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• W2013965945 abstract "the risk of developing life-threatening complications. In chronic illnesses, degree of control can be influenced by quality of life, self-efficacy, and disease management. This study investigates the factors affecting these parameters among adolescents with type 1 DM, including gender-specific differences. Methods: Data were obtained from 47 subjects with type 1 DM, age 12-21 years, enrolled in a clinical trial assessing factors affecting glycemic control. Inclusion criteria included baseline HbA1c 7.5% and 12.0% and duration of diabetes 1 year. Subjects completed the following: Diabetes Quality of Life, a three subscale instrument assessing disease satisfaction, impact, and worries; Diabetes Self-Efficacy, a two subscale instrument used to assess subjective personal ability to control diabetes; Diabetes Expectancy, a measure of how well subjects expect to manage their diabetes over the next three months; and Diabetes Attitudes and Knowledge, a four subscale instrument assessing attitudes, knowledge, beliefs, and healthy/unhealthy weight behaviors. Subjects also completed the Diabetes Self-Management interview. Statistical analyses included linear multiple regression analysis and Cronbach’s coefficient alpha. Results: At baseline, mean age was 16.0 years ([12-21], SD 2.2); 18 subjects (38.3%) were female; 41 subjects (87.2%) were white; mean duration of diabetes was 7.2 years ([1.2-18.3], SD 4.2); and mean HbA1c was 9.6% ([7.5-11.8%], SD 1.2). Diabetes Quality of Life subscales (all 0.80) showed that females reported greater diabetes dissatisfaction (p 0.01) and worry (p 0.10). Worry was associated with age (p 0.05). Females had significantly lower scores (p 0.05) in both Diabetes Self-Efficacy subscales (both 0.80). Duration of diabetes was associated with greater self-efficacy (p 0.05). Females had significantly poorer Diabetes Expectancy scores (p 0.05). Analysis of Diabetes Attitudes and Knowledge subscales (all 0.70) revealed that females were more likely to engage in healthy weight control behaviors (p 0.01) and trended towards significance for unhealthy weight control behaviors (p 0.11). Higher baseline HbA1c was related to unhealthy weight control behaviors (p 0.01). The Diabetes Self-Management interview revealed that females were more likely to report delaying, missing, or altering their insulin doses (p 0.05). Conclusions: Females with type 1 DM report poorer diabetesrelated quality of life, self-efficacy, and diabetes management expectancy, and greater misuse of insulin. These data demonstrate gender-specific correlates of glycemic control and support the need for specific attention to weight management, particularly among young women with type 1 DM. Sources of Support: Roche Diagnostics, Indianapolis, IN; HRSA/ MCHB T71M8." @default.
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• W2013965945 date "2007-02-01" @default.
• W2013965945 modified "2023-09-27" @default.
• W2013965945 title "36: Primary and secondary prevention of obesity in older female adolescents attending a reproductive health clinic: A missed opportunity to intervene" @default.
• W2013965945 doi "https://doi.org/10.1016/j.jadohealth.2006.11.089" @default.
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