{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T19:57:50Z","timestamp":1792612670599,"version":"4.5.0"},"reference-count":81,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2023,5,30]],"date-time":"2023-05-30T00:00:00Z","timestamp":1685404800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,5,30]],"date-time":"2023-05-30T00:00:00Z","timestamp":1685404800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100008891","name":"Loma Linda University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100008891","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int.J. Behav. Med."],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Type 2 diabetes mellitus (T2DM) disproportionally impacts Latin Americans (Latinos) in the U.S. compared to non-Latino Whites, as reflected by an increased risk for disease complications and higher mortality rates. Guided by an Integrative Model of Culture, Psychological Processes, and Health Behavior, the purpose of the present study was to examine the role of cultural beliefs and diabetes distress as determinants of self-care behaviors and HbA1c among Latino patients with T2DM.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Participants included 109 Latino patients with T2DM recruited from a diabetes treatment center located in a region of Southern California with high diabetes mortality rates. Structural equation modeling was employed to examine the extent to which cultural beliefs about diabetes-related social exclusion and diabetes distress impact self-care behaviors and self-reported HbA1c.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Consistent with the study hypotheses, cultural beliefs about diabetes-related social exclusion predicted diabetes distress, which in turn predicted poor diabetes self-care.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Findings suggest an important need for intervention efforts that address both cultural and psychological factors in order to improve diabetes self-care behaviors and associated disease outcomes among Latino patients with T2DM. Future research could benefit from investigating protective aspects of culture that could help counter the negative implications of cultural beliefs about social exclusion and diabetes distress associated with poor self-care.\n<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s12529-023-10179-w","type":"journal-article","created":{"date-parts":[[2023,5,30]],"date-time":"2023-05-30T17:02:17Z","timestamp":1685466137000},"page":"491-502","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Cultural Beliefs About Diabetes-Related Social Exclusion and Diabetes Distress Impact Self-Care Behaviors and HbA1c Among Patients with Type 2 Diabetes"],"prefix":"10.1007","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2707-1306","authenticated-orcid":false,"given":"Albert L.","family":"Ly","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8701-8611","authenticated-orcid":false,"given":"Patricia M.","family":"Flynn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9052-4200","authenticated-orcid":false,"given":"Hector M.","family":"Betancourt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,5,30]]},"reference":[{"key":"10179_CR1","doi-asserted-by":"publisher","first-page":"305","DOI":"10.1016\/B978-012402771-8\/50013-1","volume-title":"Handbook of Cultural Health Psychology","author":"H Betancourt","year":"2001","unstructured":"Betancourt H, Fuentes JL. Culture and Latino Issues in Health Psychology. In: Kazarian SS, Evans DR, editors. Handbook of Cultural Health Psychology. San Diego: Academic Press; 2001. p. 305\u201321."},{"key":"10179_CR2","unstructured":"U.S. Office of Minority Health. Diabetes and Hispanic Americans.\u00a0https:\/\/minorityhealth.hhs.gov\/omh\/browse.aspx?lvl=4&lvlid=63. Accessed 20 Sep 2021."},{"issue":"7","key":"10179_CR3","doi-asserted-by":"publisher","first-page":"943","DOI":"10.2337\/diacare.23.7.943","volume":"23","author":"DJ Toobert","year":"2000","unstructured":"Toobert DJ, Hampson SE, Glasgow RE. The summary of diabetes self-care activities measure: results from 7 studies and a revised scale. Diabetes Care. 2000;23(7):943\u201350. https:\/\/doi.org\/10.2337\/diacare.23.7.943.","journal-title":"Diabetes Care"},{"issue":"11","key":"10179_CR4","doi-asserted-by":"publisher","first-page":"113","DOI":"10.1007\/s11892-016-0796-5","volume":"16","author":"LS Mayberry","year":"2016","unstructured":"Mayberry LS, Bergner EM, Chakkalakal RJ, Elasy TA, Osborn CY. Self-Care Disparities Among Adults with Type 2 Diabetes in the USA. Curr Diab Rep. 2016;16(11):113. https:\/\/doi.org\/10.1007\/s11892-016-0796-5.","journal-title":"Curr Diab Rep"},{"key":"10179_CR5","unstructured":"Centers for Disease Control and Prevention. National Diabetes Statistics Report, 2020. Atlanta, GA: US Dept of Health and Human Services. 