Journal of Behavioral Medicine

, Volume 38, Issue 1, pp 160–170 | Cite as

Associations of structural and functional social support with diabetes prevalence in U.S. Hispanics/Latinos: Results from the HCHS/SOL Sociocultural Ancillary Study

  • Linda C. GalloEmail author
  • Addie L. Fortmann
  • Jessica L. McCurley
  • Carmen R. Isasi
  • Frank J. Penedo
  • Martha L. Daviglus
  • Scott C. Roesch
  • Gregory A. Talavera
  • Natalia Gouskova
  • Franklyn GonzalezII
  • Neil Schneiderman
  • Mercedes R. Carnethon


Little research has examined associations of social support with diabetes (or other physical health outcomes) in Hispanics, who are at elevated risk. We examined associations between social support and diabetes prevalence in the Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study. Participants were 5,181 adults, 18–74 years old, representing diverse Hispanic backgrounds, who underwent baseline exam with fasting blood draw, oral glucose tolerance test, medication review, sociodemographic assessment, and sociocultural exam with functional and structural social support measures. In adjusted analyses, one standard deviation higher structural and functional social support related to 16 and 15 % lower odds, respectively, of having diabetes. Structural and functional support were related to both previously diagnosed diabetes (OR = .84 and .88, respectively) and newly recognized diabetes prevalence (OR = .84 and .83, respectively). Higher functional and structural social support are associated with lower diabetes prevalence in Hispanics/Latinos.


Diabetes Hispanic Latino Prevalence Risk factor Social support 



The Hispanic Community Health Study/Study of Latinos was carried out as a collaborative study supported by contracts from the National Heart, Lung, and Blood Institute (NHLBI) to the University of North Carolina (N01-HC65233), University of Miami (N01-HC65234), Albert Einstein College of Medicine (N01-HC65235), Northwestern University (N01-HC65236), and San Diego State University (N01-HC65237). The following Institutes/Centers/Offices contribute to the HCHS/SOL through a transfer of funds to the NHLBI: National Institute on Minority Health and Health Disparities, National Institute on Deafness and Other Communication Disorders, National Institute of Dental and Craniofacial Research, National Institute of Diabetes and Digestive and Kidney Diseases, National Institute of Neurological Disorders and Stroke, Office of Dietary Supplements. The HCHS/SOL Sociocultural Ancillary Study was supported by Grant 1 RC2 HL101649 from the NIH/NHLBI (Gallo/Penedo PIs). The authors thank the staff and participants of HCHS/SOL and the HCHS/SOL Sociocultural Ancillary Study for their important contributions.

Conflict of Interest

Authors Gallo, Fortmann, McCurley, Isasi, Penedo, Daviglus, Roesch, Talavera, Gouskova, Gonzalez, Schneiderman, and Carnethon declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all participants included in the study.


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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Linda C. Gallo
    • 1
    Email author
  • Addie L. Fortmann
    • 2
  • Jessica L. McCurley
    • 2
  • Carmen R. Isasi
    • 3
  • Frank J. Penedo
    • 4
  • Martha L. Daviglus
    • 5
  • Scott C. Roesch
    • 1
  • Gregory A. Talavera
    • 6
  • Natalia Gouskova
    • 7
  • Franklyn GonzalezII
    • 7
  • Neil Schneiderman
    • 8
  • Mercedes R. Carnethon
    • 9
  1. 1.Department of PsychologySan Diego State UniversitySan DiegoUSA
  2. 2.Scripps Whittier Diabetes Institute, Scripps HealthSan DiegoUSA
  3. 3.Department of Epidemiology and Population HealthAlbert Einstein College of MedicineBronxUSA
  4. 4.Department of Medical Social Sciences, Feinberg School of MedicineNorthwestern UniversityChicagoUSA
  5. 5.Institute for Minority Health ResearchUniversity of Illinois at ChicagoChicagoUSA
  6. 6.Graduate School of Public HealthSan Diego State UniversitySan DiegoUSA
  7. 7.Department of Biostatistics, Gillings School of Global Public HealthUniversity of North Carolina at Chapel HillChapel HillUSA
  8. 8.Department of PsychologyUniversity of MiamiCoral GablesUSA
  9. 9.Department of Preventive MedicineNorthwestern UniversityChicagoUSA

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