owen N, Bauman A, Sallis J, Brown W: Correlates of adults' participation in physical activity; review and update. Med Sci Sports Exerc. 2002, 34: 1996-2001. 10.1097/00005768-200205001-01563.CrossRefPubMed Trost S, Owen N, Bauman A, Sallis J, Brown W: Correlates of adults' participation in physical activity; review and update. Med Sci Sports Exerc. 2002, 34: 1996-2001. 10.1097/00005768-200205001-01563.CrossRefPubMed
9.
go back to reference Ball K, Crawford D: An investigation of psychological, social and environmental correlates of obesity and weight gain in young women. Int J Obesity. 2006, 30 (8): 1240-1249. 10.1038/sj.ijo.0803267.CrossRef Ball K, Crawford D: An investigation of psychological, social and environmental correlates of obesity and weight gain in young women. Int J Obesity. 2006, 30 (8): 1240-1249. 10.1038/sj.ijo.0803267.CrossRef
10.
go back to reference Sallis JF, Grossman RM, Pinski RB, Patterson TL, Nader PR: The development of scales to measure social support for diet and exercise behaviors. Prev Med. 1987, 16: 825-836. 10.1016/0091-7435(87)90022-3.CrossRefPubMed Sallis JF, Grossman RM, Pinski RB, Patterson TL, Nader PR: The development of scales to measure social support for diet and exercise behaviors. Prev Med. 1987, 16: 825-836. 10.1016/0091-7435(87)90022-3.CrossRefPubMed
11.
go back to reference Mirowsky J, Ross CE: Education, personal control, lifestyle and health: A human capital hypothesis. Res Aging. 1998, 20 (Special Issue on Education over the Life Course): 415-449. 10.1177/0164027598204003.CrossRef Mirowsky J, Ross CE: Education, personal control, lifestyle and health: A human capital hypothesis. Res Aging. 1998, 20 (Special Issue on Education over the Life Course): 415-449. 10.1177/0164027598204003.CrossRef
12.
go back to reference Berkman LF, Glass T: Social Integration, Social Networks, Social Support, and Health. Social Epidemiology. Edited by: Berkman LF, Kawachi I. 2000, New York: Oxford University Press, 137-173. Berkman LF, Glass T: Social Integration, Social Networks, Social Support, and Health. Social Epidemiology. Edited by: Berkman LF, Kawachi I. 2000, New York: Oxford University Press, 137-173.
13.
go back to reference Uchino B: Social Support and Physical Health: Understanding the Health Consequences of Relationships. 2004, New Haven, CT: Yale University PressCrossRef Uchino B: Social Support and Physical Health: Understanding the Health Consequences of Relationships. 2004, New Haven, CT: Yale University PressCrossRef
15.
go back to reference Kaplan GA, Keil JE: Socioeconomic factors and cardiovascular disease: A review of the literature. Circulation. 1993, 88: 1973-1998.CrossRefPubMed Kaplan GA, Keil JE: Socioeconomic factors and cardiovascular disease: A review of the literature. Circulation. 1993, 88: 1973-1998.CrossRefPubMed
16.
go back to reference Orth-Gomer K, Rosengren A, Wilhelmsen L: Lack of social support and incidence of coronary heart disease in middle-aged Swedish men. Psychosom. 1993, 55: 37-43.CrossRef Orth-Gomer K, Rosengren A, Wilhelmsen L: Lack of social support and incidence of coronary heart disease in middle-aged Swedish men. Psychosom. 1993, 55: 37-43.CrossRef
17.
go back to reference Uchino BN, Cacioppo JT, Kiecolt-Glaser JK: The relationship between social support and physiological processes: a review with emphasis on underlying mechanisms and implications for health. Psychol Bull. 1996, 119: 488-531. 10.1037/0033-2909.119.3.488.CrossRefPubMed Uchino BN, Cacioppo JT, Kiecolt-Glaser JK: The relationship between social support and physiological processes: a review with emphasis on underlying mechanisms and implications for health. Psychol Bull. 1996, 119: 488-531. 10.1037/0033-2909.119.3.488.CrossRefPubMed
18.
go back to reference Krumholz HM, Butler J, Miller J, et al: Prognostic importance of emotional support for elderly patients hospitalized with heart failure. Circulation. 1998, 97: 958-964.CrossRefPubMed Krumholz HM, Butler J, Miller J, et al: Prognostic importance of emotional support for elderly patients hospitalized with heart failure. Circulation. 1998, 97: 958-964.CrossRefPubMed
19.
go back to reference Waksberg J: Sampling methods for random digit dialing. J Am Stat Assoc. 1978, 73: 40-46. 10.2307/2286513.CrossRef Waksberg J: Sampling methods for random digit dialing. J Am Stat Assoc. 1978, 73: 40-46. 10.2307/2286513.CrossRef
20.