2020."},{"issue":"4","key":"10179_CR6","doi-asserted-by":"publisher","first-page":"891","DOI":"10.1016\/S0022-3999(02)00303-3","volume":"53","author":"SA Everson","year":"2002","unstructured":"Everson SA, Maty SC, Lynch JW, Kaplan GA. Epidemiologic evidence for the relation between socioeconomic status and depression, obesity, and diabetes. J Psychosom Res. 2002;53(4):891\u20135.","journal-title":"J Psychosom Res"},{"key":"10179_CR7","doi-asserted-by":"crossref","unstructured":"Ortiz SE, Perez DJ, Ponce NA. The Quality of Diabetes Management Among Mexican Adults in California: Does Generational Status Matter? Med Care. 2015;53(9).","DOI":"10.1097\/MLR.0000000000000400"},{"issue":"6","key":"10179_CR8","doi-asserted-by":"publisher","first-page":"557","DOI":"10.1136\/jech-2013-203063","volume":"68","author":"AU Pandit","year":"2014","unstructured":"Pandit AU, Bailey SC, Curtis LM, Seligman HK, Davis TC, Parker RM, et al. Disease-related distress, self-care and clinical outcomes among low-income patients with diabetes. J Epidemiol Commun Health. 2014;68(6):557. https:\/\/doi.org\/10.1136\/jech-2013-203063.","journal-title":"J Epidemiol and Community Health"},{"issue":"2","key":"10179_CR9","doi-asserted-by":"publisher","first-page":"145","DOI":"10.1007\/s12160-013-9585-4","volume":"48","author":"RN Baek","year":"2014","unstructured":"Baek RN, Tanenbaum ML, Gonzalez JS. Diabetes burden and diabetes distress: the buffering effect of social support. Ann Behav Med. 2014;48(2):145\u201355.","journal-title":"Ann Behav Med"},{"issue":"6","key":"10179_CR10","doi-asserted-by":"publisher","first-page":"1014","DOI":"10.1177\/0145721709345773","volume":"35","author":"RR Rubin","year":"2009","unstructured":"Rubin RR, Peyrot M, Kruger DF, Travis LB. Barriers to Insulin Injection Therapy. Diabetes Educ. 2009;35(6):1014\u201322. https:\/\/doi.org\/10.1177\/0145721709345773.","journal-title":"Diabetes Educ"},{"issue":"7","key":"10179_CR11","doi-asserted-by":"publisher","first-page":"764","DOI":"10.1111\/dme.12428","volume":"31","author":"L Fisher","year":"2014","unstructured":"Fisher L, Gonzalez J, Polonsky W. The confusing tale of depression and distress in patients with diabetes: a call for greater clarity and precision. Diabetic Med. 2014;31(7):764\u201372.","journal-title":"Diabetic Med"},{"issue":"3","key":"10179_CR12","doi-asserted-by":"publisher","first-page":"246","DOI":"10.1370\/afm.842","volume":"6","author":"L Fisher","year":"2008","unstructured":"Fisher L, Glasgow RE, Mullan JT, Skaff MM, Polonsky WH. Development of a brief diabetes distress screening instrument. Ann Fam Med. 2008;6(3):246\u201352.","journal-title":"Ann Fam Med"},{"key":"10179_CR13","doi-asserted-by":"publisher","first-page":"767","DOI":"10.1111\/dme.12245","volume":"30","author":"A Nicolucci","year":"2013","unstructured":"Nicolucci A, Burns KK, Holt R, Comaschi M, Hermanns N, Ishii H, et al. Educational and Psychological Issues Diabetes Attitudes, Wishes and Needs second study (DAWN2TM): Cross-national benchmarking of diabetes-related psychosocial outcomes for people with diabetes. Diabet Med. 2013;30:767\u201377.","journal-title":"Diabet Med"},{"key":"10179_CR14","doi-asserted-by":"publisher","unstructured":"Naranjo D, Hessler DM, Deol R, Chesla CA. Health and Psychosocial Outcomes in U.S. Adult Patients with Diabetes from Diverse Ethnicities. Cur Diabetes Rep. 2012;12(6):729\u201338. https:\/\/doi.org\/10.1007\/s11892-012-0319-y.","DOI":"10.1007\/s11892-012-0319-y"},{"issue":"2 Suppl","key":"10179_CR15","doi-asserted-by":"publisher","first-page":"88","DOI":"10.1353\/hpu.2006.0095","volume":"17","author":"MS Spencer","year":"2006","unstructured":"Spencer MS, Kieffer EC, Sinco BR, Palmisano G, Guzman JR, James SA, et al. Diabetes-specific emotional distress among African Americans and Hispanics with type 2 diabetes. J Health Care Poor Underserved. 