Abstract
Incidence rates of type 1 diabetes are increasing faster in Latinx youth than other ethnic groups, yet this population remains understudied. The current study (1) tested differences in division of diabetes-related responsibility (adolescent alone, mother alone, and shared) across Latinx and non-Latinx White families (N = 118 mother-adolescent dyads, 56 = Latinx dyads, Mage=13.24 years), and (2) examined associations between diabetes responsibility and adolescent health (HbA1c, diabetes self-management behaviors, and depressive symptoms). Latina mothers reported more shared and less adolescent responsibility than non-Latinx White mothers, but there were no ethnic differences in adolescent reports of responsibility. Independent of demographic and illness-related characteristics, mother- and adolescent-reports of shared responsibility were associated with higher self-management behaviors, while individual responsibility (adolescent or mother alone) was generally associated with lower self-management behaviors. Shared responsibility associations with higher mother-reported self-management behaviors occurred among Latinx families, but not non-Latinx White families. Shared and individual responsibility were not associated with HbA1c or depressive symptoms. The findings suggest the importance of shared responsibility for diabetes management in adolescence, particularly in Latinx families.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
Notes
Parent and adolescent reports were added in the same regressions to minimize the total number of statistical tests, and to allow for comparisons of the change in R2 from parent and adolescent reports of responsibility combined. Exploratory analyses were conducted with only a single reporter in each model, and the findings were unchanged. Parent and adolescent reports were only moderately correlated (r = .26 to 0.44), so correlations between reporters did not introduce collinearity concerns.
References
Alcalá, L., Rogoff, B., & Fraire, A. L. (2018). Sophisticated collaboration is common among Mexican-heritage U.S. children. PNAS Proceedings of the National Academy of Sciences of the United States of America, 115(45), 11377–11384. https://doi.org/10.1073/pnas.1805707115
Anderson, B. J., Auslander, W. F., Jung, K. C., Miller, J. P., & Santiago, J. V. (1990). Assessing family sharing of diabetes responsibilities. Journal of Pediatric Psychology, 15(4), 477–492. https://doi.org/10.1093/jpepsy/15.4.477
Berg, C. A., Wiebe, D. J., Beveridge, R. M., Palmer, D. L., Korbel, C. D., Upchurch, R. … Donaldson, R., D. L (2007). Mother-child appraised involvement in coping with diabetes stressors and emotional adjustment. Journal of Pediatric Psychology, 32(8), 995–1005. https://doi.org/10.1093/jpepsy/jsm043
Borschuk, A. P., & Everhart, R. S. (2015). Health disparities among youth with type 1 diabetes: A systematic review of the current literature. Family, Systems, and Health, 33(3), 297–313. https://doi.org/10.1037/fsh0000134
Downey, R. G., & King, C. V. (1998). Missing data in Likert ratings: A comparison of replacement methods. Journal of General Psychology, 125(2), 175–191. doi:https://doi.org/10.1080/00221309809595542
Foster, N. C., Beck, R. W., Miller, K. M., Clements, M. A., Rickels, M. R., DiMeglio, L. A. … Garg, S. K. (2019). State of Type 1 Diabetes Management and Outcomes from the T1D Exchange in 2016–2018. Diabetes technology & therapeutics, 21(2), 66–72. https://doi.org/10.1089/dia.2018.0384
Grey, M., Davidson, M., Boland, E., & Tamborlane, W. V. (2001). Clinical and psychosocial factors associated with achievement of treatment goals in adolescents with diabetes mellitus. Journal of Adolescent Health, 28(5), 377–385. https://doi.org/10.1016/S1054-139X(00)00211-1
Helgeson, V. S., Lopez, L. C., & Kamarck, T. (2009). Peer relationships and diabetes: Retrospective and ecological momentary assessment approaches. Health Psychology, 28(3), 273–282. https://doi.org/10.1037/a0013784
Helgeson, V. S., Reynolds, K. A., Siminerio, L., Escobar, O., & Becker, D. (2008). Parent and adolescent distribution of responsibility for diabetes self-care: Links to health outcomes. Journal of Pediatric Psychology, 33(5), 497–508. https://doi.org/10.1093/jpepsy/jsm081