go back to reference US Census Bureau: The Statistical Abstract of the United States. 1995, Washington, DC: Government Printing Office US Census Bureau: The Statistical Abstract of the United States. 1995, Washington, DC: Government Printing Office
21.
go back to reference Cohen S, Syme SL: Social Support and Health. 1985, London: Academic Press Cohen S, Syme SL: Social Support and Health. 1985, London: Academic Press
22.
go back to reference Taylor SE, Seeman TE: Psychosocial resources and the SES-health relationship. Ann NY Acad Sci. 1999, 896: 210-225. 10.1111/j.1749-6632.1999.tb08117.x.CrossRefPubMed Taylor SE, Seeman TE: Psychosocial resources and the SES-health relationship. Ann NY Acad Sci. 1999, 896: 210-225. 10.1111/j.1749-6632.1999.tb08117.x.CrossRefPubMed
23.
go back to reference Ross CE, Van Willigen M: Education and the subjective quality of life. J Health Soc Behav. 1997, 38: 275-297. 10.2307/2955371.CrossRefPubMed Ross CE, Van Willigen M: Education and the subjective quality of life. J Health Soc Behav. 1997, 38: 275-297. 10.2307/2955371.CrossRefPubMed
24.
go back to reference Mirowsky J, Ross CE: Eliminating defense and agreement bias from measures of the sense of control: A 2 × 2 index. Soc Psychol Q. 1991, 54: 127-145. 10.2307/2786931.CrossRef Mirowsky J, Ross CE: Eliminating defense and agreement bias from measures of the sense of control: A 2 × 2 index. Soc Psychol Q. 1991, 54: 127-145. 10.2307/2786931.CrossRef
25.
go back to reference National Heart, Lung and Blood Institute: Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults. 1998, Bethesda, MD, National Institutes of Health National Heart, Lung and Blood Institute: Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults. 1998, Bethesda, MD, National Institutes of Health
26.
go back to reference Surgenor LJ, Horn J, Hudson SM: Links between psychological sense of control and disturbed eating behavior in women with diabetes mellitus. Implications for predictors of metabolic control. J Psychosom Res. 2002, 52 (3): 121-128. 10.1016/S0022-3999(01)00243-4.CrossRefPubMed Surgenor LJ, Horn J, Hudson SM: Links between psychological sense of control and disturbed eating behavior in women with diabetes mellitus. Implications for predictors of metabolic control. J Psychosom Res. 2002, 52 (3): 121-128. 10.1016/S0022-3999(01)00243-4.CrossRefPubMed
27.
go back to reference Surgenor LJ, Horn J, Hudson SM, Lunt H, Tennent J: Metabolic control and psychological sense of control in women with diabetes mellitus. Alternative considerations of the relationship. J Psychosom Res. 2000, 49 (4): 267-273. 10.1016/S0022-3999(00)00181-1.CrossRefPubMed Surgenor LJ, Horn J, Hudson SM, Lunt H, Tennent J: Metabolic control and psychological sense of control in women with diabetes mellitus. Alternative considerations of the relationship. J Psychosom Res. 2000, 49 (4): 267-273. 10.1016/S0022-3999(00)00181-1.CrossRefPubMed
28.
go back to reference Tillotson LM, Smith MS: Locus of control, social support, and adherence to the diabetes regimen. Diabetes Educ. 1996, 22 (2): 133-139.CrossRefPubMed Tillotson LM, Smith MS: Locus of control, social support, and adherence to the diabetes regimen. Diabetes Educ. 1996, 22 (2): 133-139.CrossRefPubMed
29.
go back to reference Aalto A, Uutela A, Aro AR: Health related quality of life among insulin-dependent diabetics: disease-related and psychosocial correlates. Patient Educ Couns. 1997, 30: 215-225. 10.1016/S0738-3991(96)00963-9.CrossRefPubMed Aalto A, Uutela A, Aro AR: Health related quality of life among insulin-dependent diabetics: disease-related and psychosocial correlates. Patient Educ Couns. 1997, 30: 215-225. 10.1016/S0738-3991(96)00963-9.CrossRefPubMed
30.
go back to reference Kumari M, Head J, Marmot M: Prospective study of social and other risk factors for incidence of Type 2 diabetes in the Whitehall II Study. Arch Intern Med. 2004, 164: 1873-1880. 10.1001/archinte.164.17.1873.CrossRefPubMed Kumari M, Head J, Marmot M: Prospective study of social and other risk factors for incidence of Type 2 diabetes in the Whitehall II Study. Arch Intern Med. 2004, 164: 1873-1880. 10.1001/archinte.164.17.1873.CrossRefPubMed
31.