2006;17(2 Suppl):88\u2013105. https:\/\/doi.org\/10.1353\/hpu.2006.0095.","journal-title":"J Health Care Poor Underserved"},{"issue":"2","key":"10179_CR16","doi-asserted-by":"publisher","first-page":"566","DOI":"10.1007\/s10903-013-9948-8","volume":"17","author":"JA Wagner","year":"2015","unstructured":"Wagner JA, Tennen H, Feinn R, Osborn CY. Self-reported discrimination, diabetes distress, and continuous blood glucose in women with type 2 diabetes. J Immigr Minor Health. 2015;17(2):566\u201373. https:\/\/doi.org\/10.1007\/s10903-013-9948-8.","journal-title":"J Immigr Minor Health"},{"issue":"6","key":"10179_CR17","doi-asserted-by":"publisher","first-page":"1208","DOI":"10.1007\/s10903-013-9843-3","volume":"16","author":"AMW LeBron","year":"2014","unstructured":"LeBron AMW, Valerio MA, Kieffer E, Sinco B, Rosland A-M, Hawkins J, et al. Everyday Discrimination, Diabetes-Related Distress, and Depressive Symptoms Among African Americans and Latinos with Diabetes. J Immigr Minor Health. 2014;16(6):1208\u201316. https:\/\/doi.org\/10.1007\/s10903-013-9843-3.","journal-title":"J Immigr Minor Health"},{"issue":"1","key":"10179_CR18","doi-asserted-by":"publisher","first-page":"169","DOI":"10.1016\/j.jdiacomp.2016.09.013","volume":"31","author":"CC Asuzu","year":"2017","unstructured":"Asuzu CC, Walker RJ, Williams JS, Egede LE. Pathways for the relationship between diabetes distress, depression, fatalism and glycemic control in adults with type 2 diabetes. J Diabetes Complicat. 2017;31(1):169\u201374. https:\/\/doi.org\/10.1016\/j.jdiacomp.2016.09.013.","journal-title":"J Diabetes Complicat"},{"issue":"3","key":"10179_CR19","doi-asserted-by":"publisher","first-page":"472","DOI":"10.1007\/s10865-022-00301-w","volume":"45","author":"CM Nance","year":"2022","unstructured":"Nance CM, Betancourt H, Flynn PM. The role of cultural beliefs and distress in adherence to recommended physical activity among patients with type 2 diabetes mellitus. J Behav Med. 2022;45(3):472\u201380. https:\/\/doi.org\/10.1007\/s10865-022-00301-w.","journal-title":"J Behav Med"},{"issue":"2","key":"10179_CR20","doi-asserted-by":"publisher","first-page":"5","DOI":"10.22201\/fpsi.20074719e.2019.2.258","volume":"9","author":"H Betancourt","year":"2019","unstructured":"Betancourt H, Flynn PM. Healthcare mistreatment and cultural beliefs impact HbA1c in patients with Type 2 Diabetes Mellitus. Acta de investigaci\u00f3n psicol\u00f3gica. 2019;9(2):5\u201313.","journal-title":"Acta de investigaci\u00f3n psicol\u00f3gica"},{"issue":"10","key":"10179_CR21","doi-asserted-by":"publisher","first-page":"536","DOI":"10.1111\/j.1745-7599.2007.00255.x","volume":"19","author":"E Hatcher","year":"2007","unstructured":"Hatcher E, Whittemore R. Hispanic adults\u2019 beliefs about type 2 diabetes: Clinical implications. J Am Assoc Nurse Pract. 2007;19(10):536\u201345. https:\/\/doi.org\/10.1111\/j.1745-7599.2007.00255.x.","journal-title":"J Am Assoc Nurse Pract"},{"issue":"3","key":"10179_CR22","doi-asserted-by":"publisher","first-page":"295","DOI":"10.1080\/0887044031000084049","volume":"18","author":"MM Skaff","year":"2003","unstructured":"Skaff MM, Mullan JT, Fisher L, Chesla CA. A Contextual Model of Control Beliefs, Behavior, and Health: Latino and European Americans with Type 2 Diabetes. Psychol Health. 2003;18(3):295\u2013312. https:\/\/doi.org\/10.1080\/0887044031000084049.","journal-title":"Psychol Health"},{"issue":"6","key":"10179_CR23","doi-asserted-by":"publisher","first-page":"991","DOI":"10.1093\/her\/cyq052","volume":"25","author":"H Betancourt","year":"2010","unstructured":"Betancourt H, Flynn PM, Riggs M, Garberoglio C. A cultural research approach to instrument development: The case of breast and cervical cancer screening among Latino and Anglo women. Health Educ Res. 2010;25(6):991\u20131007.","journal-title":"Health Educ Res"},{"issue":"1","key":"10179_CR24","doi-asserted-by":"publisher","first-page":"79","DOI":"10.1007\/s12160-011-9267-z","volume":"42","author":"PM Flynn","year":"2011","unstructured":"Flynn PM, Betancourt H, Ormseth SR. Culture, emotion, and cancer screening: An integrative framework for investigating health behavior. Ann Behav Med. 2011;42(1):79\u201390.","journal-title":"Ann Behav Med"},{"issue":"5","key":"10179_CR25","doi-asserted-by":"publisher","first-page":"798","DOI":"10.1007\/s10865-015-9646-1","volume":"38","author":"JA Amador","year":"2015","unstructured":"Amador JA, Flynn