Hilliard, M. E., Powell, P. W., & Anderson, B. J. (2016). Evidence-based behavioral interventions to promote diabetes management in children, adolescents, and families. American Psychologist, 71(7), 590–601. https://doi.org/10.1037/a0040359
Hsin, O., Greca, L., Valenzuela, A. M., Moine, J., C. T., & Delamater, A. (2009). Adherence and glycemic control among Hispanic youth with type 1 diabetes: Role of family involvement and acculturation. Journal of Pediatric Psychology, 35(2), 156–166. https://doi.org/10.1093/jpepsy/jsp045
Ingerski, L. M., Anderson, B. J., Dolan, L. M., & Hood, K. K. (2010). Blood glucose monitoring and glycemic control in adolescence: Contribution of diabetes-specific responsibility and family conflict. The Journal of Adolescent Health, 47(2), 191–197. https://doi.org/10.1016/j.jadohealth.2010.01.012
Joiner, K. L., DeJonckheere, M., Whittemore, R., & Grey, M. (2019). Perceptions and experiences of living with type 1 diabetes among Latino adolescents and parents with limited English proficiency. Research in Nursing and Health. 2020; 43: 263–273. https://doi.org/10.1002/nur.22019
King, P. S., Berg, C. A., Butler, J. M., & Wiebe, D. J. (2013). Longitudinal trajectories of parental involvement in type 1 diabetes and adolescents’ adherence. Health Psychology, 33(5), 424–432. https://doi.org/10.1037/a0032804
Knight, G. P., Gonzales, N. A., Saenz, D. S., Bonds, D. D., Germán, M., Deardorff, J. … Updegraff, K. A. (2010). The Mexican American cultural values scales for adolescents and adults. The Journal of Early Adolescence, 30(3), 444–481. https://doi.org/10.1037/a0032804
Kovacs, M. (1985). The Children’s Depression Inventory (CDI). Psychopharmacology Bulletin, 21, 995–998
Lewin, A. B., LaGreca, A. M., Geffken, G. R., Williams, L. B., Duke, D. C., Storch, E. A., & Silverstein, J. H. (2009). Validity and reliability of an adolescent and parent rating scale of type 1 diabetes adherence behaviors: The Self-Care Inventory (SCI). Journal of Pediatric Psychology, 34(9), 999–1007. https://doi.org/10.1093/jpepsy/jsp032
Main, A., Wiebe, D., Croom, A., Sardone, K., Godbey, E., Tucker, C., & White, P. (2014). Associations of parent–adolescent relationship quality with type 1 diabetes management and depressive symptoms in Latino and Caucasian youth. Journal of Pediatric Psychology, 39(10), 1104–1114. https://doi.org/10.1093/jpepsy/jsu062
Marker, A. M., Noser, A. E., Clements, M. A., & Patton, S. R. (2018). Shared responsibility for type 1 diabetes care is associated with glycemic variability and risk of glycemic excursions in youth. Journal of Pediatric Psychology, 43(1), 61–71. https://doi.org/10.1093/jpepsy/jsx081
Mayer-Davis, E. J., Lawrence, J. M., Dabelea, D., Divers, J., Isom, S., Dolan, L., & Wagenknecht, L. (2017). Incidence trends of type 1 and type 2 diabetes among youths, 2002–2012. New England Journal of Medicine, 376, 1419–1429. https://doi.org/10.1056/NEJMoa1610187
Mello, D., & Wiebe, D. J. (2020). The role of socioeconomic status in Latino health disparities among youth with type 1 diabetes: A systematic review. Current Diabetes Reports, 20(56), https://doi.org/10.1007/s11892-020-01346-4
Mello, D., Wiebe, D. J., Barranco, C., & Barba, J. (2017). The stress and coping context of type 1 diabetes management among Latino and Non-Latino White early adolescents and their mothers. Journal of Pediatric Psychology, 42(6), 647–656. https://doi.org/10.1093/jpepsy/jsw109
Nicholl, M. C., Valenzuela, J. M., Lit, K., DeLucia, C., Shoulberg, A. M., Rohan, J. M. … Delamater, A. M. (2019). Comparison of diabetes management trajectories in Hispanic versus White Non-Hispanic youth with type 1 diabetes across early adolescence. Journal of Pediatric Psychology, 44(6), 631–641. https://doi.org/10.1093/jpepsy/jsz011
Paradise, R., Mejía-Arauz, R., Silva, K. G., Dexter, A. L., & Rogoff, B. (2014). One, two, three, eyes on me! Adults attempting control versus guiding in support of initiative. Human Development, 57, 131–149. https://doi.org/10.1159/000356769
Rashotte, J., Tousignant, K., Richardson, C., Fothergill-Bourbonnais, F., Nakhla, M. M., Olivier, P., & Lawson, M. L. (2014). Living with sensor-augmented pump therapy in type 1 diabetes: adolescents’ and parents’ search for harmony. Canadian Journal of Diabetes, 38(4), 256–262. http://doi:10.1016/j.jcjd.2014.02.002
