{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T09:14:47Z","timestamp":1790068487508,"version":"4.0.1"},"reference-count":38,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2020,5,13]],"date-time":"2020-05-13T00:00:00Z","timestamp":1589328000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Child Health Care"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:p>Youth with type 1 diabetes (T1DM) can face many challenges when adhering to their complex regimen in the context of their peer crowd. The aim of this study was to determine if peer crowd affiliation was associated with adolescents\u2019 adherence behaviors, perceived peer support, and metabolic control. A sample of 128 adolescents with T1DM completed the Peer Crowd Questionnaire, Diabetes Social Support Questionnaire\u2013Friends Version, and Self-Care Inventory\u2013Revised, and HbA1c readings were collected during their clinic visit. Results from this study suggest that adherence behaviors mediated the relationship between Jock peer crowd affiliation and metabolic control. Results also suggested that perceived peer support did not mediate the relationship between peer crowd affiliation and metabolic control through adherence behaviors. When examining the path coefficients for the purposed models, results showed a positive relationship between adherence and metabolic control, and more perceived peer support was related to worse metabolic control. Adolescents who identified mostly with the Jock peer crowd may hold lifestyle values that are consistent with the diabetes regimen which may make their diabetes management easier. In general, adolescents with T1DM may have a more multifaceted aspect of one\u2019s identity and therefore, their peer crowd affiliation is not as salient.<\/jats:p>","DOI":"10.1177\/1367493520924875","type":"journal-article","created":{"date-parts":[[2020,5,13]],"date-time":"2020-05-13T06:52:56Z","timestamp":1589352776000},"page":"240-252","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Peer crowd affiliation, adherence, perceived support, and metabolic control in T1DM youth"],"prefix":"10.1177","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2855-5895","authenticated-orcid":false,"given":"Katie","family":"Fleischman","sequence":"first","affiliation":[{"name":"Balance and Vestibular Program, Department of Otolaryngology, Boston Children\u2019s Hospital\/Harvard Medical School, Waltham, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony A","family":"Hains","sequence":"additional","affiliation":[{"name":"Department of Educational Psychology, University of Wisconsin-Milwaukee, Milwaukee, WI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,5,13]]},"reference":[{"key":"bibr1-1367493520924875","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.29.s1.06.s4"},{"key":"bibr2-1367493520924875","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/27.5.417"},{"key":"bibr3-1367493520924875","first-page":"188","volume-title":"Peer Relationships in Child Development","author":"Brown BB","year":"1989"},{"key":"bibr4-1367493520924875","volume-title":"Social Type Rating Manual","author":"Brown BB","year":"1989"},{"key":"bibr5-1367493520924875","first-page":"171","volume-title":"At the Threshold: The Developing Adolescent","author":"Brown BB","year":"1990"},{"key":"bibr6-1367493520924875","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.52.1.47"},{"key":"bibr7-1367493520924875","first-page":"123","volume-title":"Advances in Adolescent Development: Vol. 6. 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