PM, Betancourt H. Cultural beliefs about health professionals and perceived empathy influence continuity of cancer screening following a negative encounter. J Behav Med. 2015;38(5):798\u2013808.","journal-title":"J Behav Med"},{"key":"10179_CR26","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1007\/978-3-319-33033-4_1","volume-title":"Social Exclusion: Psychological Approaches to Understanding and Reducing Its Impact","author":"ED Wesselmann","year":"2016","unstructured":"Wesselmann ED, Grzybowski MR, Steakley-Freeman DM, DeSouza ER, Nezlek JB, Williams KD. Social Exclusion in Everyday Life. In: Riva P, Eck J, editors. Social Exclusion: Psychological Approaches to Understanding and Reducing Its Impact. Cham: Springer International Publishing; 2016. p. 3\u201323."},{"key":"10179_CR27","unstructured":"Wesselmann ED. The Link between Racial Discrimination and Social Exclusion.\u00a0https:\/\/spsp.org\/news-center\/character-context-blog\/link-between-racial-discrimination-and-social-exclusion. Accessed 14 Apr 2023."},{"issue":"7","key":"10179_CR28","doi-asserted-by":"publisher","first-page":"618","DOI":"10.1097\/MLR.0b013e318215d925","volume":"49","author":"ME Peek","year":"2011","unstructured":"Peek ME, Wagner J, Tang H, Baker DC, Chin MH. Self-reported racial discrimination in health care and diabetes outcomes. Med Care. 2011;49(7):618\u201325. https:\/\/doi.org\/10.1097\/MLR.0b013e318215d925.","journal-title":"Med Care"},{"issue":"1","key":"10179_CR29","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1016\/j.pec.2004.12.001","volume":"60","author":"JD Piette","year":"2006","unstructured":"Piette JD, Bibbins-Domingo K, Schillinger D. Health care discrimination, processes of care, and diabetes patients\u2019 health status. Patient Educ Couns. 2006;60(1):41\u20138. https:\/\/doi.org\/10.1016\/j.pec.2004.12.001.","journal-title":"Patient Educ Couns"},{"issue":"1","key":"10179_CR30","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1353\/hpu.2008.0005","volume":"19","author":"AM Ryan","year":"2008","unstructured":"Ryan AM, Gee GC, Griffith D. The effects of perceived discrimination on diabetes management. J Health Care Poor Underserved. 2008;19(1):149\u201363. https:\/\/doi.org\/10.1353\/hpu.2008.0005.","journal-title":"J Health Care Poor Underserved"},{"issue":"1","key":"10179_CR31","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1177\/0733464817750273","volume":"39","author":"IC Williams","year":"2020","unstructured":"Williams IC, Clay OJ, Ovalle F, Atkinson D, Crowe M. The Role of Perceived Discrimination and Other Psychosocial Factors in Explaining Diabetes Distress Among Older African American and White Adults. J Appl Gerontol. 2020;39(1):99\u2013104. https:\/\/doi.org\/10.1177\/0733464817750273.","journal-title":"J Appl Gerontol"},{"issue":"1","key":"10179_CR32","doi-asserted-by":"publisher","first-page":"113","DOI":"10.1037\/fsh0000316","volume":"36","author":"KJ Harper","year":"2018","unstructured":"Harper KJ, Osborn CY, Mayberry LS. Patient-perceived family stigma of Type 2 diabetes and its consequences. Fam Syst Health. 2018;36(1):113\u20137. https:\/\/doi.org\/10.1037\/fsh0000316.","journal-title":"Fam Syst Health"},{"issue":"1","key":"10179_CR33","doi-asserted-by":"publisher","first-page":"27","DOI":"10.2337\/cd16-0020","volume":"35","author":"NF Liu","year":"2017","unstructured":"Liu NF, Brown AS, Folias AE, Younge MF, Guzman SJ, Close KL, et al. Stigma in People With Type 1 or Type 2 Diabetes. Clin Diabetes. 2017;35(1):27\u201334. https:\/\/doi.org\/10.2337\/cd16-0020.","journal-title":"Clin Diabetes"},{"issue":"2","key":"10179_CR34","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1207\/s15324796abm3102_2","volume":"31","author":"LC Gallo","year":"2006","unstructured":"Gallo LC, Smith TW, Cox CM. Socioeconomic status, psychosocial processes, and perceived health: An interpersonal perspective. Ann Behav Med. 2006;31(2):109\u201319.","journal-title":"Ann Behav Med"},{"key":"10179_CR35","unstructured":"Betancourt H, Flynn PM. The psychology of health: Physical health and the role of culture and behavior. In Azmitia M, Cabrera N, Carlo G, Chahin J, Contreras-Grau J, Villarruel F. (Eds.). Handbook of U.S. Latino Psychology, Sage Publications, 2009."