Reynolds, K. A., & Helgeson, V. S. (2011). Children with diabetes compared to peers: Depressed? Distressed? A meta-analytic review. Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine, 42(1), 29–41. https://doi.org/10.1007/s12160-011-9262-4
Reitblat, L., Whittemore, R., Weinzimer, S. A., Tamborlane, W. V., & Sadler, L. S. (2016). Life with type 1 diabetes: Views of Hispanic adolescents and their clinicians. The Diabetes Educator, 42(4), 408–417. https://doi.org/10.1177/0145721716647489
Tsai, D., Flores Garcia, J., Fogel, J. L., Wee, C. P., Reid, M. W., & Raymond, J. K. (2021). Diabetes Technology Experiences Among Latinx and Non-Latinx Youth with Type 1 Diabetes. Journal of Diabetes Science and Technology. https://doi.org/10.1177/19322968211029260
Tucker, C., Wiebe, D. J., Main, A., Lee, A. G., & White, P. C. (2018). Adolescent information management and parental knowledge in Non-Latino White and Latino youth managing type 1 diabetes. Journal of Pediatric Psychology, 43(2), 207–217. https://doi.org/10.1093/jpepsy/jsx111
Vesco, A. T., Anderson, B. J., Laffel, L. M., Dolan, L. M., Ingerski, L. M., & Hood, K. K. (2010). Responsibility sharing between adolescents with type 1 diabetes and their caregivers: Importance of adolescent perceptions on diabetes management and control. Journal of Pediatric Psychology, 35(10), 1168–1177. https://doi.org/10.1093/jpepsy/jsq038
Vloemans, A. F., Eilander, M., Rotteveel, J., Bakker-van Waarde, W. M., Houdijk, E., Nuboer, R. … De Wit, M. (2019). Youth with type 1 diabetes taking responsibility for self-management: The importance of executive functioning in achieving glycemic control: Results from the longitudinal DINO study. Diabetes Care, 42(2), 225–231. https://doi.org/10.2337/dc18-1143
White, N. H. (2015). Long-term outcomes in youths with diabetes mellitus. Pediatric Clinics of North America, 62(4), 889–909. https://doi.org/10.1016/j.pcl.2015.04.004
Wiebe, D. J., Berg, C. A., Korbel, C., Palmer, D. L., Beveridge, R. M., Upchurch, R. … Donaldson, D. L. (2005). Children’s appraisals of maternal involvement in coping with diabetes: Enhancing our understanding of adherence, metabolic control, and quality of life across adolescence. Journal of Pediatric Psychology, 30(2), 167–178. https://doi.org/10.1093/jpepsy/jsi004
Wiebe, D. J., Chow, C. M., Palmer, D. L., Butner, J., Butler, J. M., Osborn, P., & Berg, C. A. (2014). Developmental processes associated with longitudinal declines in parental responsibility and adherence to type 1 diabetes management across adolescence. Journal of Pediatric Psychology, 39(5), 532–541. https://doi.org/10.1093/jpepsy/jsu006
Wiebe, D. J., Croom, A., Fortenberry, K. T., Butner, J., Butler, J., Swinyard, M. T. … Berg, C. A. (2010). Parental involvement buffers associations between pump duration and metabolic control among adolescents with type 1 diabetes. Journal of Pediatric Psychology, 35(10), 1152–1160. https://doi.org/10.1093/jpepsy/jsq012
Wiebe, D. J., Helgeson, V., & Berg, C. A. (2016). The social context of managing diabetes across the life span. The American Psychologist, 71(7), 526–538. https://doi.org/10.1037/a0040355
Wysocki, T., Nansel, T. R., Holmbeck, G. N., Chen, R., Laffel, L., Anderson, B. J., & Weissberg-Benchell, J. (2009). Collaborative involvement of primary and secondary caregivers: Associations with youths’ diabetes outcomes. Journal of Pediatric Psychology, 34(8), 869–881. https://doi.org/10.1093/jpepsy/jsn136
Young, M. T., Lord, J. H., Patel, N. J., Gruhn, M. A., & Jaser, S. S. (2014). Good cop, bad cop: Quality of parental involvement in type 1 diabetes management in youth. Current Diabetes Reports, 14(11), 546. https://doi.org/10.1007/s11892-014-0546-5
Author information
Authors and Affiliations
Corresponding author
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Bolter, A., Main, A. & Wiebe, D.J. Division of Type 1 Diabetes Responsibility in Latinx and Non-Latinx White Mother-Adolescent Dyads. J Behav Med 45, 782–793 (2022). https://doi.org/10.1007/s10865-022-00311-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10865-022-00311-8