Purpose The purpose of this study was to investigate factors associated with receiving diabetes spousal support in a sample of Korean immigrants with type 2 diabetes (T2DM) and to test whether disclosure (culture-specific factor) is a significant predictor of spousal support receipt in this group. Methods A cross-sectional survey was conducted with a convenience sample of 136 US community-dwelling Korean immigrants with T2DM ages 46 to 89 years old. Potential predictors were sociodemographic factors (age, gender, education, years in US), personal characteristics (quality of marriage and depression), diabetes severity (duration of diabetes, A1C, insulin use), diabetes self-management, diabetes worries/concerns (psychological factor), and disclosure of worries (cultural factor). The study used validated survey instruments including Diabetes Care Profile for spousal support received, Summary of Diabetes Self-Care Activities, Problem Area in Diabetes, and Diabetes Distress Disclosure Index. Descriptive statistics, correlations, and hierarchical multivariable linear regression models were conducted. Results Six predictors (education level, years spent in the US, glucose control status, diabetes self-management level, diabetes worries/concerns, and disclosure of diabetes worries) were significantly related to receiving spousal support. At least some college education, less time in the US, better glucose control (lower A1C), poor self-management, more diabetes worries, and more disclosure of diabetes worries/distress were associated with receiving higher level of spousal support. Disclosure was the strongest predictor. Conclusion Receiving spousal support for diabetes self-management among Korean immigrants is influenced by 6 factors identified in this study. Disclosing diabetes worries (cultural factor) is most impactful.

中文翻译：

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披露对患有 2 型糖尿病的韩国移民获得配偶赡养费的影响

目的 本研究的目的是调查韩国移民 2 型糖尿病 (T2DM) 样本中与接受糖尿病配偶赡养费相关的因素，并检验披露（文化特异性因素）是否是本研究中接受配偶赡养费的重要预测因素。团体。方法 对 136 名 46 至 89 岁 T2DM 的美国社区居住韩国移民的便利样本进行横断面调查。潜在的预测因素是社会人口因素（年龄、性别、教育、在美国的年限）、个人特征（婚姻质量和抑郁）、糖尿病严重程度（糖尿病持续时间、A1C、胰岛素使用）、糖尿病自我管理、糖尿病担忧/担忧（心理因素）和忧虑的披露（文化因素）。该研究使用了经过验证的调查工具，包括获得配偶支持的糖尿病护理概况、糖尿病自我护理活动总结、糖尿病问题领域和糖尿病困扰披露指数。进行了描述性统计、相关性和分层多变量线性回归模型。结果 六个预测因素（教育水平、在美国的年限、血糖控制状况、糖尿病自我管理水平、糖尿病担忧/担忧和糖尿病担忧的披露）与接受配偶赡养显着相关。至少一些大学教育、在美国的时间更少、更好的血糖控制（更低的 A1C）、较差的自我管理、更多的糖尿病担忧以及更多地披露糖尿病担忧/痛苦与获得更高水平的配偶支持有关。披露是最强的预测因素。结论 韩国移民在糖尿病自我管理方面获得配偶支持受本研究中确定的 6 个因素的影响。披露糖尿病担忧（文化因素）是最有影响力的。