},{"issue":"1","key":"10179_CR36","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/03630242.2011.541853","volume":"51","author":"H Betancourt","year":"2011","unstructured":"Betancourt H, Flynn PM, Ormseth SR. Healthcare mistreatment and continuity of cancer screening among Latino and Anglo American women in Southern California. Women Health. 2011;51(1):1\u201324.","journal-title":"Women Health"},{"key":"10179_CR37","unstructured":"Flynn, PM. Motivated breast cancer screening and its cultural antecedents: Loma Linda University; 2005."},{"key":"10179_CR38","doi-asserted-by":"publisher","unstructured":"Salinas-Onate N, Betancourt H, Flynn PM, Baeza-Rivera MJ, Ortiz M. Investigating psychological service utilization employing an integrative socio-structural, cultural, and behavioral framework. Prof Psychol Res Pr. 2022;53(6):574\u201384. https:\/\/doi.org\/10.1037\/pro0000465","DOI":"10.1037\/pro0000465"},{"issue":"3","key":"10179_CR39","doi-asserted-by":"publisher","first-page":"271","DOI":"10.1037\/cdp0000295","volume":"26","author":"PM Flynn","year":"2020","unstructured":"Flynn PM, Betancourt H, Emerson ND, Nunez EI, Nance CM. Health professional cultural competence reduces the psychological and behavioral impact of negative healthcare encounters. Cultur Divers Ethnic Minor Psychol. 2020;26(3):271\u20139. https:\/\/doi.org\/10.1037\/cdp0000295.","journal-title":"Cultur Divers Ethnic Minor Psychol"},{"issue":"4","key":"10179_CR40","doi-asserted-by":"publisher","first-page":"593","DOI":"10.1037\/cdp0000019","volume":"21","author":"PM Flynn","year":"2015","unstructured":"Flynn PM, Betancourt H, Garberoglio C, Regts GJ, Kinworthy KM, Northington DJ. Attributions and emotions regarding health care mistreatment impact continuity of care among Latino and Anglo American women. Cultur Divers Ethnic Minor Psychol. 2015;21(4):593.","journal-title":"Cultur Divers Ethnic Minor Psychol"},{"key":"10179_CR41","unstructured":"Community Indicators Report. San Bernardino County. 2019."},{"key":"10179_CR42","unstructured":"Nance CM, Jones AJ, Raghani PS, Hoyt CD, Flynn PM, Codorniz K, et al. Ethnic and socioeconomic differences in cultural beliefs about diabetes. Western Psychological Association; April 2018; Portland, OR."},{"key":"10179_CR43","unstructured":"Ung SK. Role of cultural and psychological factors influencing diabetes treatment adherence: Loma Linda University; 2017."},{"issue":"3","key":"10179_CR44","doi-asserted-by":"publisher","first-page":"626","DOI":"10.2337\/diacare.28.3.626","volume":"28","author":"WH Polonsky","year":"2005","unstructured":"Polonsky WH, Fisher L, Earles J, Dudl RJ, Lees J, Mullan J, et al. Assessing Psychosocial Distress in Diabetes: Development of the Diabetes Distress Scale. Diabetes Care. 2005;28(3):626\u201331. https:\/\/doi.org\/10.2337\/diacare.28.3.626.","journal-title":"Diabetes Care"},{"issue":"6","key":"10179_CR45","doi-asserted-by":"publisher","first-page":"622","DOI":"10.1111\/j.1464-5491.2009.02730.x","volume":"26","author":"L Fisher","year":"2009","unstructured":"Fisher L, Mullan JT, Skaff MM, Glasgow RE, Arean P, Hessler D. Predicting diabetes distress in patients with type 2 diabetes: a longitudinal study. Diabet Med. 2009;26(6):622\u20137.","journal-title":"Diabet Medicine"},{"issue":"1","key":"10179_CR46","doi-asserted-by":"publisher","first-page":"138","DOI":"10.1186\/1477-7525-11-138","volume":"11","author":"A Schmitt","year":"2013","unstructured":"Schmitt A, Gahr A, Hermanns N, Kulzer B, Huber J, Haak T. The Diabetes Self-Management Questionnaire (DSMQ): development and evaluation of an instrument to assess diabetes self-care activities associated with glycaemic control. Health Qual Life Outcomes. 2013;11(1):138. https:\/\/doi.org\/10.1186\/1477-7525-11-138.","journal-title":"Health Qual Life Outcomes"},{"issue":"4","key":"10179_CR47","doi-asserted-by":"publisher","first-page":"816","DOI":"10.2337\/diacare.28.4.816","volume":"28","author":"M Heisler","year":"2005","unstructured":"Heisler M, Piette JD, Spencer M, Kieffer E, Vijan S. The Relationship Between Knowledge of Recent HbA1c Values and Diabetes Care Understanding and Self-Management. Diabetes Care. 2005;28(4):816\u201322. https:\/\/doi.org\/10.2337\/diacare.28.4.816.","journal-title":"Diabetes Care"},{"key":"10179_CR48","doi-asserted-by":"publisher","unstructured":"Schmitt A, Reimer A, Hermanns N, Huber J, Ehrmann D, Schall S, et al. Assessing Diabetes Self-Management with the Diabetes Self-Management Questionnaire (DSMQ) Can Help Analyse