go back to reference Agardh EE, Ahlbom A, Andersson T, et al: Explanations of socioeconomic differences in excess risk of type 2 diabetes in Swedish men and women. Diabetes Care. 2004, 27: 716-721. 10.2337/diacare.27.3.716.CrossRefPubMed Agardh EE, Ahlbom A, Andersson T, et al: Explanations of socioeconomic differences in excess risk of type 2 diabetes in Swedish men and women. Diabetes Care. 2004, 27: 716-721. 10.2337/diacare.27.3.716.CrossRefPubMed
32.
go back to reference Antonovsky A: Unraveling the Mystery of Health: How People Manage Stress and Stay Well. 1987 Antonovsky A: Unraveling the Mystery of Health: How People Manage Stress and Stay Well. 1987
33.
go back to reference Black P: The inflammatory consequences of psychologic stress: Relationship to insulin resistance, obesity, atherosclerosis and diabetes mellitus, type II. Med Hypotheses. 2006, 67 (4): 879-891. 10.1016/j.mehy.2006.04.008.CrossRefPubMed Black P: The inflammatory consequences of psychologic stress: Relationship to insulin resistance, obesity, atherosclerosis and diabetes mellitus, type II. Med Hypotheses. 2006, 67 (4): 879-891. 10.1016/j.mehy.2006.04.008.CrossRefPubMed
34.
go back to reference Cowie CC, Eberhardt MS: Sociodemographic characteristics of persons with diabetes. : National Diabetes Data Group, editor. Diabetes in America. 1995, Bethesda, MD: National Institutes of Health, 85-116. Cowie CC, Eberhardt MS: Sociodemographic characteristics of persons with diabetes. : National Diabetes Data Group, editor. Diabetes in America. 1995, Bethesda, MD: National Institutes of Health, 85-116.
35.
go back to reference Ford ES: Characteristics of survey participants with and without a telephone: findings from the Third National Health and Nutrition Examination Survey. J Clin Epidemiol. 1998, 51 (1): 55-60. 10.1016/S0895-4356(97)00225-4.CrossRefPubMed Ford ES: Characteristics of survey participants with and without a telephone: findings from the Third National Health and Nutrition Examination Survey. J Clin Epidemiol. 1998, 51 (1): 55-60. 10.1016/S0895-4356(97)00225-4.CrossRefPubMed
36.
go back to reference Boyle JP, Honeycutt AA, Narayan KM, et al: Projection of diabetes burden through 2050: impact of changing demography and disease prevalence in the U.S. Diabetes Care. 2001, 24 (11): 1936-1940. 10.2337/diacare.24.11.1936.CrossRefPubMed Boyle JP, Honeycutt AA, Narayan KM, et al: Projection of diabetes burden through 2050: impact of changing demography and disease prevalence in the U.S. Diabetes Care. 2001, 24 (11): 1936-1940. 10.2337/diacare.24.11.1936.CrossRefPubMed
37.
go back to reference Mokdad AH, Ford ES, Bowman BA, et al: Diabetes trends in the U.S.: 1990–1998. Diabetes Care. 2000, 23 (9): 1278-1283. 10.2337/diacare.23.9.1278.CrossRefPubMed Mokdad AH, Ford ES, Bowman BA, et al: Diabetes trends in the U.S.: 1990–1998. Diabetes Care. 2000, 23 (9): 1278-1283. 10.2337/diacare.23.9.1278.CrossRefPubMed
38.
go back to reference Harris MI, Flegal KM, Cowie CC, et al: Prevalence of diabetes, impaired fasting glucose, and impaired glucose tolerance in U.S. adults: the Third National Health and Nutrition Examination Survey, 1988–1994. Diabetes Care. 1998, 21: 518-524. 10.2337/diacare.21.4.518.CrossRefPubMed Harris MI, Flegal KM, Cowie CC, et al: Prevalence of diabetes, impaired fasting glucose, and impaired glucose tolerance in U.S. adults: the Third National Health and Nutrition Examination Survey, 1988–1994. Diabetes Care. 1998, 21: 518-524. 10.2337/diacare.21.4.518.CrossRefPubMed
Metadata
Title
Sense of control and diabetes mellitus among U.S. adults: A cross-sectional analysis
Authors
Kathryn M Cardarelli
Sally W Vernon
Elizabeth R Baumler
Susan Tortolero
M David Low
Publication date
01-12-2007
Publisher
BioMed Central
Published in
BioPsychoSocial Medicine / Issue 1/2007
Electronic ISSN: 1751-0759
DOI
https://doi.org/10.1186/1751-0759-1-19

Other articles of this Issue 1/2007

BioPsychoSocial Medicine 1/2007 Go to the issue