A Contextual Model of Control Beliefs,Behavior, and Health: Latino and European Americans with Type 2 Diabetes |
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| Authors: | Marilyn McKean Skaff Joseph T. Mullan Lawrence Fisher Catherine A. Chesla |
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| Affiliation: | 1. Family and Community Medicine , UCSF , Box 0900, San Francisco, CA, 94941, USA;2. Social and Behavioral Science , UCSF , Box 0612, San Francisco, CA, 94941, USA;3. Family Health Care Nursing , UCSF , Box 606, San Francisco, CA, 94941, USA |
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| Abstract: | Sense of control is frequently found to be related to health. A model of control beliefs, disease-management behaviors, and health indicators was tested in a sample of 74 Latino Americans and 115 European Americans with Type 2 diabetes. Two measures of control beliefs, one diabetes-specific (diabetes self-efficacy) and one global (mastery), were examined for their effects on management behaviors (diet and exercise) and on health (HbA1C and general health). Results indicated that the relationship between control and management behaviors varied by measure of control and by group. For Latino participants, global mastery was related to management behaviors; whereas, self-efficacy was related to such behaviors among European Americans. The relationship between control and health did not appear to be mediated by management behaviors. This study provides support for a diversified approach to control, behavior, and health. |
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| Keywords: | Mastery Self-efficacy Control Ethnicity Diabetes |
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