Behavioural Problems Related to Reduced Glycaemic Control. PLoS One. 2016;11(3):e0150774. https:\/\/doi.org\/10.1371\/journal.pone.0150774.","DOI":"10.1371\/journal.pone.0150774"},{"issue":"3","key":"10179_CR49","first-page":"114","volume":"12","author":"M Murugesan","year":"2018","unstructured":"Murugesan M, Sundaramoorthy J. Type II Diabetic Patients\u2019 Illness Perception and Self-care Behaviour: Does Comorbidity make any Difference? Int J Behav Sci. 2018;12(3):114\u201324.","journal-title":"Int J Behav Sci"},{"key":"10179_CR50","doi-asserted-by":"publisher","first-page":"1337","DOI":"10.1007\/s13300-019-0634-2","volume":"10","author":"KB Turrin","year":"2019","unstructured":"Turrin KB, Trujillo JM. Effects of diabetes numeracy on glycemic control and diabetes self-management behaviors in patients on insulin pump therapy. Diabet Ther. 2019;10:1337\u201346.","journal-title":"Diabet Ther"},{"issue":"2","key":"10179_CR51","doi-asserted-by":"publisher","first-page":"97","DOI":"10.2337\/diaclin.33.2.97","volume":"33","author":"AD Association","year":"2015","unstructured":"Association AD. Standards of medical care in diabetes\u20142015 abridged for primary care providers. Clin Diabetes. 2015;33(2):97.","journal-title":"Clin Diabetes"},{"key":"10179_CR52","unstructured":"Bentler PM. EQS for Windows. Encino, CA: Multivariate Software; 2019."},{"key":"10179_CR53","doi-asserted-by":"publisher","first-page":"1936","DOI":"10.3389\/fpsyg.2018.01936","volume":"9","author":"OM Kwok","year":"2018","unstructured":"Kwok OM, Cheung MWL, Jak S, Ryu E, Wu JY. Editorial: Recent Advancements in Structural Equation Modeling (SEM): From Both Methodological and Application Perspectives. Front Psychol. 2018;9:1936. https:\/\/doi.org\/10.3389\/fpsyg.2018.01936.","journal-title":"Front Psychol"},{"key":"10179_CR54","volume-title":"Structural equation modeling with EQS: basic concepts, applications, and programming","author":"BM Byrne","year":"2006","unstructured":"Byrne BM. Structural equation modeling with EQS: basic concepts, applications, and programming. 2nd ed. Mahwah, N.J.: Lawrence Erlbaum Associates; 2006.","edition":"2"},{"issue":"404","key":"10179_CR55","doi-asserted-by":"publisher","first-page":"1198","DOI":"10.1080\/01621459.1988.10478722","volume":"83","author":"RJA Little","year":"1988","unstructured":"Little RJA. A Test of Missing Completely at Random for Multivariate Data with Missing Values. J Am Stat Assoc. 1988;83(404):1198\u2013202. https:\/\/doi.org\/10.1080\/01621459.1988.10478722.","journal-title":"J Am Stat Assoc"},{"key":"10179_CR56","unstructured":"Enders CK. Applied missing data analysis: Guilford Press; 2010."},{"key":"10179_CR57","volume-title":"The SAGE Handbook of Innovation in Social Research Methods","author":"RB Kline","year":"2011","unstructured":"Kline RB. The SAGE Handbook of Innovation in Social Research Methods. London: SAGE Publications Ltd.; 2011."},{"key":"10179_CR58","volume-title":"Principles and practice of structural equation modeling","author":"RB Kline","year":"2005","unstructured":"Kline RB. Principles and practice of structural equation modeling. 2nd ed. New York, NY: Guilford Press; 2005.","edition":"2"},{"issue":"2","key":"10179_CR59","doi-asserted-by":"publisher","first-page":"181","DOI":"10.1207\/S15327906Mb340203","volume":"34","author":"PM Bentler","year":"1999","unstructured":"Bentler PM, Yuan K-H. Structural equation modeling with small samples: Test statistics. Multivar Behav Res. 1999;34(2):181\u201397.","journal-title":"Multivar Behav Res"},{"key":"10179_CR60","doi-asserted-by":"crossref","unstructured":"Hu L-t, Bentler PM. Fit indices in covariance structure modeling: Sensitivity to underparameterized model misspecification. Psychol Method. 1998;3(4):424.","DOI":"10.1037\/\/1082-989X.3.4.424"},{"key":"10179_CR61","unstructured":"Tabachnick BG, Fidell LS. Using Multivariate Statistics. New York, NY: Pearson Education; 2012."},{"key":"10179_CR62","first-page":"136","volume-title":"Testing Structural Equation Models","author":"MW Browne","year":"1993","unstructured":"Browne MW, Cudeck R. Alternative ways of assessing model fit. In: Bollen KA, Long JS, editors. Testing Structural Equation Models. Newbury Park, CA: Sage; 1993. p. 136\u201362."},{"issue":"3","key":"10179_CR63","doi-asserted-by":"publisher","first-page":"879","DOI":"10.3758\/BRM.40.3.879","volume":"40","author":"KJ Preacher","year":"2008","unstructured":"Preacher KJ, Hayes AF. Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behav Res Methods. 2008;40(3):879\u201391. https:\/\/doi.org\/10.3758\/BRM.40.3.879.","journal-title":"Behav Res Methods"},{"issue":"1","key":"10179_CR64","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1080\/10705510701758166","volume":"15","author":"J Williams","year":"2008","unstructured":"Williams J, MacKinnon DP. Resampling and Distribution of the Product Methods for Testing Indirect Effects in Complex Models. Struct Equ Model. 2008;15(1):23\u201351. https:\/\/doi.org\/10.1080\/10705510701758166.","journal-title":"Struct Equ Model"},{"issue":"6","key":"10179_CR65","doi-asserted-by":"publisher","first-page":"913","DOI":"10.1177\/0013164413495237","volume":"73","author":"EJ Wolf","year":"2013","unstructured":"Wolf EJ, Harrington KM, Clark SL, Miller MW. Sample Size Requirements for Structural Equation Models: An Evaluation of Power, Bias, and Solution Propriety. Educ Psychol Meas. 2013;73(6):913\u201334. https:\/\/doi.org\/10.1177\/0013164413495237.","journal-title":"Educ Psychol Meas"},{"issue":"6","key":"10179_CR66","doi-asserted-by":"publisher","first-page":"792","DOI":"10.1007\/s12529-015-9478-y","volume":"22","author":"S Herbozo","year":"2015","unstructured":"Herbozo S, Flynn PM, Stevens SD, Betancourt H. Dietary Adherence, Glycemic Control, and Psychological Factors Associated with Binge Eating Among Indigenous and Non-Indigenous Chileans with Type 2 Diabetes. Int J Behav Med. 2015;22(6):792\u20138. https:\/\/doi.org\/10.1007\/s12529-015-9478-y.","journal-title":"Int J Behav Med"},{"key":"10179_CR67","doi-asserted-by":"publisher","unstructured":"Kato A, Fujimaki Y, Fujimori S, Isogawa A, Onishi Y, Suzuki R, et al. Associations between diabetes duration and self-stigma development in Japanese people with type 2 diabetes: a secondary analysis of cross-sectional data. BMJ Open. 2021;11(12):e055013.\u00a0https:\/\/doi.org\/10.1136\/bmjopen-2021-055013.","DOI":"10.1136\/bmjopen-2021-055013"},{"issue":"5","key":"10179_CR68","doi-asserted-by":"publisher","first-page":"508","DOI":"10.1002\/nur.20208","volume":"30","author":"M Scollan-Koliopoulos","year":"2007","unstructured":"Scollan-Koliopoulos M, O\u2019Connell KA, Walker EA. Legacy of diabetes and self-care behavior. Res Nurs Health. 2007;30(5):508\u201317. https:\/\/doi.org\/10.1002\/nur.20208.","journal-title":"Res Nurs Health"},{"issue":"1","key":"10179_CR69","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/1471-2458-9-392","volume":"9","author":"AT Ahmed","year":"2009","unstructured":"Ahmed AT, Quinn VP, Caan B, Sternfeld B, Haque R, Van Den Eeden SK. Generational status and duration of residence predict diabetes prevalence among Latinos: the California Men\u2019s Health Study. BMC Public Health. 2009;9(1):1\u201311.","journal-title":"BMC Public Health"},{"issue":"4","key":"10179_CR70","doi-asserted-by":"publisher","first-page":"860","DOI":"10.1093\/jn\/137.4.860","volume":"137","author":"R P\u00e9rez-Escamilla","year":"2007","unstructured":"P\u00e9rez-Escamilla R, Putnik P. The Role of Acculturation in Nutrition, Lifestyle, and Incidence of Type 2 Diabetes among Latinos. J Nutr. 2007;137(4):860\u201370. https:\/\/doi.org\/10.1093\/jn\/137.4.860.","journal-title":"J Nutr"},{"issue":"3","key":"10179_CR71","first-page":"496","volume":"11","author":"L Franzini","year":"2001","unstructured":"Franzini L, Ribble JC, Keddie AM. Understanding the Hispanic paradox. Ethn Dis. 2001;11(3):496\u2013518.","journal-title":"Ethn Dis"},{"issue":"7","key":"10179_CR72","doi-asserted-by":"publisher","first-page":"707","DOI":"10.1093\/aje\/kwh089","volume":"159","author":"KV Patel","year":"2004","unstructured":"Patel KV, Eschbach K, Ray LA, Markides KS. Evaluation of mortality data for older Mexican Americans: implications for the Hispanic paradox. Amer J Epidemiol. 2004;159(7):707\u201315.","journal-title":"Amer J Epidemiol"},{"issue":"6","key":"10179_CR73","doi-asserted-by":"publisher","first-page":"1243","DOI":"10.1016\/j.socscimed.2005.01.016","volume":"61","author":"AF Abra\u00eddo-Lanza","year":"2005","unstructured":"Abra\u00eddo-Lanza AF, Chao MT, Fl\u00f3rez KR. Do healthy behaviors decline with greater acculturation?: Implications for the Latino mortality paradox. Soc Sci Med. 2005;61(6):1243\u201355.","journal-title":"Soc Sci Med"},{"key":"10179_CR74","unstructured":"Flynn PM, Betancourt HM. Extending Betancourt\u2019s Integrative Model of Culture, Psychological Factors, and Health Behavior to biological outcomes. J Behav Med. 2018;p. S95."},{"issue":"3","key":"10179_CR75","doi-asserted-by":"publisher","first-page":"180","DOI":"10.1080\/10705500802222295","volume":"15","author":"CAM Paddison","year":"2008","unstructured":"Paddison CAM, Alpass FM, Stephens CV. Psychological factors account for variation in metabolic control and perceived quality of life among people with type 2 diabetes in New Zealand. Int J Behav Med. 2008;15(3):180\u20136. https:\/\/doi.org\/10.1080\/10705500802222295.","journal-title":"Int J Behav Med"},{"issue":"9","key":"10179_CR76","doi-asserted-by":"publisher","first-page":"1862","DOI":"10.2337\/dc18-0391","volume":"41","author":"L Fisher","year":"2018","unstructured":"Fisher L, Hessler D, Polonsky WH, Masharani U, Guzman S, Bowyer V, et al. T1-REDEEM: A Randomized Controlled Trial to Reduce Diabetes Distress Among Adults With Type 1 Diabetes. Diabetes Care. 2018;41(9):1862\u20139. https:\/\/doi.org\/10.2337\/dc18-0391.","journal-title":"Diabetes Care"},{"key":"10179_CR77","doi-asserted-by":"publisher","unstructured":"McCurley JL, Gutierrez AP, Gallo LC. Diabetes Prevention in U.S. Hispanic Adults: A Systematic Review of Culturally Tailored Interventions. Am J Prev Med. 2017;52(4):519\u201329.\u00a0https:\/\/doi.org\/10.1016\/j.amepre.2016.10.028.","DOI":"10.1016\/j.amepre.2016.10.028"},{"issue":"4","key":"10179_CR78","doi-asserted-by":"publisher","first-page":"397","DOI":"10.1177\/07399863870094003","volume":"9","author":"F Sabogal","year":"1987","unstructured":"Sabogal F, Mar\u00edn G, Otero-Sabogal R, Mar\u00edn BV, Perez-Stable EJ. Hispanic Familism and Acculturation: What Changes and What Doesn\u2019t? Hisp J of Behav Sci. 1987;9(4):397\u2013412. https:\/\/doi.org\/10.1177\/07399863870094003.","journal-title":"Hisp J of Behav Sci"},{"key":"10179_CR79","unstructured":"Zinn MB. Familism among Chicanos: A theoretical review. Humboldt J Soc Rel. 1982:224\u201338."},{"issue":"2","key":"10179_CR80","doi-asserted-by":"publisher","first-page":"191","DOI":"10.1037\/a0034094","volume":"20","author":"B Campos","year":"2014","unstructured":"Campos B, Ullman JB, Aguilera A, Dunkel SC. Familism and psychological health: the intervening role of closeness and social support. Cultur Divers Ethnic Minor Psychol. 2014;20(2):191\u2013201. https:\/\/doi.org\/10.1037\/a0034094.","journal-title":"Cultur Divers Ethnic Minor Psychol"},{"key":"10179_CR81","doi-asserted-by":"publisher","DOI":"10.1007\/s12529-021-10024-y","author":"M Alyami","year":"2021","unstructured":"Alyami M, Serlachius A, Mokhtar I, Broadbent E. Longitudinal Associations Between Illness Perceptions and Glycemic Control in Type 2 Diabetes. Int J Behav Med. 2021. https:\/\/doi.org\/10.1007\/s12529-021-10024-y.","journal-title":"Int J Behav Med"}],"container-title":["International Journal of Behavioral Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s12529-023-10179-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s12529-023-10179-w\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s12529-023-10179-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,24]],"date-time":"2024-07-24T16:19:43Z","timestamp":1721837983000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s12529-023-10179-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,30]]},"references-count":81,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,8]]}},"alternative-id":["10179"],"URL":"https:\/\/doi.org\/10.1007\/s12529-023-10179-w","relation":{},"ISSN":["1070-5503","1532-7558"],"issn-type":[{"value":"1070-5503","type":"print"},{"value":"1532-7558","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,30]]},"assertion":[{"value":"19 April 2023","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 May 2023","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical Approval"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed Consent"}},{"value":"This article contains a study with human participants. This article does not contain any studies with animals performed by any of the authors.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Research Involving Human Participants and\/or Animals"}},{"value":"The authors declare no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing Interests"}}]}}